Re: Sinemet CR; Acid reflux

[Guest guest]

Jim,

Sorry acid reflux and GERD are the same. It is common in MSA patients and

almost

everyone takes something for it, usually Prevacid or Prilosec. Try acid reflux

in

Yahoo or your favorite search engine and you will get many hits. purplepill.com

or

purple-pill.com is the Prilosec site and has some info on it.

The long flight will be the major problem. Charlotte had our last major trip

(to

Disney World) in May 1998 which was eight years after her initial diagnoses and

did

okay in the wheelchair. I would definitely ask for a seat near the toilets, so

she

does not have to go far. Charlotte was already wearing briefs at the time and I

put

an overnight one on her as well as a Poise pad.. Our flight was only two hours,

so

there was no problem. I don't know how you fly from Guam to the US, but I would

guess Guam to Hawaii to west coast to Dulles or BWI. You may want to consider a

layover at least one place if that is the case. I would do it now rather than

later, as travel will become more difficult as handicaps get worse.

The vivid dreams and crying out at times, may be related to the Sinemet. In

Charlotte's case they were worse about 5 years ago (5 years into Sinemet) and

then

got better, but still occur sporadically. I agree (and the literature does too)

that stress causes the dopamine to wear off faster. We have now experimented

with

all the CR combinations and still cannot find a consistant response to Sinemet

for

Charlotte. This is probably because she has been on it for ten years now.

On the gurgling, you should have a swallowing study done, just to make sure it

is

not the beginning of that problem. At this point, speech therapy can help

immensely.

Take care, Bill and Charlotte

--------------------------------------------------------------------

Jim & Peg wrote:

> Bill,

>

> Overall I am pleased with the results from the 50/200 CR's along with giving

> a 1/2 a 25/100 every 2 and 1/2 hours. First of all it makes the timing of

> the sinemet much less problematic. That was something we have had a problem

> with even when using special repeat timers. In fact it seems we have been

> able to reduce the amount of sinemet overall. Like Charlotte, Peg was up to

> 8 or more 25/100's plus a 50/200 at night. Now her typical schedule is 1/2

> a 25/100 when she wakes (typically from 6:00 to 7:00 am) and then a 50/200

> cr a half hour later. Subsequent 50/200's are being given at six hour

> intervals with the last one being given between 7:00 pm and 8:00 pm.

> Overall Peg seems to be reacting to the sinemet better. In fact I have

> noticed what seem to be some instances of overmedication. So far I have not

> been able to corelate this to anything in particular. For the last week we

> have been experimenting with 1/2 a 25/100 to start things off in the morning

> and then substitute 1/4 a 25/100 every 2 1/2 hours for the rest of the day

> with the 50/200 cr's being given according to the same schedule noted above.

> So far this seems to be working ok except when visitors are over and there

> is some extra stress. Then we may have to anticipate that Peg will need a

> 1/2 a 25/100 rather than a 1/4. Overall I haven't seen the problems that Dr.

> Pincus from town was concerned about several years ago when he

> indicated that he found that it was difficult to get the proper level of

> medication with the cr's.

>

> Peg is sleeping more during the day, especially on the days when she does

> not take a sleeping pill and does not sleep well. For sleeping we are using

> Triazolam 2 to 3 times a week. In addition the day time caretaker is

> staying over one night a week so I can get at least one full night of sleep.

> Zolpidem was of little help as a sleeping pill. Interestingly some nights

> Peg sleeps better when she hasn't taken the sleeping pill. We are using 1/2

> a trazodone (50 mg tablet) before bed. When we tried the whole trazodone,

> there seemed to be some ill effects although that may have been

> coincidental. Peg's family physician continues to be worried about the

> possibility of serotonin syndrome. Peg does not sleep as well as Charlotte.

> Peg still tries to maintain extraordinary bladder control and insists on

> getting up several times a night. More recently she has been waking up and

> crying out continuously with some terrible cry that is difficult to deal

> with. Clonazepam (Klonopin ck sp?) seemed to be of little help with this

> and the cry did not seem to be related to the thrashing that others have

> indicated that Clonazepam helps.

>

> Despite the continued sleep problems, Peg does seem to be doing somewhat

> better with the new sinemet schedules. Especially when Peg is on the

> sinemet she can still get up and around some. However she does little

> walking outside the house anymore and is using the wheel chair all the time

> for travel. She becomes dizzy but she doesn't just faint like happens to

some.

