Wednesday, April 30, 2008

The effect of Requip (Ropinorol) Medication

Hi Teo, how are you faring now with the current medication? Are there any side effects so far? My mum’s got PD and has had her medication changed recently and she went downhill from there, now we’re trying to readjust but the damage has been done and it has taken a huge emotional and mental toll on her, on top of the physical ‘damage’. What is ropinorol and what does it do?
Oct 22, 6:55 PM — [ Edit Delete ] — View post “The effect of Requip (Ropinirole) medication
Tags: Discussion, General, Medication, te

Tuesday, April 29, 2008

my experience with Ropinirole (Requip)

I have been with requip medication for nine months.It started with 0.25 mg increased to 12 mg daily. It helps my physical mobilty and flexibility. I feel proud that I have a right medication. After nine months” honey moon” period I have dizzinness at all times and it lowering my blood pressure.
I have to stop it’s taking as has sideeffects on me.
I feel now better and my dizzinness subsided and gone down slowly. My blood pressure is normal

causes of dizzinness: medication or supplements?

causes of dizzinness: medication or supplements?
Posted on April 29th, 2008 by heroteo
I am confused. Lately I have dizzinness all the times after I have T.I.A (Blood Clot) recently.I have done my MRI, ECG, Heart, ENT screening by neuroglist, cardiologist and otoringologist and are fine.My neurologist told me it is the sideeffect of the PD medication that lowering your blood level. He wrote me the following :-“I am glad that your dizziness has subsided. Dizziness is a very common symptom among Parkinson’s patients. It needs extensive work-up, e.g. blood pressure, heart rhythm, blood tests (diabetes) and even brain scan. A common cause of dizziness among Parkinson’s patients is the medications for PD, which can lower the blood pressure. Commonly, I use fludrocortisone to elevate the blood pressure. Parkinson’s patients need regular blood pressure monitoring (lying position and standing). Dr Chew Nee Kong”.However, after I have stopped taking my supplements my dizzinness are subsided and gone.I worry that the dizzinness would come again as there are two different diagnosis of the syndrome.My nutritionist told me:The symptoms you had got such as low blood pressure, dry mouth, insomnia and fatigue are not related to supplements , but you can reduce the dose as to take one pack per day for a while if the symptoms still going on.
My question is this : Is the cause of my dizziness the result of my PD medication or is it the cause of my supplements, or both? Should my neurologist have prescribed me fludrocortisone (as claimed by him) upfront, to counter the possible effect of dizziness due to side effect of lowering of blood pressure?
Kindly advise.


Dear Mr Teo

Ropinirole and other dopamine agonists are good medications for PD, especially in the early stage. I have many patients who have done well with dopamine agonists monotherapy. However, till today, there is no ideal medication for PD. Even dopamine agonists (or any other PD medications) can cause a drop in blood pressure (postural hypotension), which causes dizziness and fainting attacks. Hope that the fludrocortisone that i prescribed you today will help bring up your blood pressure back to normal. Dr Chew Nee Kong, Kuala Lumpur.

Dopamine agonists (Requip) and Lavodopa

As dopamine agonists Ropinirole (Requip) can have this as a side effect (dizzinness at all time) I stop taking them i.e 6 mg Requip daily. I substitute Lavodopa 25/100 Sinemet 2 1/2 dosages with 2 dosage Jumax 5mg daily immediately.
As the result my dizzinness has subsided slowly. My blood pressure is normal.
Teo Kim Hoe

dizzinness and parkinson's medication

http://forum.parkinson.org/forum/viewtopic.php?t=4489

Monday, April 28, 2008

T.I.A (blood clot) and parkinson's

http://forum.parkinson.org/forum/viewtopic.php?t=4443

parkinson's medication and blood pressure

Posted: Fri Apr 18, 2008 6:13 am Post subject: Parkinson's medication and Blood pressure

Dear Doctor, I am taking Lavodopa,Carbidopa and dopamin agonist for two year Close monitoring is required for people with certain medical condition. After I have a minor stroke (T.I.A) recently, I experience two different blood pressure i.e. decreased blood pressure when rising from a seated position or lie-down on bed after lengths of times. I feel dizziness on standing,headache or fainting My mouth run dry and thirsty Insomnia, anxiey, and fatigue, malaise Kindly elaborate Thanks TEOKIMHOE
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Apr 20, 2008 7:05 pm Post subject:

