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secret recipe behind the mask

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Requip

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Advanced search Board index ‹ Medical Questions ‹ Ask about NutritionChange font sizeFAQRegisterLoginQ: Requip
Kathrynne Holden, MS, RD, answers questions regarding dietary matters and Parkinson's disease. All posts in this forum are anonymous. Without seeing you and examining you the dietician cannot make specific diagnoses and recommendations. The suggestions given in this forum are for general information only.

Moderators: adiaz, Kathrynne Holden, MS

Post a reply Previous topic :: Next topic 9 posts • Page 1 of 1 Q: Requip
by Guest » Fri Sep 07, 2007 5:53 pm

I was diagnosed as parkinson disease patient in 2005.

I was prescribed by doctor with Sinemet 25/100 one each three times and Jumex 5 gm one each two times per day for the past of two years.

As my physical agility is not too much mproving and I changed to Dr, Chew Nee Kong, Consultantt Neurologist Pantai Cheras Medical Centre for treatment on the month of July 07 he optimises my medication to 4 gm Requip (ropinirole) each three times and one Sinemet 25/100 two times a day. I am surprised my agility is 90% improving as told by my two trainers. I am glad I am able to do stretching exercises and gmx classes ie. body combat, pump, yoga, spinning and box and kick exercises for three hours from Monday to Friday. I do massage on every saturday to lossen my body tiredness. I rest on bed for an hour after my exercises. I find my Physical mobility and agility is normal and PD is very mild from now as told by Dr. Chew.


I wish to take this forum to express my thanks to Dr. Chew Nee Kong my his excellent work and his contribution for the Pakinson's patients.

TEOKIMHOEGuest
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by Kathrynne Holden, MS » Sat Sep 08, 2007 5:47 pm

Dear Teo,
Congratulations, both to you and to your excellent physician, Dr. Chew. He has chosen the best treatment regime for you, and you are working hard to maintain strength and agility to combat PD. You are a fine example for us all.Best regards,
Kathrynne Holden, MS
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/Kathrynne Holden, MS

Posts: 204
Joined: Mon Jan 22, 2007 12:35 pm
Location: www.nutritionucanlivewith.com
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Requip
by Guest » Thu Sep 20, 2007 10:53 am

Dear Dr.Kathrynne Holden,

I have sideeffect on taking the 12 gm Requip per day besides Sinemet 25/100 as follows:

!. Bloating caused by overdose of Requip.

2. Sleepless at night as my whole body is warm.

I feel better now by taking away 4 gm Requip for evening replace with one dose of Sinemet as it is a woder drug for Parkinson's treatement. I sleep well at night and minimize bloating caused by overdose of Requip.

Kindly advise

Best regards

TEOKIMHOEGuest
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Dopamine Agonist: Requip (Ropinirole)
by Guest » Fri Sep 21, 2007 4:34 am

Dear Dr. Kathrynne Holden,

I understand that medication of Fluimucil A 600 (Mucolytic) and Motilium 10mg have different purpose for treatment of Parkinson's

I refer the website Google :-

Mucus may narrow or block the airways, making it difficult to breath. Mucolytic drugs are designed to help loosen and clear the mucus from the airways by breaking up the sputum. The most common type of mucolytic is a medication called N-acetylcysteine. This medication is available in tablet or inhaled form. The inhaled form is given by a nebulizer. N-acetylcysteine is more commonly used by patients in European countries than in patients in the USA

Motiulium is for treatment of sideeffects of Dopamine Agonists i.e Requip as it causes the Parkinson's problem i.e Bloating, Nausea and etc.

Since Parkinson's have the problem of breathing the best medication is Fluimucil A 600 . Therefore, I am taking both together, one dose of Fluimucil and 3 doses of Motiulium daily.

Is it overdose?

Kindly advise

TEOKIMHOEGuest
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Dopamine Agonist: Requip (Ropinirole)
by Guest » Fri Sep 21, 2007 5:04 am

Dear Dr. Kathrynne Holden,

As it is common for Parkinson's have problem with breathing that caused patient with drooling from the month therefore I am taking one dose Fluimucil A 600 (Mucolytic) to stops from drooling from the mouth daily. It is a wonder drug.

Besides that Parkinson's have the problms with Bloating, Nausea caused by sideeffect by taking medication of Requip therefore I also taking the three doses Motilium 10 mg daily.

Is it overdoses? Is it effective drug?

Kindly advise

TEOKIMHOEGuest
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by Kathrynne Holden, MS » Fri Sep 21, 2007 9:23 am

Dear Teo,
Regarding replacing Requip with Sinemet, I cannot advise you -- I am a registered dietitian and prescribing or adjusting medications is outside my scope of practice. Here, I advise you speak with your excellent physician, Dr. Kong.Best regards,
Kathrynne Holden, MS
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/Kathrynne Holden, MS

Posts: 204
Joined: Mon Jan 22, 2007 12:35 pm
Location: www.nutritionucanlivewith.com
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by Kathrynne Holden, MS » Fri Sep 21, 2007 9:25 am

Dear Teo,
Again, I must point out that as a dietitian, it is outside my scope of practice to recommend changes or adjustments in medication. Your physician is the proper health professional with whom to discuss this matter.Best regards,
Kathrynne Holden, MS
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/Kathrynne Holden, MS

Posts: 204
Joined: Mon Jan 22, 2007 12:35 pm
Location: www.nutritionucanlivewith.com
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by Kathrynne Holden, MS » Fri Sep 21, 2007 9:28 am

Dear Teo,
Motilium is a good medication for those with PD, as it can help with slowed stomach emptying, and does not aggravate PD symptoms. I cannot advise you as to the correct dose for your particular needs, however -- this is the domain of your physician.Best regards,
Kathrynne Holden, MS
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/Kathrynne Holden, MS

Posts: 204
Joined: Mon Jan 22, 2007 12:35 pm
Location: www.nutritionucanlivewith.com
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Requip
by Guest » Fri Sep 21, 2007 6:46 pm

Dear Dr.Kathrynne Holden,

In reply to your advise Dr.Chew Nee Kong agrees that it is fine to cutdown the Requip to 8mg in addition three doses of Sinemet 25/100 daily.