>

> As I mentioned in a previous memo, Peg wants to visit the children and

> grandchildren and we are thinking about a trip to the States in September.

> Still I am quite worried about how well Peg could make the trip.

>

> Peg is not taking anything for acid reflux. Her family doctor is aware of

> the condition. I am a little concerned because in the last few weeks Peg

> has developed a kind of gargling noise when she swallows liquid. I'm not

> sure what is happening. Do you or other members of the list have a acid

> reflux link for more information about the condition? By the way, what is a

> GERD?

>

> Peg has never taken Amantadine so we can't provide information related to

> that. However in the last three months Peg has also slowed down and is less

> able to do things for herself.

>

> Peg and Jim from Guam

>

> *************

> How is Peg doing on the Sinemet CR with boosters of 1/2 a 25/100? I'm not

sure

> if Amantadine is taking away Charlotte's energy or if she is slowing down

> because of the MSA. We scheduled a neuro visit on the 23rd.

>

> Bill

>

> *************

> Is Peg taking anything for acid reflux (Prevacid, Prilosec. Zantac, Tagamet,

or

> Pepcid? This sounds like GERD, or if she is taking one of them, she may need

to

> try a different one.

>

> Bill

>

> *************

>

> ********************************

> *** Peg & Jim

> *** # 29 Cruz Heights

> *** Ipan-Talofofo, Guam 96930

> *** USA

> ***

> *** Note: Guam is 15 hours ahead of

> *** Eastern Standard Time (EST).

> *** 14 ahead of EDT.

> ********************************

>

>

[Guest guest]

DEAR PEG AND JIM,

WHAT IS CR?

HELEN

Sinemet CR; Acid reflux

> Bill,

>

> Overall I am pleased with the results from the 50/200 CR's along with

giving

> a 1/2 a 25/100 every 2 and 1/2 hours. First of all it makes the timing of

> the sinemet much less problematic. That was something we have had a

problem

> with even when using special repeat timers. In fact it seems we have been

> able to reduce the amount of sinemet overall. Like Charlotte, Peg was up

to

> 8 or more 25/100's plus a 50/200 at night. Now her typical schedule is

1/2

> a 25/100 when she wakes (typically from 6:00 to 7:00 am) and then a 50/200

> cr a half hour later. Subsequent 50/200's are being given at six hour

> intervals with the last one being given between 7:00 pm and 8:00 pm.

> Overall Peg seems to be reacting to the sinemet better. In fact I have

> noticed what seem to be some instances of overmedication. So far I have

not

> been able to corelate this to anything in particular. For the last week

we

> have been experimenting with 1/2 a 25/100 to start things off in the

morning

> and then substitute 1/4 a 25/100 every 2 1/2 hours for the rest of the day

> with the 50/200 cr's being given according to the same schedule noted

above.

> So far this seems to be working ok except when visitors are over and there

> is some extra stress. Then we may have to anticipate that Peg will need a

> 1/2 a 25/100 rather than a 1/4. Overall I haven't seen the problems that

Dr.

> Pincus from town was concerned about several years ago when he

> indicated that he found that it was difficult to get the proper level of

> medication with the cr's.

>

> Peg is sleeping more during the day, especially on the days when she does

> not take a sleeping pill and does not sleep well. For sleeping we are

using

> Triazolam 2 to 3 times a week. In addition the day time caretaker is

> staying over one night a week so I can get at least one full night of

sleep.

> Zolpidem was of little help as a sleeping pill. Interestingly some nights

> Peg sleeps better when she hasn't taken the sleeping pill. We are using

1/2

> a trazodone (50 mg tablet) before bed. When we tried the whole trazodone,

> there seemed to be some ill effects although that may have been

> coincidental. Peg's family physician continues to be worried about the

> possibility of serotonin syndrome. Peg does not sleep as well as

Charlotte.

> Peg still tries to maintain extraordinary bladder control and insists on

> getting up several times a night. More recently she has been waking up

and

> crying out continuously with some terrible cry that is difficult to deal

> with. Clonazepam (Klonopin ck sp?) seemed to be of little help with this

> and the cry did not seem to be related to the thrashing that others have

> indicated that Clonazepam helps.

>

> Despite the continued sleep problems, Peg does seem to be doing somewhat

> better with the new sinemet schedules. Especially when Peg is on the

> sinemet she can still get up and around some. However she does little

> walking outside the house anymore and is using the wheel chair all the

time

> for travel. She becomes dizzy but she doesn't just faint like happens to

some.