There are many potential reasons for orthostasis or dizziness on standing up. Dopamine agonists and TCA antidepressants can have this as a side effect. Alternatively it could be an issue of hydration and you may need 6-8 glasses of water a day and compression stockings. Occassionally drugs like midodrine, florinef and mestinon are needed to keep the BP up._________________Michael S. Okun, M.D.
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Anonymous
Posted: Sun Apr 20, 2008 9:47 pm Post subject:

Normal blood pressure is regulated by specific reflexes in the nervous system. Parkinson's disease can impair this reflex mechanism and result in lowered blood pressure.Low blood pressure usually presents itself as side-effect of anti parkinson's medications. Levodopa-carbidopa, dopamine agonists and other antidepressions and sleeping medications may potentiate a hypotensive event Source: Linda P.Miller,R.N.Med Posted by Hero Teo at 10
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Anonymous
Posted: Sat Apr 26, 2008 2:16 am Post subject: dizzinness and parkinson's medication

I am glad that your dizziness has subsided. Dizziness is a very common symptom among Parkinson's patients. It needs extensive work-up, e.g. blood pressure, heart rhythm, blood tests (diabetes) and even brain scan. A common cause of dizziness among Parkinson's patients is the medications for PD, which can lower the blood pressure. Commonly, I use fludrocortisone to elevate the blood pressure. Parkinson's patients need regular blood pressure monitoring (lying position and standing). Dr Chew Nee Kong, Kuala Lumpur.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Apr 27, 2008 8:48 am Post subject:

Thanks for the nice comment._________________Michael S. Okun, M.D.

T.I/A (Blood Clot) and dizzinness

Posted: Wed Apr 23, 2008 7:00 am Post subject: T.I.A (blood cloth) and dizzinness

I have a T.I.A (minor stroke) recently. Lately I feel dizzinness. Is it related with Parkinson's medication or my supplements? I do complete heart check and screening but I am still healthy. Your early reply woulld be appreciated
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Apr 27, 2008 7:29 am Post subject:

Dizziness can be seen as a side effect or dopamine agonists and also felt as a subjective sensation by some PD patients. Often however it is unrelated to the PD. I would suggest you speak to your doc and be sure the stroke/TIA was not the cause...or maybe medications started after the stroke/TIA._________________Michael S. Okun, M.D.
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reader

Re: your life long sentenceReceived:
Jan 30, 2008 12:20AMFrom:

auntique
Mouth/throat: moderate
Arms: moderate
Chest: mild
Legs: moderate
See profile auntique tremor onset: 03/95Dx: 12/95Type: Inherited (genetic) Parkinson's disease
Previous message:
Teokimhoe, I certainly hope I did NOT mislead you. We will be compiling a book of many stories about living with PD from many different people. As such, we will not be making one book from your story, with your permission we will INCLUDE your story in the book by many people. Do you understand what I am trying to say??? If you have questions, please feel free to email me. auntique (Janice) Thank you for your email.I would be obliged that you could compile my stories from my blog : movementdisorder@blogspot.com into a book "your life long sentence"THANK YOU

Sunday, April 27, 2008

blood clot and dizzinness

http://forum.parkinson.org/forum/viewtopic.php?p=14149#14149

dizzinness and PD medication

http://forum.parkinson.org/forum/viewtopic.php?t=4489

PD medication and blood pressure

http://forum.parkinson.org/forum/viewtopic.php?t=4430

comment for your received

Recent Comments
[delete comment]

jhowe
Mouth/throat: mild
Arms: moderate
Chest: mild
Legs: mild
See profile jhowe tremor onset: 02/07Dx: 04/08Type: Parkinsonism (unknown cause)
I really liked your positive attitude about the importance of exercise in fighting PD and in keeping mobility. Before PD I was a fitness instructor-- now, I've had to take a break and reassess my own exercise plan but I could use some help and encouragement... Maybe we can find a way to keep each other motivated. I created a forum on an exercise and fitness website called, "Living With a Chronic Illness-- Yet Keeping Fit!" recently and would really like to see you join and post specifics on your exercise plans and struggles to keep fit. TOGETHER we can fight this disease and exercise is the one thing to show we are still in control. Please take a moment to look at the forum and feel free to join and start submitting to discussion!! Here's the link to forum: http

