Tag: L-dopa pump

Vyalev Pump: You Don’t Know What You’ve Got…

The primary advantage of using the Vyalev pump rather than the pill form of the same medications (carbidopa and levodopa) is that the pump provides a steady input of medication throughout the day (and night), avoiding the “rollercoaster” effect that results from taking pills once every few hours. But the process ya have to go through each day to disconnect, refill, and reconnect is kind of an ordeal. Thus, after nearly two weeks using the pump, I found myself pondering whether it was worth it. So, this morning I decided to take a day off from the pump and revert to the pills.

Ah, how quickly we forget! Today has been AWFUL. When the pills are in full effect, I’m feeling quite good. But when they start wearing off, my whole body becomes tense, I become a hunchback, I get jittery, I can’t even think straight! In retrospect, none of this is new. I just needed a reminder of exactly how bad it all can get. Now I know, and I’ll be reconnecting to my pump first thing tomorrow morning!

Self-Medication, continued

A week ago, I slightly increased my Pramipexole dosage, in the hope it would address the off periods I have been experiencing lately. While there has been some improvement, I’m still not where I want to be. The anxiety and depression have been reduced over the last week, but the physical exhaustion is still as bad as ever. Worse, a fresh dose of levodopa no longer reliably vanquishes the exhaustion. So my guess is that the new levodopa pump wouldn’t help me. It may be time to add yet another different drug to my daily routine. Or maybe I should stop carrying all this Kryptonite around with me.

Parkinson’s Pump? Pish-Posh!

Several weeks ago, I mentioned the possibility of my getting a Levodopa pump system “installed” on my person. I have since decided against the pump, despite the fact I never looked at the additional information I had requested. For me, it comes down to two things:

  1. Travel. Getting through the security screenings at airports is enough of a struggle as it is. I don’t want to add the complexities of explaining the electronic device that I’m hiding under my clothing.
  2. Infection. I know my hygiene habits. So, I know running a tube from my duodenum to the outside world absolutely will lead to perpetual infection.

But, as I said in the previous pump post, something has to change. And now I think I know what that is. The reason I feel like something must be changed is not because of the physical fatigue I’ve been experiencing, or any of the motor symptoms. It’s because of the anxiety and depression that come with most of my Off Periods. When this has been the case in the past, it has been successfully countered by slightly increasing my Pramipexole dosage. So, I’m increasing it from 11 pills a day to 12. After a week or so, I’ll take stock of my situation and go from there.

As for the pump, it’s still a possibility down the road. But it’s not happening until I’m so far gone that someone else is in charge of my hygiene.