>

> As I mentioned in a previous memo, Peg wants to visit the children and

> grandchildren and we are thinking about a trip to the States in September.

> Still I am quite worried about how well Peg could make the trip.

>

> Peg is not taking anything for acid reflux. Her family doctor is aware of

> the condition. I am a little concerned because in the last few weeks Peg

> has developed a kind of gargling noise when she swallows liquid. I'm not

> sure what is happening. Do you or other members of the list have a acid

> reflux link for more information about the condition? By the way, what is

a

> GERD?

>

> Peg has never taken Amantadine so we can't provide information related to

> that. However in the last three months Peg has also slowed down and is

less

> able to do things for herself.

>

> Peg and Jim from Guam

>

> *************

> How is Peg doing on the Sinemet CR with boosters of 1/2 a 25/100? I'm

not sure

> if Amantadine is taking away Charlotte's energy or if she is slowing down

> because of the MSA. We scheduled a neuro visit on the 23rd.

>

> Bill

>

> *************

> Is Peg taking anything for acid reflux (Prevacid, Prilosec. Zantac,

Tagamet, or

> Pepcid? This sounds like GERD, or if she is taking one of them, she may

need to

> try a different one.

>

> Bill

>

> *************

>

>

> ********************************

> *** Peg & Jim

> *** # 29 Cruz Heights

> *** Ipan-Talofofo, Guam 96930

> *** USA

> ***

> *** Note: Guam is 15 hours ahead of

> *** Eastern Standard Time (EST).

> *** 14 ahead of EDT.

> ********************************

>

>

>

[Guest guest]

hi

CR= controlled release

this cr sinemet is not to be broken in half

nancy:)

Helen wrote:

>

> DEAR PEG AND JIM,

>

> WHAT IS CR?

>

> HELEN

> Sinemet CR; Acid reflux

>

> > Bill,

> >

> > Overall I am pleased with the results from the 50/200 CR's along with

> giving

> > a 1/2 a 25/100 every 2 and 1/2 hours. First of all it makes the timing of

> > the sinemet much less problematic. That was something we have had a

> problem

> > with even when using special repeat timers. In fact it seems we have been

> > able to reduce the amount of sinemet overall. Like Charlotte, Peg was up

> to

> > 8 or more 25/100's plus a 50/200 at night. Now her typical schedule is

> 1/2

> > a 25/100 when she wakes (typically from 6:00 to 7:00 am) and then a 50/200

> > cr a half hour later. Subsequent 50/200's are being given at six hour

> > intervals with the last one being given between 7:00 pm and 8:00 pm.

> > Overall Peg seems to be reacting to the sinemet better. In fact I have

> > noticed what seem to be some instances of overmedication. So far I have

> not

> > been able to corelate this to anything in particular. For the last week

> we

> > have been experimenting with 1/2 a 25/100 to start things off in the

> morning

> > and then substitute 1/4 a 25/100 every 2 1/2 hours for the rest of the day

> > with the 50/200 cr's being given according to the same schedule noted

> above.

> > So far this seems to be working ok except when visitors are over and there

> > is some extra stress. Then we may have to anticipate that Peg will need a

> > 1/2 a 25/100 rather than a 1/4. Overall I haven't seen the problems that

> Dr.

> > Pincus from town was concerned about several years ago when he

> > indicated that he found that it was difficult to get the proper level of

> > medication with the cr's.

> >

> > Peg is sleeping more during the day, especially on the days when she does

> > not take a sleeping pill and does not sleep well. For sleeping we are

> using

> > Triazolam 2 to 3 times a week. In addition the day time caretaker is

> > staying over one night a week so I can get at least one full night of

> sleep.

> > Zolpidem was of little help as a sleeping pill. Interestingly some nights

> > Peg sleeps better when she hasn't taken the sleeping pill. We are using

> 1/2

> > a trazodone (50 mg tablet) before bed. When we tried the whole trazodone,

> > there seemed to be some ill effects although that may have been

> > coincidental. Peg's family physician continues to be worried about the

> > possibility of serotonin syndrome. Peg does not sleep as well as

> Charlotte.

> > Peg still tries to maintain extraordinary bladder control and insists on

> > getting up several times a night. More recently she has been waking up

> and

> > crying out continuously with some terrible cry that is difficult to deal

> > with. Clonazepam (Klonopin ck sp?) seemed to be of little help with this

> > and the cry did not seem to be related to the thrashing that others have

> > indicated that Clonazepam helps.

