Tuesday, January 31, 2012

Parkinson disease

Parkinson’s disease is a disorder that affects nerve cells, or neurons, in a part of the brain that controls muscle movement. In Parkinson’s, neurons that make a chemical called dopamine die or do not work properly. Dopamine normally sends signals that help coordinate your movements. No one knows what damages these cells. Symptoms of Parkinson’s disease may includeTrembling of hands, arms, legs, jaw and faceStiffness of the arms, legs and trunkSlowness of movementPoor balance and coordinationAs symptoms get worse, people with the disease may have trouble walking, talking or doing simple tasks. They may also have problems such as depression, sleep problems or trouble chewing, swallowing or speaking.Parkinson’s usually begins around age 60, but it can start earlier. It is more common in men than in women. There is no cure for Parkinson’s disease. A variety of medicines sometimes help symptomsNo Comments »

Monday, January 30, 2012

Eating right goes a long way when it comes to a healthy heart.According to the Ministry of Health, Ischaemic Heart Disease accounts for 18.7 per cent of deaths in Singapore in 2010. It is Singapore's number two killer just after cancer.A heart attack occurs when blood flow to part of the heart is blocked causing poor supply of oxygen to the heart muscles. Some people have chest pains when heart attack happens but some people have no symptoms at all.


It is important to be aware of the risks of heart attack because most of them are preventable.About.com reported that dietary advice for reducing heart disease risk includes eating a balanced diet with less saturated fats from red meats, more fresh fruits and vegetables, more fish, less sugar, more fiber and for many people, fewer total calories. Try having these

