Is anyone using Rytary?

Posted by tllaes @tllaes, Aug 17, 2018

My doctor is suggesting I switch from a combination of Sinemet 25/100 and 50/200 to Rytary 36.25 mg-145 mg oral capsule,extended release. I would take 3 cap(s) 3 times a day. He feels my on time will increase. Is anyone taking Rytary? It is very expensive and not covered in my Rx Formulary at this time. If you are taking has it been an improvement? I have Parkinson for almost 7 years.

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@hopeful33250

Hi @parkiegirl,

Last month you indicated that you were going to lower the dose of Rytary, or consider going back to C/L.

How is the lower dose working for you?

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It has improved somewhat....I have less dyskinesia but sometimes it just does not work. VERY frustrating

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@parkiegirl

It has improved somewhat....I have less dyskinesia but sometimes it just does not work. VERY frustrating

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@parkiegirl

I am sorry to hear that the change in dosage has not been as successful as you had hoped it would.

When you said, "sometimes it just does not work" what are you referring to? Is it a problem with balance, gait, etc.?

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@hopeful33250

@parkiegirl

I am sorry to hear that the change in dosage has not been as successful as you had hoped it would.

When you said, "sometimes it just does not work" what are you referring to? Is it a problem with balance, gait, etc.?

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I just do not function at my most optimal level. My gait is off, I am still, brain fog

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@parkiegirl

I just do not function at my most optimal level. My gait is off, I am still, brain fog

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I'm sorry to hear that, @parkiegirl. Those are difficult symptoms to live with. Do you have many falls?

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@parkiegirl

I just do not function at my most optimal level. My gait is off, I am still, brain fog

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Hi @parkiegirl

As it has been a while since you last posted, I was wondering how you are feeling now. Have you had any improvement in gait or any changes in meds?

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@hopeful33250

Hi @parkiegirl

As it has been a while since you last posted, I was wondering how you are feeling now. Have you had any improvement in gait or any changes in meds?

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Still not good. I started osmolex and I had a bad reaction so I am at square one

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@parkiegirl

Still not good. I started osmolex and I had a bad reaction so I am at square one

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I am sorry to hear that, @parkiegirl. Does your doctor offer you any other options? I'm wondering, also, what is your worst symptom now?

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@hopeful33250

I am sorry to hear that, @parkiegirl. Does your doctor offer you any other options? I'm wondering, also, what is your worst symptom now?

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I am having trouble connecting with my doctor. He is not really proactive with reaching out to try new meds. He just has me stop the drug and then nothing until my next appointment. My worse symptom is my gait and cognitive problems.

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@parkiegirl

I am having trouble connecting with my doctor. He is not really proactive with reaching out to try new meds. He just has me stop the drug and then nothing until my next appointment. My worse symptom is my gait and cognitive problems.

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I'm sorry to hear that your doctor is not being more proactive on your behalf, @parkiegirl. Can you seek a second opinion with a movement disorder specialist? This is a neurologist with special training in disorders like Parkinson's. Here is some information, https://www.michaeljfox.org/news/movement-disorder-specialists.

On the link there is a directory of movement disorder specialists. Will you take a look at it?

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@hopeful33250

Hi @jhscheib,

I'm pleased to hear that the change back to Carb/Levo was good for you. I hope that it continues to work well for you.

Are you still doing better now with the "off periods?"

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Still doing well during my off-periods. Still taking Azilect (rasagiline): 4 doses of carb/levo 4 times per day and doing well with this regimen.

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