> >

> > Despite the continued sleep problems, Peg does seem to be doing somewhat

> > better with the new sinemet schedules. Especially when Peg is on the

> > sinemet she can still get up and around some. However she does little

> > walking outside the house anymore and is using the wheel chair all the

> time

> > for travel. She becomes dizzy but she doesn't just faint like happens to

> some.

> >

> > As I mentioned in a previous memo, Peg wants to visit the children and

> > grandchildren and we are thinking about a trip to the States in September.

> > Still I am quite worried about how well Peg could make the trip.

> >

> > Peg is not taking anything for acid reflux. Her family doctor is aware of

> > the condition. I am a little concerned because in the last few weeks Peg

> > has developed a kind of gargling noise when she swallows liquid. I'm not

> > sure what is happening. Do you or other members of the list have a acid

> > reflux link for more information about the condition? By the way, what is

> a

> > GERD?

> >

> > Peg has never taken Amantadine so we can't provide information related to

> > that. However in the last three months Peg has also slowed down and is

> less

> > able to do things for herself.

> >

> > Peg and Jim from Guam

> >

> > *************

> > How is Peg doing on the Sinemet CR with boosters of 1/2 a 25/100? I'm

> not sure

> > if Amantadine is taking away Charlotte's energy or if she is slowing down

> > because of the MSA. We scheduled a neuro visit on the 23rd.

> >

> > Bill

> >

> > *************

> > Is Peg taking anything for acid reflux (Prevacid, Prilosec. Zantac,

> Tagamet, or

> > Pepcid? This sounds like GERD, or if she is taking one of them, she may

> need to

> > try a different one.

> >

> > Bill

> >

> > *************

> >

> >

> > ********************************

> > *** Peg & Jim

> > *** # 29 Cruz Heights

> > *** Ipan-Talofofo, Guam 96930

> > *** USA

> > ***

> > *** Note: Guam is 15 hours ahead of

> > *** Eastern Standard Time (EST).

> > *** 14 ahead of EDT.

> > ********************************

> >

> >

> >

[Guest guest]

Helen,

Remember, when you have a CR or SR afer the name of the medicine, you are not

supposed to break, crush or chew the tablet because it is built up in layers

which

take a certain time to dissolve and supply the medicine over a controlled length

of time. If you break that coating, you will get an overdose at first and them

there will be none left for later.

Always best to check with your pharmacist if you intend to break, crush or chew

a

medicine. There are a few CR or SR capsules that the timing is on the granules

themselves and the capsule can be opened but you are not to crush the granules

or

chew them (like the Prevacid). This is good for when you have to mix them with

pudding or applesauce to swallow. Some like a 50/200 Sinemet CR can be broken

in

half to take half at a time, but it then acts more like a normal Sinemet 25/100.

At least that is what Merck-Medco and my neuro have told me.

Take care, Bill and Charlotte

------------------------------------------------------------------

nancy wrote:

> hi

> CR= controlled release

>

> this cr sinemet is not to be broken in half

>

> nancy:)

>

> Helen wrote:

> >

> > DEAR PEG AND JIM,

> >

> > WHAT IS CR?

> >

> > HELEN

> > Sinemet CR; Acid reflux

> >

> > > Bill,

> > >

> > > Overall I am pleased with the results from the 50/200 CR's along with

> > giving

> > > a 1/2 a 25/100 every 2 and 1/2 hours. First of all it makes the timing of

> > > the sinemet much less problematic. That was something we have had a

> > problem

> > > with even when using special repeat timers. In fact it seems we have been

> > > able to reduce the amount of sinemet overall. Like Charlotte, Peg was up

> > to

> > > 8 or more 25/100's plus a 50/200 at night. Now her typical schedule is

> > 1/2

> > > a 25/100 when she wakes (typically from 6:00 to 7:00 am) and then a 50/200

> > > cr a half hour later. Subsequent 50/200's are being given at six hour

> > > intervals with the last one being given between 7:00 pm and 8:00 pm.

> > > Overall Peg seems to be reacting to the sinemet better. In fact I have

> > > noticed what seem to be some instances of overmedication. So far I have

> > not

> > > been able to corelate this to anything in particular. For the last week

> > we

> > > have been experimenting with 1/2 a 25/100 to start things off in the

> > morning

> > > and then substitute 1/4 a 25/100 every 2 1/2 hours for the rest of the day

> > > with the 50/200 cr's being given according to the same schedule noted

> > above.