Take exercise as part of your lifestyle

http://www.patientslikeme.com/forum/show/12720?view=last

Saturday, April 26, 2008

dizzinness and PD medication /supplements

I am confused. Lately I have dizzinness all the times after I have T.I.A (Blood Clot) recently.I have done my MRI, ECG, Heart, ENT screening by neuroglist, cardiologist and otoringologist and are fine.My neurologist told me it is the sideeffect of the PD medication that lowering your blood level. He wrote me the following :-"I am glad that your dizziness has subsided. Dizziness is a very common symptom among Parkinson's patients. It needs extensive work-up, e.g. blood pressure, heart rhythm, blood tests (diabetes) and even brain scan. A common cause of dizziness among Parkinson's patients is the medications for PD, which can lower the blood pressure. Commonly, I use fludrocortisone to elevate the blood pressure. Parkinson's patients need regular blood pressure monitoring (lying position and standing). Dr Chew Nee Kong".However, after I have stopped taking my supplements my dizzinness are subsided and gone.I worry that the dizzinness would come again as there are two different diagnosis of the syndrome.My nutritionist told me:The symptoms you had got such as low blood pressure, dry mouth, insomnia and fatigue are not related to supplements , but you can reduce the dose as to take one pack per day for a while if the symptoms still going on.
My question is this : Is the cause of my dizziness the result of my PD medication or is it the cause of my supplements, or both? Should my neurologist have prescribed me fludrocortisone (as claimed by him) upfront, to counter the possible effect of dizziness due to side effect of lowering of blood pressure?
Kindly advise

dizzinnesss at all the time

I am confused. Lately I have dizzinness all the times after I have T.I.A (Blood Clot) recently.I have done my MRI, ECG, Heart, ENT screening by neuroglist, cardiologist and otoringologist and are fine.
My neurologist told me it is the sideeffect of the PD medication that lowering your blood level. He wrote me the following :-
"I am glad that your dizziness has subsided. Dizziness is a very common symptom among Parkinson's patients. It needs extensive work-up, e.g. blood pressure, heart rhythm, blood tests (diabetes) and even brain scan. A common cause of dizziness among Parkinson's patients is the medications for PD, which can lower the blood pressure. Commonly, I use fludrocortisone to elevate the blood pressure. Parkinson's patients need regular blood pressure monitoring (lying position and standing). Dr Chew Nee Kong".
However, after I have stopped taking my supplements my dizzinness are subsided and gone.
I worry that the dizzinness would come again as there are two different diagnosis of the syndrome.
My nutritionist told me:
The symptoms you had got such as low blood pressure, dry mouth, insomnia and fatigue are not related to supplements , but you can reduce the dose as to take one pack per day for a while if the symptoms still going on.

My question is this : Is the cause of my dizziness the result of my PD medication or is it the cause of my supplements, or both? Should my neurologist have prescribed me fludrocortisone (as claimed by him) upfront, to counter the possible effect of dizziness due to side effect of lowering of blood pressure?

Kindly advise.

dizzinness and PD medication /supplements

http://forum.parkinson.org/forum/viewtopic.php?p=14120#14120

Thursday, April 24, 2008

supplements

Posted: Mon Apr 14, 2008 9:00 am Post subject: Supplements

I have recently been diagnosed and have been trying to gather as much knowledge as I can about disease and what I may do to lessen its impact on my body and perhaps slow its progression. I have recently started taking sinamet. Based on current knowledge what is your best advice on which supplements to take in addition to this medication ? Thank you
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Mon Apr 14, 2008 6:36 pm Post subject:

Hi. As far as we know, none of the supplements have been definitively shown to provide any motor benefit in PD. There are hints that creatine and CoQ10 might, but that is still under investigation. Yours,_________________Hubert H. Ferna

blood clot related with PD medication/ supplements?

http://forum.parkinson.org/forum/viewtopic.php?t=4466

Can salt increase Hypotension?

