Tag: Parkinson's

Self-Medication, continued

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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!

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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.

Parkinson’s Pump

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There is now a “pump” available for Parkinson’s Disease (PD) patients. I’m supposed to be getting more info from my PD specialist soon, but here’s what I know so far. In an out-patient procedure, a tube is surgically implanted, allowing the “dope” to be delivered directly into your intestines. The pump, which is worn externally, continuously feeds the dope into your intestines. So, it sounds like you’re getting the same medication, it’s just that you’re getting a steady stream of it. Thus, it eliminates the ups and downs (i.e., the Off Periods) that many of us contend with every day.

I really don’t like the idea of having anything surgically implanted in me, but I have to change something. I got back from my latest trip almost two weeks ago. In that time, I’ve done almost nothing but lay on the couch all day, never feeling up to doing anything. Not even writing for this blog – and we can’t have that, now, can we? So, I’m thinking a tube may be in my future. I’ll keep ya posted.