Vitamin supplements are necessary to people with/out parkinson's disease.
However there are some vitamins supplements have interaction with Parkinson's medications.
The side effects are dizziness, irregular blood pressure. However there are different.
Why not all the people with parkinson's disease have the side effects?
Some side effects are interaction with other medications for other illness.
Doctors have difficulty to communicate with the patients.
Kindly advise
TEOKIMHOE
Posted Today, 11:02 AM
Dear Mr. Teo,
If the supplement contains the recommended daily amount of the vitamins and trace minerals, I would not ordinarily expect them to cause any side effects. Because it can be difficult for some people with PD to obtain a balanced diet, I often recommend such a supplement.
There are, however, certain disease states, such as Wilson’s disease and “iron overload” that can be worsened by certain minerals. Wilson’s disease is a condition in which a person cannot metabolize copper normally, and must carefully monitor copper intake. Hemochromatosis (iron overload) is another condition in which an individual does not absorb a mineral normally, causing a buildup in the body. For more information, see:
Wilson’s disease
http://digestive.nid...es/pubs/wilson/
Hemochromatosis
http://www.cdc.gov/n...emochromatosis/
I do recommend that persons over age 50 use a supplement that contains little or no iron, because iron is a “pro-oxidant” and is associated with heart disease and other conditions in older adults.
If you believe that your supplements may be causing side effects, I would certainly discuss this with your doctor, who may wish to conduct blood tests or other tests.
Best regards,
Kathrynne Holden, MS
Posted Yesterday, 12:23 PM
Dear Mr. Teo,
Your question regarding vitamins that interfere with PD medications is a good one; as stated, large amounts of B6 could interfere with levodopa absorption.
I am not aware that the B vitamins would cause side effects of dizziness, or irregular blood pressure. But certainly, everyone with PD is different in their experience with the disease, the medications used, and diet. Thus, it is possible that an individual might experience such effects, despite lack of evidence in this regard.
The article to which you refer is meant to increase awareness of the need for three B vitamins and their relevance to people with PD. I do not recommend drawing any inferences beyond that.
Best regards,
Kathrynne Holden, MS
Thursday, August 5, 2010
supplement
Posted Today, 12:12 AM
The supplements that I have been taking consist of a mixture of vitamins and trace elements (selenium, manganese, copper).
I wonder whether these supplements can cause side effects to my body.
Would you recommend these supplements to your Parkinson's patients and arrange for blood tests to measure their levels in the blood?
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Posted Today, 10:12 AM
We handle this on a case by case basis.
The most common supplements are multivitamins, CoQ10 and creatine. The rest we examine for benefits versus side effects.
Michael S. Okun, M.D.
The supplements that I have been taking consist of a mixture of vitamins and trace elements (selenium, manganese, copper).
I wonder whether these supplements can cause side effects to my body.
Would you recommend these supplements to your Parkinson's patients and arrange for blood tests to measure their levels in the blood?
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Posted Today, 10:12 AM
We handle this on a case by case basis.
The most common supplements are multivitamins, CoQ10 and creatine. The rest we examine for benefits versus side effects.
Michael S. Okun, M.D.
Is it dehydration?
Posted Today, 05:31 AM
It was happening on my third days after my europe winter tours.
I was suddenly weak and my both legs could not support me even my both hand hold firmly at the edge of desk I sat down with my buttock on the floor. I was awake and climb up after the sat down.
I was checked in the hospital for checkup; My blood pressure is normal. No explanation given for the sat down. I checked out the next day.
Question:
Is it dehydration?
Is it the climate interaction with my PD medications resulted the side effects of the sat down.
I stay in tropical country and was away for three weeks on Europe tour. Is it latitude distance north and south?
Kindly elaborate
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Advanced Member
Group:
Ask the Doctor Moderators Posts:
547 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 09:59 AM
Hard to know and best to have a complete in person neuro exam.
Travel, altitude, temperature and any stress can affect PD symptoms.
Michael S. Okun, M.D.
It was happening on my third days after my europe winter tours.
I was suddenly weak and my both legs could not support me even my both hand hold firmly at the edge of desk I sat down with my buttock on the floor. I was awake and climb up after the sat down.
I was checked in the hospital for checkup; My blood pressure is normal. No explanation given for the sat down. I checked out the next day.
Question:
Is it dehydration?
Is it the climate interaction with my PD medications resulted the side effects of the sat down.
I stay in tropical country and was away for three weeks on Europe tour. Is it latitude distance north and south?
Kindly elaborate
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Advanced Member
Group:
Ask the Doctor Moderators Posts:
547 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 09:59 AM
Hard to know and best to have a complete in person neuro exam.
Travel, altitude, temperature and any stress can affect PD symptoms.
Michael S. Okun, M.D.
Wednesday, August 4, 2010
anxiety medication
I started with anxiety and depression for the past of twenty years before I have parkinson's.
I was with psychiatrist for the past of twenty years before I have movementdisorders specialist.
In the meantime I have two doctors who treat my disease,emotional and non emotional disorders
I have managed well to control my movement disorders but it takes time for my emotional disorders, insomina,anxiety,tiredness,constipation to be treated.