http://forum.parkinson.org/forum/viewtopic.php?t=4468

vitamin supplements

http://us.f366.mail.yahoo.com/ym/ShowLetter?MsgId=80_216041_87780_621_1893_0_22723_5991_1737535814&Idx=1&YY=35961&y5beta=yes&y5beta=yes&inc=25&order=down&sort=date&pos=0&view=a&head=b&box=Sent

supplements

http://forum.parkinson.org/forum/viewtopic.php?t=3978

blood clot and dizzinness

http://www.patientslikeme.com/forum/show/12631

Sunday, April 20, 2008

MY Yoga

http://www.facebook.com/editphoto.php?aid=960

Parkinson Day 11st April 08

http://www.patientslikeme.com/forum/show/12316?view=last

Low blood pressure in Parkinson's disease

I have a T.I.A. stroke last month.
It is related with my parkinson's medication as it causes me low blood pressure. after taking for a long time .I usually have 145/76 normal blood level for the past two years.
The medications cause me with two different blood pressie when you change your body position from sitting to standing or liedown. Your blood pressure would reduce or increase when you are sitting and standing.
Recently I have low blood pressure which is below 100/60 after changing my body position from sitting to standing , rising from sitting or lie -down. It causes me feeling dizzness, vision blurring, and fatique
I understand these syndrome can vary different from person to person.
Kindly brief
Thanks

Saturday, April 19, 2008

parkinson's medication lowering blood pressure

I have a T.I.A. stroke last month.
It is related with my parkinson's medication as it causes me low blood pressure. I usually have 145/76 normal blood level for the past two years .
Recently I have low blood pressure which is below 100/60 standing after rising up from sitting or lie-down on bed. It causes me feeling dizzness, and vision blurring.
I understand the syndromes can vary from person to person
Kindly elaborate

Normal blood pressure is regulated by specific reflexes in the nervous system. Parkinson's disease can impair this reflex mechanism and result in lowered blood pressure.Low blood pressure usually presents itself as side-effect of anti parkinson's medications. Levodopa-carbidopa, dopamine agonists and other antidepressions and sleeping medications may potentiate a hypotensive event

Source: Linda P.Miller,R.N.Med

What causes Parkinson's with phlegm?

http://www.patientslikeme.com/forum/show/12341

parkinson's medication and blood pressure

http://www.patientslikeme.com/forum/show/12278?post_id=126267#126267

Questions for my blood clot

http://www.patientslikeme.com/forum/show/12311?post_id=126673#126673

parkinson's medication and blood pressure

http://www.patientslikeme.com/forum/show/12278

Hypotension and salt

http://www.patientslikeme.com/forum/show/12277

Friday, April 18, 2008

Can salt increase hypotension?

Parkinson's medication develop with complication. There are motor and non motor syndromes on patients. Low blood pressure is one of non motor syndrome.
I am one of the sufferers. I have a mini stroke (T.I.A) last month. Recently I discover my blood pressure is low on standing (100/ 76) but normal (145/76) blood pressure on sitting or lie-down on bed causing me dizzness, headache and fainting.
Hypotension is usually causing health for elderly.
Sudden drops in blood pressure can be life-threating.
What cause Parkinson medication increase hypotension?
Is hypotension related to my mini stroke last month?
Can salt taking increase my blood pressure as advised by my doctor? What are alternative?
Kindly advise
Dear Doctor,
I am taking Lavodopa,Carbidopa and dopamin agonist for two year Close monitoring is required for people with certain medical condition.
After I have a minor stroke (T.I.A) recently, I experience two different blood pressure i.e. decreased blood pressure when rising from a seated position or lie-down on bed after lengths of times. I feel dizziness on standing,headache or fainting
My mouth run dry and thirsty
Insomnia, anxiey, and fatigue, malaise
Kindly elaborate
Thanks

Sunday, April 13, 2008

The role of caregiver

http://www.zelapar.com/HTML-INF/subtier_4-1.htm

Parkinson's with stomach- ache

http://www.nutritionucanlivewith.com/reflux.htm

Post subject: Are vitamin supplements harmful for Parkinson's Patient?

Post subject: Are vitamin supplements harmful for Parkinson's Patient?