Thanks

TEOKIMHOE Guest
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Friday, April 23, 2010

Throat and hot soup

Throat and hot soup
by Guest » Wed Feb 24, 2010 8:16 am

Kindly explain why parkinson's irritated with hot soup?

It takes times to take the hot soup and find uncomfortable in the throat.Guest
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Difficulty Swallowing Specific Foods
by Dr. Mahler » Tue Mar 02, 2010 9:04 am

It sounds like you are describing a swallowing problem that occurs wwith a specific food type - in this case hot soup. Each individual with PD has unique swallowing difficulties so it is not possible for me to know exactly why hot soup irritates your throat but I can discuss possible causes.

The first obvious cause is that your soup is too hot and you need to give it time to cool down. Other reasons would relate to the consistency of the soup and the ingredients in the soup. Sometimes foods of mixed consistency can be more challenging to swallow safely. A thin broth with with chunky vegetables, for example, could be difficut for some people. Also, if the soup has spicy ingredients that could be irritating your throat.

Many people with PD have reflux. It is possible to have reflux and not be aware of the symptoms because they can be subtle. For example, frequent throat clearing can be a symptom of reflux as can decreased voice quality especially in the morning after lying down to sleep. It may be that you have reflux and the soup acts as an irritant.

To learn more about whether you have reflux, you should consult with your physician. An ear, nose and throat doctor can look at your vocal folds and determine whether there are signs of reflux. The treatment of reflux is typically a combination of medication and behavioral modifications.

I hope this information gives you some ideas about what might be going on with you individually. A speech-language pathologist is trained to evaluate swallowing. Your physician can give you a referral if you think this would be appropriate for you.

Thank you for writing.

Leslie Mahler, PhD, CCC-SLP

Tuesday, April 20, 2010

helpful post

http://www.patientslikeme.com/forum/posters_helpful_posts/8001
http://www.patientslikeme.com/forum/posters_helpful_posts/8001

Tuesday, April 13, 2010

Helpful posts

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Hi Aleks, I fully agree with you: Learn to tolerate are essential to live harmony with each other as we have to give and recieve from each other, life experiences, culture, and language. Therefore never doubted his sincerity, we did make mistakes. Accept and forget and forgive make world difference. PatientsLikeMe Forum is the best channel for us to communicate and share our feeling I feel proud as a member Heroteo PatientsLikeMe forum ...
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All are harmless as we are members of " PatientsLikeme Forum". We are still friends My sincere apologies. Lord bless Teo
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parkinson's progression
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Symptoms of Parkinson's usually begin slowly, develop gradually and in no particular order. Everyone with Parkinson's is very different and may have a different collection of symptoms and response to treatment. The nature and severity of symptoms and the rate at which the condition progresses will also be individual. The symptoms may take years to progress. However, since Parkinson's is a progressive condition, symptoms will worsen over time and new ones may appear....
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Soft voice, slurred speech and masked face
posted by teokimhoe on Jan 19, 2010
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Major symtoms prior and during to the heart attack
posted by teokimhoe on Feb 03, 2010
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posted by teokimhoe on Apr 02, 2010
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Gastric reflux and PD
posted by teokimhoe on Feb 07, 2010
Gastric reflux is one of the non-motor symptoms of PD. It can cause irritation of the vocal folds and throat and can potentially cause voice hoarseness. It is possible that a person who has reflux doesn't have any symptoms of reflux that they recognize. For example, sometimes people feel as though they "have something stuck in my throat" after swallowing. These people may even seek a swallowing evaluation which turns out to be within normal limits. The reason is that when reflux irritates the vocal fold...
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posted by teokimhoe on Feb 08, 2010
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posted by teokimhoe on Feb 02, 2010
The doctors had difficulty diagnosing because I was still at the early stage of the illness. Parkinson’s is a movement disorder that varies from one patient to another. Therefore it is difficult for doctors to detect, especially for the early-stage Parkinson’s. A year later, in 2006, I went to see a Parkinson’s Specialist in Kuala Lumpur and it was confirmed that I had Parkinson’s. It was still a shock for me as I was in heavy self denial and filled with anger. I was prescribed with a combination of S...
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posted by teokimhoe on Feb 05, 2010
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posted by teokimhoe on Feb 26, 2010
Hi aleks, I appreciate the readers reacting on my articles positive or negative. I feel sorry and apologise again for those feel offensive Thanking you for your encouragement and support Regards Heroteo
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Is there a cure for Parkinson's disease?
posted by teokimhoe on Feb 26, 2010
Hi Lexie, Thanking you for support and agree to my articles "Is there a cure for parkinson's". I use to threaten by stopping to read any articles relating the disease that there is no cure in the forum. The patientpatientforum is opened for members to express and learn from each other and not to censor that they feel offensive. My sincere apologies by causing for the inconvenience caused. Regards Ideal P...
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posted by teokimhoe on Mar 18, 2010
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posted by teokimhoe on Apr 05, 2010
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