> > > So far this seems to be working ok except when visitors are over and there

> > > is some extra stress. Then we may have to anticipate that Peg will need a

> > > 1/2 a 25/100 rather than a 1/4. Overall I haven't seen the problems that

> > Dr.

> > > Pincus from town was concerned about several years ago when he

> > > indicated that he found that it was difficult to get the proper level of

> > > medication with the cr's.

> > >

> > > Peg is sleeping more during the day, especially on the days when she does

> > > not take a sleeping pill and does not sleep well. For sleeping we are

> > using

> > > Triazolam 2 to 3 times a week. In addition the day time caretaker is

> > > staying over one night a week so I can get at least one full night of

> > sleep.

> > > Zolpidem was of little help as a sleeping pill. Interestingly some nights

> > > Peg sleeps better when she hasn't taken the sleeping pill. We are using

> > 1/2

> > > a trazodone (50 mg tablet) before bed. When we tried the whole trazodone,

> > > there seemed to be some ill effects although that may have been

> > > coincidental. Peg's family physician continues to be worried about the

> > > possibility of serotonin syndrome. Peg does not sleep as well as

> > Charlotte.

> > > Peg still tries to maintain extraordinary bladder control and insists on

> > > getting up several times a night. More recently she has been waking up

> > and

> > > crying out continuously with some terrible cry that is difficult to deal

> > > with. Clonazepam (Klonopin ck sp?) seemed to be of little help with this

> > > and the cry did not seem to be related to the thrashing that others have

> > > indicated that Clonazepam helps.

> > >

> > > Despite the continued sleep problems, Peg does seem to be doing somewhat

> > > better with the new sinemet schedules. Especially when Peg is on the

> > > sinemet she can still get up and around some. However she does little

> > > walking outside the house anymore and is using the wheel chair all the

> > time

> > > for travel. She becomes dizzy but she doesn't just faint like happens to

> > some.

> > >

> > > As I mentioned in a previous memo, Peg wants to visit the children and

> > > grandchildren and we are thinking about a trip to the States in September.

> > > Still I am quite worried about how well Peg could make the trip.

> > >

> > > Peg is not taking anything for acid reflux. Her family doctor is aware of

> > > the condition. I am a little concerned because in the last few weeks Peg

> > > has developed a kind of gargling noise when she swallows liquid. I'm not

> > > sure what is happening. Do you or other members of the list have a acid

> > > reflux link for more information about the condition? By the way, what is

> > a

> > > GERD?

> > >

> > > Peg has never taken Amantadine so we can't provide information related to

> > > that. However in the last three months Peg has also slowed down and is

> > less

> > > able to do things for herself.

> > >

> > > Peg and Jim from Guam

> > >

> > > *************

> > > How is Peg doing on the Sinemet CR with boosters of 1/2 a 25/100? I'm

> > not sure

> > > if Amantadine is taking away Charlotte's energy or if she is slowing down

> > > because of the MSA. We scheduled a neuro visit on the 23rd.

> > >

> > > Bill

> > >

> > > *************

> > > Is Peg taking anything for acid reflux (Prevacid, Prilosec. Zantac,

> > Tagamet, or

> > > Pepcid? This sounds like GERD, or if she is taking one of them, she may

> > need to

> > > try a different one.

> > >

> > > Bill

> > >

> > > *************

> > >

> > >

> > > ********************************

> > > *** Peg & Jim

> > > *** # 29 Cruz Heights

> > > *** Ipan-Talofofo, Guam 96930

> > > *** USA

> > > ***

> > > *** Note: Guam is 15 hours ahead of

> > > *** Eastern Standard Time (EST).

> > > *** 14 ahead of EDT.

> > > ********************************

> > >

> > >

> > >

[Guest guest]

Hi, I think it is also called SA sustained action......

>hi

>CR= controlled release

>

>this cr sinemet is not to be broken in half

>

>nancy:)

>

>Helen wrote:

>>

>> DEAR PEG AND JIM,

>>

>> WHAT IS CR?

>>

>> HELEN

>> Sinemet CR; Acid reflux

>>

>> > Bill,

>> >

>> > Overall I am pleased with the results from the 50/200 CR's along with

>> giving

>> > a 1/2 a 25/100 every 2 and 1/2 hours. First of all it makes the timing of

>> > the sinemet much less problematic. That was something we have had a

>> problem

>> > with even when using special repeat timers. In fact it seems we have been

>> > able to reduce the amount of sinemet overall. Like Charlotte, Peg was up

>> to

>> > 8 or more 25/100's plus a 50/200 at night. Now her typical schedule is

>> 1/2

>> > a 25/100 when she wakes (typically from 6:00 to 7:00 am) and then a 50/200

>> > cr a half hour later. Subsequent 50/200's are being given at six hour

>> > intervals with the last one being given between 7:00 pm and 8:00 pm.