Nutrition are importance for those with Parkinson Disease. Nutrition won't cure PD or slow its progression. Why there are vitamins and mineral not suitable for Parkinson's Patients and are harmful for them to take? There are Folic Acid, Chromium,Copper, Ferritin,Magnessium,Selerium, and Zinc What are the normal level of these vitamins level (units)in our body? In what level are considered harmful for Parkinson's patients and how to reduce to safe level? How to monitor the vitamins and mineral level, periodly or yearly?_________________to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
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GeoJoined: 29 Mar 2008Posts: 2
Posted: Sun Mar 30, 2008 5:53 pm Post subject:

This is a very good question and one I'd like to see posted on the Ask the Doctor forum.

Can exercise do what medicine can't?

Posted: Tue Feb 26, 2008 4:04 am Post subject: Can exercise do for parkinson's patients what medicine can't

Besides exercises medication are important for PD patients. Medications help you to relieve your body movement and mobility as to help you during exercises. Both are related. Consistencies, persistences, dsciplines towards exercises besides medication are the key for you to combat the diseases. I spend nearly three years in the fitness centre three hours daily in gym exercises classes i.e Yoga, body combat, spinning, body pump except Sunday. I finally combat the disease. I do not look like Parkinson's Patient as told by my neurologlist, fitness members and instructors. Besides I engage two personnel trainers to align my body posture and do strectching my stiffness muscles. I do Box and Kick exercises and cardio as well as weights lifting two times a week and last an hour to train my endurance and flexibility. Is it hard work? Can you do? Is it mad that I am a Parkinson's patient? Do you believe?_________________to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families

Metal on Blood Test

: Metal on Blood Test

Dear Mr Teo / Dr Okun This is a very interesting issue. Back in 2003, my colleagues and I published a report on association of PD with occupational exposure to joss paper, in the Southeast Asian Neurological Journal. Two ethnic Chinese ladies, who were genetically unrelated, had worked for many years in a joss paper shop in Malaysia. Subsequently, both developed PD. The joss papers were confirmed to contain heavy metals (lead, copper, zinc and mercury). There is definitely a role of heavy metals in the causation of PD, but in only certain individuals. Just as Dr Okun, I do not routinely screen for heavy metals. Dr Chew Nee Kong, Kuala Lumpur.
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Tue Apr 01, 2008 11:34 pm Post subject:

Thanks for your input!_________________Hubert H. Fernandez

News: Exercise stretches comprehensive Parkinson's treatment

http://forum.parkinson.org/forum/viewtopic.php?t=4385

Monday, April 7, 2008

Questions for my blood clot

1.Patient been once with blood clots, is it at risk (or increase) of heart attack, stroke or pneuminia?
2.What are precautions to take to reduce the risks from another blood clot?
3.Will exercise or sex increase the risk of suffering from another blood clot?
4. Is this a permanent condition? Can it be cured?
5.As antiplatelet therapy is not for people with a history of liver or asthma. peptic ulcers, bleeding disorders what are the medication available?
6. Are there any surgical available to treat the blood clot as there are high risks suffering with another stroke?
Kindly brief.

What cause Phelgm with Parkinson's ?

Dear Doctor,
I do not have saliva as told by my dentist but thick, dry and sticky phelgm (without smell,white in colour )produce in my throat.
I am fortunate that my phlegm could come out from my throat and do not having difficulty breathing . However,it irritates me in public and I feel uncomfortable.
I don't have difficulty food swallow neither I have running nose.
As my phelgm irritates me I have a cough occassionally
I gargle with salt water several time a day, but it comes again. Kindly advise;-
Is it part of syndrome of Parkinson's disease?
Is it a chronic illness?
What is the treatment to clear the phelgm from the throat?
Thanks

Wednesday, April 2, 2008

Is it safe to take vitamin supplement ?

http://www.patientslikeme.com/forum/show/10630?post_id=106552#106552

Is exercise an end or the tool for PD?

