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Wednesday, December 4, 2013
Neurologist has prescribed Comtan to be added to medications. Present meds are Sinemet 1800mg. daily: Mirapex 1.825 daily and Clozaril 25mg. daily Comtan is to be taken 3 times daily 25mg. each time. Question is: Should the Mirapex not be reduced as the new med. Comtan is introduced. Thanking you in anticipation of a speedy rreply.
Comtan will increase the delivery of Sinemet to you brain. As a result side effects such as hallucinations or dyskinesias are possible. If they do occur your doctor may reduce the dose of Mirapex and/or Sinemet. The exact adjustment should be discussed with your doctor.
Arif Dalvi, MD
College of Medicine
University of Cincinnati