Saturday, January 28, 2012

These are 15 I will follow myself in 2012, and hopefully beyond. I invite you to join me on these "Rules." Zi think it would make the world a better place.1- Be Truthful to yourself and others. Yes, it is not politically correct. Does a true friend just tell you whats good about you? Friendship begins with honesty to yourself and others. Trust me, honesty will bring closeness and respect. So, wear the same face all the time because truthfully, you can never fool your friends.2- Go through your list of contacts or address book. If you have not communicated in ANY way with that contact in the past year....erase them. Yes, even if it is me. Unless it is a plumber, mechanic, lawyer, etc... Start the year by surrounding yourself with good people with good intentions. "Give and take" does not mean, "I give and you take." If someone is not putting as much into your relationship as you are, then they are taking a piece of you that someone else may need. If you do this, you will be amazed at how few people are in your contact list. Those are your friends.3- TALK, Do Not Text important issues. An "I'm sorry" or "Please forgive me" text has no feeling because you can not see the person's face. An occassional "I love you" or "I miss You" is ok. The serious matters you must take care of in person. Along with this, do not text someone while you are having a conversation with others. Be polite with the phone. Hang it up when your in line at the store, do not text at the dinner table, when face to face with friends or family, etc....COMMUNICATION is what sets us apart from animals (that and opposable thumbs.) Show respect to the person to whom you are face-to-face with. It will go a long way. Plus, while texting you may miss some very important things in life you can not get back. It can be lonely with no one to talk to.4- Do just one good deed for a stranger or a surprise for a loved one. It can be as simple as holding the door for someone, writing "I love you" on a napkin and putting it in their lunch, or just saying "I like that shirt" to someone who looks "down in the dumps" at the store. Just like road rage, kindness is contageous.5- Always end a phone call, family gathering, gathering with friends, etc..with, "I love you." You may never get the chance again.6- Charity is not always about money. At least once in this upcoming year, do something nice for someone less fortunate. It can be a "Red Kettle" donation or, it can be gathering stuff around the house and donate it, it can be delivering a meal to a neighbor, cutting the grass or shoveling snow, it can be donating time to a homeless shelter, volunteering at a school or library, or it can be just listening to someone who has an issue. I am not saying, "Don't donate money (a good choice may be www.parkinson.org--shameless plug)," but there are other options. You have 525,600 minutes in one year. I think we can all spare 15 to 30 minutes to help those in need.7- Hug your children and tell them you love them many times a day. I always ask my girls, "Are you beautiful? Are you smart?" If they answer "No" to either question, or even delay to answer, we talk about it until it is resolved. There is nothing more important than having your children know they are loved, beautiful/handsome, and smart.8- Forgive and try to forget. If you dwell on the past you will never move forward. Forgive those people and things that you need to in order to move forward. When you forgive, you let go of the past, and forgetting will go with it.9- Money is never made, it is only transferred. People rarely get rich working. Some people just make more money than you, but remember they also spend more than you. You work for a company, they transfer the money money they make to you for the work you have done. You, in turn, transfer it to the bank, the mortage company, the auto loan company, the cable company, the gas company, the electric company, etc... When you look at what you owe, you say to yourself, "How do I get out of this?" The United States National Debt is, as of 1/1/2012, $15,125,898,976,398. You do not see our government sweating. If you owe money, call up the companies and tell them you are having trouble paying them. Don't ignore them, they won't go away.10- Try something you have never done before. It does not matter what, just as ling as it is something you have NEVER done before. 12- Keep your change! I have never been a person to search my pocket for 26 cents when my soda cost $1.26. I always give $2.00 and keep the chsnge, even though I know I have it in my pocket. At the end of the day put all the change in a bucket. If you start today, you WILL NOT have to worry about money for Chritmas presents 360 days from now. Trust me on this, it adds up.13- "The 3 Bucket Rule. If you have children, do this with them. If you don't have children, then do it for your grandchildren or even yourself. Use 3 cans, or boxes, or whatever will hold money. Let your kuds decorate the boxes. On Box 1 write "ME," on Box 2 write "BANK," and on Box 3 write "CHARITY." Each week give your kids an allowance (say $3.00). I know many of you are saying that your kids don't do anything for an allowance. Let me ask you this, "Do you get paid per hour or by how much you do, how fast you are, or how neat your work space is?" I think I proved my point and kids should be treated the same. So, every week you give them $3.00. $1 goes into the ME bucket, which they can spend at any time on what they want. $1 goes into the BANK bucket, which you take them to the bank and open an account for them and they put the book in the bucket when they get home (some banks have kids accounts, just ask). $1 goes into the CHARITY bucket, which at the end of each year they get to pick out what charity they want to donate to. This will give your children the life values of: Spend Wisely, Save Accordingly, and Give Back to those in need. 14- Call your family once a week. I have not been very good at this, but this us the year. Your family is always there for you, whether it be Mom, Dad, Bother, Sister, etc... One of them must like you. Call them.15- "Choose to have a great Day! I say this to my wife and our girls every morning before they go to school. It is a choice, and DO NOT let anyone stand in the way of your choice to HAVE A GREAT DAY!I truly care for the well being of all of you deeply, and may this year be your year. It starts today, don't waste 1 minute of the 525,600 minutes you have this year.Your Friend & Phsrmacist,Mark Best of health,Mark R. Comes R.Ph."Ask The Pharmacist"www.parkinson.org 0
ReportBack to top of the page up there ^ MultiQuote Reply

