HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Body Tremors When Diagnosed With Mirapex, Clonazepam And Propranolol?

default
Posted on Tue, 21 Feb 2017
Question: I have Parkinson's disease..I was diagnosed 12 years ago. I was told I have a light case. Within the last year it is now ravaging my body. i have changed neurologists, as my doc said I was doing fine. The new one changed all my meds from Mirapex, amatadene, and propanerol, to sinement, amatadene, artane, and clonazepam, I take meds every 3 hours. In the last month things have gone from bad to worse and I now have not only tremors, but my whole body is tight and feels like it is curling up. I can't sleep well. I can walk the dog the first thing in the morning, (7:15), and go 1/2 mile a moderate pace. After that, as the day goes, my legs give out. My docs won't talk to me unless I'm in the office. They are booked 6 months in advance. I have no one to help me . I continue to try to adjust my meds and have no idea what I'm doing. I have tried to get into Mayo Clinic 4 times in the last year. My body won't hold still and I don't know where to t urn. Can you help me?
doctor
Answered by Dr. Sudhir Kumar (3 hours later)
Brief Answer:
You probably have dyskinesia.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. Based on this, you are probably having drug-induced dyskinesia, which are common with sinemet (levodopa).

Options include using a CR (controlled release preparation of sinemet) or reducing the dose of sinemet. For example, if you taking sinemet 110 one tablet every three hourly; you can take half tablet every two-three hourly.

If the above does not help, you may explore the possibility of deep brain stimulation (DBS) surgery, which is effective in patients similar to you.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Body Tremors When Diagnosed With Mirapex, Clonazepam And Propranolol?

Brief Answer: You probably have dyskinesia. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and would try my best to help you. I have noted your clinical details. Based on this, you are probably having drug-induced dyskinesia, which are common with sinemet (levodopa). Options include using a CR (controlled release preparation of sinemet) or reducing the dose of sinemet. For example, if you taking sinemet 110 one tablet every three hourly; you can take half tablet every two-three hourly. If the above does not help, you may explore the possibility of deep brain stimulation (DBS) surgery, which is effective in patients similar to you. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in