>> > Overall Peg seems to be reacting to the sinemet better. In fact I have

>> > noticed what seem to be some instances of overmedication. So far I have

>> not

>> > been able to corelate this to anything in particular. For the last week

>> we

>> > have been experimenting with 1/2 a 25/100 to start things off in the

>> morning

>> > and then substitute 1/4 a 25/100 every 2 1/2 hours for the rest of the day

>> > with the 50/200 cr's being given according to the same schedule noted

>> above.

>> > So far this seems to be working ok except when visitors are over and there

>> > is some extra stress. Then we may have to anticipate that Peg will need a

>> > 1/2 a 25/100 rather than a 1/4. Overall I haven't seen the problems that

>> Dr.

>> > Pincus from town was concerned about several years ago when he

>> > indicated that he found that it was difficult to get the proper level of

>> > medication with the cr's.

>> >

>> > Peg is sleeping more during the day, especially on the days when she does

>> > not take a sleeping pill and does not sleep well. For sleeping we are

>> using

>> > Triazolam 2 to 3 times a week. In addition the day time caretaker is

>> > staying over one night a week so I can get at least one full night of

>> sleep.

>> > Zolpidem was of little help as a sleeping pill. Interestingly some nights

>> > Peg sleeps better when she hasn't taken the sleeping pill. We are using

>> 1/2

>> > a trazodone (50 mg tablet) before bed. When we tried the whole trazodone,

>> > there seemed to be some ill effects although that may have been

>> > coincidental. Peg's family physician continues to be worried about the

>> > possibility of serotonin syndrome. Peg does not sleep as well as

>> Charlotte.

>> > Peg still tries to maintain extraordinary bladder control and insists on

>> > getting up several times a night. More recently she has been waking up

>> and

>> > crying out continuously with some terrible cry that is difficult to deal

>> > with. Clonazepam (Klonopin ck sp?) seemed to be of little help with this

>> > and the cry did not seem to be related to the thrashing that others have

>> > indicated that Clonazepam helps.

>> >

>> > Despite the continued sleep problems, Peg does seem to be doing somewhat

>> > better with the new sinemet schedules. Especially when Peg is on the

>> > sinemet she can still get up and around some. However she does little

>> > walking outside the house anymore and is using the wheel chair all the

>> time

>> > for travel. She becomes dizzy but she doesn't just faint like happens to

>> some.

>> >

>> > As I mentioned in a previous memo, Peg wants to visit the children and

>> > grandchildren and we are thinking about a trip to the States in September.

>> > Still I am quite worried about how well Peg could make the trip.

>> >

>> > Peg is not taking anything for acid reflux. Her family doctor is aware of

>> > the condition. I am a little concerned because in the last few weeks Peg

>> > has developed a kind of gargling noise when she swallows liquid. I'm not

>> > sure what is happening. Do you or other members of the list have a acid

>> > reflux link for more information about the condition? By the way, what is

>> a

>> > GERD?

>> >

>> > Peg has never taken Amantadine so we can't provide information related to

>> > that. However in the last three months Peg has also slowed down and is

>> less

>> > able to do things for herself.

>> >

>> > Peg and Jim from Guam

>> >

>> > *************

>> > How is Peg doing on the Sinemet CR with boosters of 1/2 a 25/100? I'm

>> not sure

>> > if Amantadine is taking away Charlotte's energy or if she is slowing down

>> > because of the MSA. We scheduled a neuro visit on the 23rd.

>> >

>> > Bill

>> >

>> > *************

>> > Is Peg taking anything for acid reflux (Prevacid, Prilosec. Zantac,

>> Tagamet, or

>> > Pepcid? This sounds like GERD, or if she is taking one of them, she may

>> need to

>> > try a different one.

>> >

>> > Bill

>> >

>> > *************

>> >

>> >

>> > ********************************

>> > *** Peg & Jim

>> > *** # 29 Cruz Heights

>> > *** Ipan-Talofofo, Guam 96930

>> > *** USA

>> > ***

>> > *** Note: Guam is 15 hours ahead of

>> > *** Eastern Standard Time (EST).

>> > *** 14 ahead of EDT.

>> > ********************************

>> >

>> >

>> >