Friday, January 27, 2012

15 rules

Posted 02 January 2012 - 01:11 PMThese are 15 I will follow myself in 2012, and hopefully beyond. I invite you to join me on these "Rules." Zi think it would make the world a better place.1- Be Truthful to yourself and others. Yes, it is not politically correct. Does a true friend just tell you whats good about you? Friendship begins with honesty to yourself and others. Trust me, honesty will bring closeness and respect. So, wear the same face all the time because truthfully, you can never fool your friends.2- Go through your list of contacts or address book. If you have not communicated in ANY way with that contact in the past year....erase them. Yes, even if it is me. Unless it is a plumber, mechanic, lawyer, etc... Start the year by surrounding yourself with good people with good intentions. "Give and take" does not mean, "I give and you take." If someone is not putting as much into your relationship as you are, then they are taking a piece of you that someone else may need. If you do this, you will be amazed at how few people are in your contact list. Those are your friends.3- TALK, Do Not Text important issues. An "I'm sorry" or "Please forgive me" text has no feeling because you can not see the person's face. An occassional "I love you" or "I miss You" is ok. The serious matters you must take care of in person. Along with this, do not text someone while you are having a conversation with others. Be polite with the phone. Hang it up when your in line at the store, do not text at the dinner table, when face to face with friends or family, etc....COMMUNICATION is what sets us apart from animals (that and opposable thumbs.) Show respect to the person to whom you are face-to-face with. It will go a long way. Plus, while texting you may miss some very important things in life you can not get back. It can be lonely with no one to talk to.4- Do just one good deed for a stranger or a surprise for a loved one. It can be as simple as holding the door for someone, writing "I love you" on a napkin and putting it in their lunch, or just saying "I like that shirt" to someone who looks "down in the dumps" at the store. Just like road rage, kindness is contageous.5- Always end a phone call, family gathering, gathering with friends, etc..with, "I love you." You may never get the chance again.6- Charity is not always about money. At least once in this upcoming year, do something nice for someone less fortunate. It can be a "Red Kettle" donation or, it can be gathering stuff around the house and donate it, it can be delivering a meal to a neighbor, cutting the grass or shoveling snow, it can be donating time to a homeless shelter, volunteering at a school or library, or it can be just listening to someone who has an issue. I am not saying, "Don't donate money (a good choice may be www.parkinson.org--shameless plug)," but there are other options. You have 525,600 minutes in one year. I think we can all spare 15 to 30 minutes to help those in need.7- Hug your children and tell them you love them many times a day. I always ask my girls, "Are you beautiful? Are you smart?" If they answer "No" to either question, or even delay to answer, we talk about it until it is resolved. There is nothing more important than having your children know they are loved, beautiful/handsome, and smart.8- Forgive and try to forget. If you dwell on the past you will never move forward. Forgive those people and things that you need to in order to move forward. When you forgive, you let go of the past, and forgetting will go with it.10- Try something you have never done before. It does not matter what, just as ling as it is something you have NEVER done before. 12- Keep your change! I have never been a person to search my pocket for 26 cents when my soda cost $1.26. I always give $2.00 and keep the chsnge, even though I know I have it in my pocket. At the end of the day put all the change in a bucket. If you start today, you WILL NOT have to worry about money for Chritmas presents 360 days from now. Trust me on this, it adds up.13- "The 3 Bucket Rule. If you have children, do this with them. If you don't have children, then do it for your grandchildren or even yourself. Use 3 cans, or boxes, or whatever will hold money. Let your kuds decorate the boxes. On Box 1 write "ME," on Box 2 write "BANK," and on Box 3 write "CHARITY." Each week give your kids an allowance (say $3.00). I know many of you are saying that your kids don't do anything for an allowance. Let me ask you this, "Do you get paid per hour or by how much you do, how fast you are, or how neat your work space is?" I think I proved my point and kids should be treated the same. So, every week you give them $3.00. $1 goes into the ME bucket, which they can spend at any time on what they want. $1 goes into the BANK bucket, which you take them to the bank and open an account for them and they put the book in the bucket when they get home (some banks have kids accounts, just ask). $1 goes into the CHARITY bucket, which at the end of each year they get to pick out what charity they want to donate to. This will give your children the life values of: Spend Wisely, Save Accordingly, and Give Back to those in need. 14- Call your family once a week. I have not been very good at this, but this us the year. Your family is always there for you, whether it be Mom, Dad, Bother, Sister, etc... One of them must like you. Call them.15- "Choose to have a great Day! I say this to my wife and our girls every morning before they go to school. It is a choice, and DO NOT let anyone stand in the way of your choice to HAVE A GREAT DAY!I truly care for the well being of all of you deeply, and may this year be your year. It starts today, don't waste 1 minute of the 525,600 minutes you have this year.Your Friend & Phsrmacist

Thursday, January 26, 2012

I am on bipolar medication for a yearMy medication ; one 1/2 tablets Arip at lunch,night dailyone Zoloft 50mg at night daily1/2 Zydis (olanzapine) nightly1 Stilnox 10mg nightly2 tablet 0.5 Besquil three times dailyParkinson medication6mg requip pd 24 hours daily1 tablet 25/100 daily1 tablet Stalevo 150/37.5/200mg dailyI do not have sleep trouble nightlybut with anxiety, slurred and saliva during day timeKindly advice TEOKIMHOE

