Question: Hello! I have hyperkinesia, which my doctor thinks is due to taking too much medication. About two weeks ago, at 8.00 am, I took two Madopark and one Sifrol. strength 2.1 mg, 1 Sifrol strength 0.52 mg, 2.1 mg and 1 Sifrol 0.52 mg at 11.00 am, 1½ Madopark at 2.00 pm, 1½2 Madopark at 5.00 pm, 1 Madopark at 9.00 pm, and 1 Madopark. Change in medication: Sifrol 0.52 mg suspended; Madopark depot introduced at 9.00 pm instead of the one I’d been taking previously. What has happened since the change in medication is that my hypermobility has decreased, but my feet get stuck much more often. Is there anything I can do myself? I’m due to have a telephone consultation with my doctor on 15 June. Review!
Response: It’s difficult to balance the medication in this situation so that it’s sufficient to prevent you from getting your feet stuck, but without causing excessive hypermobility. What you can do is try to note down when you get stuck – at specific times of the day or in relation to your previous dose? If there’s a pattern like that, you could try taking half a Madopark tablet extra at the time of your previous dose and see if that works better. But of course, there’s a risk that you’ll become too hyperactive again. If it becomes very difficult to manage, it’s time to start thinking about ‘advanced treatment’.
Dag Nyholm