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EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association EPDA - European Parkinsons Disease Association
EPDA - European Parkinsons Disease Association
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Wearing off symptoms

What are the symptoms of wearing off?

Wearing off is very individual and there is no standard time frame for when this may occur or what symptoms you experience. 

In some people motor symptomssuch astremor may be the first sign, whilst for others it might be stiffness and difficulty initiating movement.  However, wearing off symptoms can be much more subtle and may not be associated with movement at all.  Indeed, many people experience non-motor symptoms, including anxiety, fatigue, change in mood, difficulty thinking, restlessness, sweating and increased salivation, during wearing off. 

Generally wearing off is said to be present if symptoms tend to re-emerge or worsen two or more hours after taking levodopa and then improve or disappear when the next dose is taken.  The range of these symptoms is very broad, so if you notice any changes in your usual symptom pattern you should discuss them with your doctor in case you are experiencing wearing off.  Your doctor will then be able to adjust your medication regime to help control symptoms better.

 

Symptoms of wearing off: an overview

Wearing Off Graph
Wearing Off Graph

Did you know?

Protein in the diet can effect the absorption of levodopa into the bloodstream.  Some people may find it useful to reduce the amount of protein consumed during the day to enable the medication to be more effective when it’s needed most.  But remember, protein is essential for a healthy diet so do not reduce the amount of protein you consume over all. It may be beneficial to have your daily intake of protein in one meal at the end of the day.  However, this may not be suitable for everyone so you must discuss this option with your doctor before altering your diet.

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