http://www.patientslikeme.com/forum/show/10914?post_id=110191#110191


Parkinson's Disease: Exercise and Parkinson's Disease
Because Parkinson's disease affects your ability to move, exercise helps to keep muscles strong and improve flexibility and mobility. Exercise will not stop Parkinson’s disease from progressing; but, it will improve your balance and it can prevent joint stiffening.
You should check with your doctor before beginning any exercise program. Your doctor may make recommendations about:
The types of exercise best suited to you and those which you should avoid
The intensity of the workout (how hard you should be working)
The duration of your workout and any physical limitations
Referrals to other professionals, such as a physical therapist who can help you create your own personal exercise program
The type of exercise that works best for you depends on your symptoms, fitness level, and overall health. Generally, exercises that stretch the limbs through the full range of motion are encouraged.
Here are some tips to keep in mind when exercising.
Always warm-up before beginning your exercise routine and cool down at the end.
If you plan to workout for 30 minutes, start with 10-minute sessions and work your way up.
Exercise your facial muscles, jaw, and voice when possible: Sing or read aloud, exaggerating your lip movements. Make faces in the mirror. Chew food vigorously.
Try water exercise, such as aquarobics. These are often easier on the joints and require less balance.
Work out in a safe environment; avoid slippery floors, poor lighting, throw rugs, and other potential dangers.
If you have difficulty balancing, exercise within reach of a grab bar or rail. If you have trouble standing or getting up, try exercising in bed rather than on the floor or an exercise mat.
If at any time you feel sick or you begin to hurt, stop.
Select a hobby or activity you enjoy and stick with it. Some suggestions include: Gardening; Walking; Swimming; Water aerobics; Yoga; Tai chi.
Reviewed by the doctors at The Cleveland Clinic Neuroscience

Is exercise an end or the tool for PD?

http://forum.parkinson.org/forum/viewtopic.php?p=13506#13506

Parkinson's Disease: Exercise and Parkinson's Disease
Because Parkinson's disease affects your ability to move, exercise helps to keep muscles strong and improve flexibility and mobility. Exercise will not stop Parkinson’s disease from progressing; but, it will improve your balance and it can prevent joint stiffening.
You should check with your doctor before beginning any exercise program. Your doctor may make recommendations about:
The types of exercise best suited to you and those which you should avoid
The intensity of the workout (how hard you should be working)
The duration of your workout and any physical limitations
Referrals to other professionals, such as a physical therapist who can help you create your own personal exercise program
The type of exercise that works best for you depends on your symptoms, fitness level, and overall health. Generally, exercises that stretch the limbs through the full range of motion are encouraged.
Here are some tips to keep in mind when exercising.
Always warm-up before beginning your exercise routine and cool down at the end.
If you plan to workout for 30 minutes, start with 10-minute sessions and work your way up.
Exercise your facial muscles, jaw, and voice when possible: Sing or read aloud, exaggerating your lip movements. Make faces in the mirror. Chew food vigorously.
Try water exercise, such as aquarobics. These are often easier on the joints and require less balance.
Work out in a safe environment; avoid slippery floors, poor lighting, throw rugs, and other potential dangers.
If you have difficulty balancing, exercise within reach of a grab bar or rail. If you have trouble standing or getting up, try exercising in bed rather than on the floor or an exercise mat.
If at any time you feel sick or you begin to hurt, stop.
Select a hobby or activity you enjoy and stick with it. Some suggestions include: Gardening; Walking; Swimming; Water aerobics; Yoga; Tai chi.
Reviewed by the doctors at The Cleveland Clinic Neuroscience

Metal on Blood Test

http://forum.parkinson.org/forum/viewtopic.php?t=4214

STOOPED POSTURE

http://forum.parkinson.org/forum/viewtopic.php?t=4184

Tuesday, April 1, 2008

Questions for my blood clot

Dear Doctor,
Questions for my blood clot: 1. After I have been diagnosed with blood clots, am I at risk other part in my body?
2. Am I at increase risk of heart attack, stroke or pulmunary condition? 3. Besides medications any vitamin supplements to take to reduce the risks from another blood clot? 4.Will exercise or sex increase my risk of suffering from another risk of blood clot? 5. Is this a permanent condition? Can it be cured? 6. What are the steps taken to avoid my risk of suffering another risks of stroke? 7. As antiplatelet therapy is not for everyone , what are the dosages for people with a history of liver or asthma. peptic ulcers, bleeding disorders? 8. Are there any surgical or others available to treat the blood clot as there are high risks suffering with another stroke? 9.;Kindly elaborate people with the blood clot is at risk suffering complications from blood clots? Thanks