My medications:
Seroquel 12.5 mg, Lexapro 5mg and 1 Besquil 0.5mg before bed time
1 Besquil 0.5 mg daytime.
There are medication for my anxiety,dipolar and depression and effective for my illness.
Questions:
Are they addicited to me?
Any side effects with PD medications or interaction with medications for other illness?
Any alternative medication to help me?
Kindly comment'
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
0 Report
Back to top of the page up there ^
MultiQuote
Reply Edit
--------------------------------------------------------------------------------
#2 Dr. Okun
Advanced Member
Group:
Ask the Doctor Moderators Posts:
543 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 08:14 PM
Are they addicited to me?
-Likely no, but you need an examination to determine and also to look for dopamine dysregulation syndrome.
Any side effects with PD medications or interaction with medications for other illness?
-This needs an in person examination and review of medicines.
Any alternative medication to help me?
-Again, hard to say without an exam.
Hope you feel better.
Michael S. Okun, M.D.
I was with psychiatrist for the past of twenty years before I have movementdisorders specialist.
In the meantime I have two doctors who treat my disease,emotional and non emotional disorders
I have managed well to control my movement disorders but it takes time for my emotional disorders, insomina,anxiety,tiredness,constipation to be treated.
My medications:
Seroquel 12.5 mg, Lexapro 5mg and 1 Besquil 0.5mg before bed time
1 Besquil 0.5 mg daytime.
There are medication for my anxiety,dipolar and depression and effective for my illness.
Questions:
Are they addicited to me?
Any side effects with PD medications or interaction with medications for other illness?
Any alternative medication to help me?
Kindly comment'
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
0 Report
Back to top of the page up there ^
MultiQuote
Reply Edit
--------------------------------------------------------------------------------
#2 Dr. Okun
Advanced Member
Group:
Ask the Doctor Moderators Posts:
543 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 08:14 PM
Are they addicited to me?
-Likely no, but you need an examination to determine and also to look for dopamine dysregulation syndrome.
Any side effects with PD medications or interaction with medications for other illness?
-This needs an in person examination and review of medicines.
Any alternative medication to help me?
-Again, hard to say without an exam.
Hope you feel better.
Michael S. Okun, M.D.
Tuesday, August 3, 2010
Optional reason by doctor
Some doctors have a reasons not to prescribe PD medication to early on set young patients as they lose their effectiveness over time. The medication only treat the symptoms.
I have experienced on and off medications.
I started with small amount and started wearing off for effectiveness in few months as it treat the symptoms not the disease.
I learn to accept live with fear of the crashes or down episodes and pray a cure for the disease soon
Why doctor do not elaborate the reasons to the patient the prescription of PD at the early stage?
As the result the patients have to take many years for PD prescription to slow down the disease.
Doctor is the healer for the illness.
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
0 Report
Back to top of the page up there ^
MultiQuote
Reply Edit
--------------------------------------------------------------------------------
#2 Dr. Okun
Advanced Member
Group:
Ask the Doctor Moderators Posts:
539 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 06:27 AM
I will post this for comment.
Hopefully most physicians have heart to heart discussions with their patients and discuss risks and benefits. It is complicated in PD and it helps to have a specialist on board.
Michael S. Okun, M.D.
I have experienced on and off medications.
I started with small amount and started wearing off for effectiveness in few months as it treat the symptoms not the disease.
I learn to accept live with fear of the crashes or down episodes and pray a cure for the disease soon
Why doctor do not elaborate the reasons to the patient the prescription of PD at the early stage?
As the result the patients have to take many years for PD prescription to slow down the disease.
Doctor is the healer for the illness.
Regards
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
0 Report
Back to top of the page up there ^
MultiQuote
Reply Edit
--------------------------------------------------------------------------------
#2 Dr. Okun
Advanced Member
Group:
Ask the Doctor Moderators Posts:
539 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 06:27 AM
I will post this for comment.
Hopefully most physicians have heart to heart discussions with their patients and discuss risks and benefits. It is complicated in PD and it helps to have a specialist on board.
Michael S. Okun, M.D.
facial therapy make you smile
I am doing facial therapy twice a week.
I feel relaxed and my facial muscle loosen and don't tired.
It helps me smile and improve my slurred speech.
Question:
Is the facial therapy make me smile ?
Is it lossen your facial muscles and relief from stiffness?
Is it helpful for your slurred speech?
Kindly clarify
Regards'
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Group:
Ask the Doctor Moderators Posts:
539 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 06:19 AM
There is a NIH funded study on treatment of the masked face by Dawn Bowers at UF. Should be out soon. We await results.
Michael S. Okun, M.D.
I feel relaxed and my facial muscle loosen and don't tired.
It helps me smile and improve my slurred speech.
Question:
Is the facial therapy make me smile ?
Is it lossen your facial muscles and relief from stiffness?
Is it helpful for your slurred speech?
Kindly clarify
Regards'
TEOKIMHOE
to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Group:
Ask the Doctor Moderators Posts:
539 Joined:
19-January 07 LocationUniversity of Florida Posted Today, 06:19 AM
There is a NIH funded study on treatment of the masked face by Dawn Bowers at UF. Should be out soon. We await results.
Michael S. Okun, M.D.
Subscribe to:
Posts (Atom)