Friday, January 20, 2012

What is Drug Interaction?Medicines are used to treat certain conditions or illnesses, but when two or more medicines are used simultaneously, they may interact with each other and cause complications or unwanted side effects. Drug interactions may occur with prescription drugs, over-the-counter (OTC) medicines, herbal remedies, or dietary supplements, so it is important that the patient realizes the dangers of mixing drugs without consulting a doctor.Parkinson’s Disease MedicinesThe drug therapy most commonly used in Parkinson’s disease usually consists of the following : LevodopaLevodopa + peripheral decarboxylase inhibitors such as carbidopa and benserazide.Dopamine receptor agonists – pramipexole, ropinirole, and rotigotine.MAO-B inhibitors – selegiline and rasagiline.COMT inhibitors – entacaponeAnticholinergics – benzhexol and orphenadrineAmantadine.Drug Interactions with Parkinson’s Disease MedicinesLevodopaSince this is the most widely used medicine in Parkinson’s disease, its drug interactions should be understood by all Parkinson’s patients. Certain medicines decrease effectiveness of levodopa hence the dose of levodopa may have to be adjusted if used together. These include Anticholinergics – sometimes used in addition to levodopa for treatment of symptoms in Parkinson’s disease. Over-the-counter cough and cold medicines contain anticholinergics such as diphenhydramine, chlorpheniramine, and phenylephrine. Antispasmodics used for treating stomach or uterine cramps also contain anticholinergics such as dicyclomine and hyoscyamine. Anti-allergic medicines (like

Parkinson disease

Parkinson’s disease is a long term disease where the patient needs to take medicines on a regular basis for relief of the symptoms> It is important for both the Parkinson’s patient and care givers to realize that these medicines might have various types of interactions with other drugs. Some of these drug interactions can be quite severe, therefore additional medicines should be taken only after consulting a doctor.

other drug interaction with PD medicines

Other Drug Interactions with Parkinson’s Disease Medicines
Posted: by Dr. P.D. Tags: , ,
Table of Contents
What is Drug Interaction?
Parkinson’s Disease Medicines
Drug Interactions with Parkinson’s Disease Medicines
Levodopa
Other Parkinson’s Drugs
Comments (7)
Parkinson’s disease is a long term disease where the patient needs to take medicines on a regular basis for relief of the symptoms> It is important for both the Parkinson’s patient and care givers to realize that these medicines might have various types of interactions with other drugs. Some of these drug interactions can be quite severe, therefore additional medicines should be taken only after consulting a doctor

Friday, January 13, 2012

saliva

Drooling and Excess Saliva in Parkinson's Disease
From , former About.com Guide
Updated May 19, 2009
About.com Health's Disease and Condition content is reviewed by the Medical Review Board
See More About:
parkinson's treatments
parkinson's symptoms
If you have Parkinson's disease you have probably learned to carry around a handkerchief in your pocket so that you can periodically wipe up the spit that seems to regularly leak out of your mouth. Survey studies have recorded the presence of excess saliva or drooling in 70 to 78% of patients with PD. Men drool more than women and it appears to be more embarrassing for men than for women.
Why All the Excess Saliva in Parkinson's Disease?
Scientists have found that the problem is not one of over-production but one of inefficient and infrequent swallowing. In fact, saliva production in PD is typically diminished over normal levels. Persons with PD simply do not swallow as much as other people.
So What Can Be Done?
There are several drug treatments available. Potent drugs knonw as anticholinergics, such as trihexyphenidyl hydrochloride and benzatropine mesilate, are prescribed in an attempt to “dry up” the excess saliva. But this class of drugs often creates troublesome side effects such as constipation, urinary retention, memory impairment, confusion, and even hallucinations, particularly in elderly individuals. Another possibility is to take a drop of 1% atropine ophthalmic solution under the tongue twice daily but this has been tried in only a handful of patients. Injections of botulinum toxin A have also been used to try to eradicate excessive saliva in PD. Although this drug is effective for some people with PD, side effects are again an issue including an excessively dry mouth and dysphagia or trouble swallowing food.