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Can Parkinson’s Medication Cause Low Blood Pressure

Can Sinemet Be Crushed Split Or Chewed

Does Parkinson’s Disease Cause Low Blood Pressure?

No. Its not known whether Sinemet remains safe and effective if you crush, split, or chew the tablets. For this reason, the manufacturer of Sinemet, Merck, doesnt recommend crushing, splitting, or chewing the drug.

Using more than the recommended dosage of Sinemet can lead to serious side effects.

Do not use more Sinemet than your doctor recommends.

Dosage For Parkinsons Disease And Parkinsonism

Sinemet is approved to treat Parkinsons disease and certain cases of parkinsonism, which is a condition thats similar to PD.

For these uses, the recommended starting dosage of Sinemet is typically one tablet of 25 mg carbidopa / 100 mg levodopa, taken three times per day.

In some cases, your doctor may have you start taking one tablet of 10 mg carbidopa / 100 mg levodopa, three to four times per day. But this dose may not contain enough carbidopa to reduce your symptoms.

If your starting dosage of Sinemet doesnt reduce your symptoms, your doctor may have you add a tablet to one or more of your doses. For example, your doctor may recommend that you add a 25 mg carbidopa / 100 mg levodopa tablet or a 10 mg carbidopa / 100 mg levodopa tablet, either every day or every other day.

The maximum recommended daily dose of Sinemet is eight tablets of either:

  • Sinemet 10 mg/ 100 mg, or
  • Sinemet 25 mg / 100 mg

Regular dosing interval

Sinemet should be taken at a regular dosing interval. A dosing interval is how often you should take a medication so that its most effective. Your dosing interval depends on how many times per day youre taking the drug. Spacing out your doses with an even dosing interval helps keep the amount of Sinemet in your body consistent over time. This consistency can help reduce your symptoms.

Dosage when switching from levodopa

When Is Orthostatic Hypotension Treated

Not all forms of orthostatic hypotension require treatment. If you experience a drop in blood pressure when you stand up, but have no other symptoms you probably won’t need treatment. Sometimes all it takes is sitting on the edge of the bed for a minute or steadying yourself for a moment after you stand up. But, if you feel dizzy or lightheaded to the point where you might lose your balance or lose consciousness, you will need treatment.

Because some drugs can cause severe orthostatic hypotension, your doctor may first try reducing some of your medicine or may switch you to another type of medicine. If you have significant symptoms of orthostatic hypotension, and it is not possible to change your medications, then your doctor will likely treat the orthostatic hypotension itself.

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How Is Blood Pressure Controlled

Approximately one million adults in the USA are thought to live with ...

Blood pressure is changing up and down naturally during the day. It is higher if you are stressed or doing physical activity and lower when you are resting.

There are sensors in the main artery in the neck that report your blood pressure to the brain. This is part of the autonomic nervous system , which includes the brain, nerves and spinal cord. The ANS controls a number of automatic or autonomic functions , including the heart rate and blood pressure. As there is only a certain amount of blood in our body, the supply has to be managed so our brain monitors the blood pressure and sends messages to our heart and blood vessels to adjust it as needed.

During certain activities, some parts of the body need more blood than others. For example, during exercise your blood pressure increases so that your muscles can get more oxygen. Or, if you have eaten recently, more blood goes to your stomach to allow it to digest food, reducing blood pressure elsewhere .

Your body also senses when you stand up and stops blood pooling in your legs . It does this by increasing your heart rate and squeezing or contracting your blood vessels, to move blood around your body.

If blood does pool in your veins when you stand, less blood returns to the heart and as a result, less blood reaches the brain. This can cause dizziness or fainting. This is called postural hypotension and can be a problem for people with Parkinsons.

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Effects Of Parkinsons Disease On Blood Pressure

This short web page explains the physical operation of blood pressure in the body, symptoms of low blood pressure and when they are most likely to occur, why low blood pressure is dangerous, medical treatments and lifestyle strategies to cope with low blood pressure, and a reminder that low blood pressure can affect the ability to drive safely.

Blood Pressure Fluctuation And Hypertension In Patients With Parkinsons Disease

Department of Neurology, Numazu Rehabilitation Hospital, 2510-22 Kamikanuki-mandagahara, Numazu, Shizuoka-ken, 410-0813 Japan


Tetsuro Tsukamoto, Department of Neurology, Numazu Rehabilitation Hospital, 2510-22 Kamikanuki-mandagahara, Numazu, Shizuoka-ken, 410-0813 Japan. Tel: +81-55-931-1911 Fax: +81-55-934-3811 E-mail:

Department of Neurology, Numazu Rehabilitation Hospital, 2510-22 Kamikanuki-mandagahara, Numazu, Shizuoka-ken, 410-0813 Japan


Tetsuro Tsukamoto, Department of Neurology, Numazu Rehabilitation Hospital, 2510-22 Kamikanuki-mandagahara, Numazu, Shizuoka-ken, 410-0813 Japan. Tel: +81-55-931-1911 Fax: +81-55-934-3811 E-mail:

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Sinemet With Other Drugs In Parkinsons Disease Treatment

For PD treatment, your doctor may recommend an additional drug with Sinemet if youre experiencing off-time while taking Sinemet.

During off-time, you have symptoms of PD or parkinsonism when your dose of Sinemet begins to wear off. This typically happens before youre scheduled to take your next dose of the drug. During these times, symptoms of your condition may return. These include muscle rigidity and tremors .

If youre having off-time while taking Sinemet, your doctor may recommend that you take another medication in addition to Sinemet. This added medication may help decrease your off-time.

Some examples of drugs that may be used with Sinemet to treat off-time include:

  • inhaled levodopa

Your doctor will discuss PD treatment options with you. Theyll recommend which medications you should take and what the drugs do to help your condition. If you have questions about your treatment plan, talk with your doctor.

Parkinsons Disease And Low Blood Pressure Whats The Connection

Low Blood Pressure or Hypotension, Causes, Signs and Symptoms, Diagnosis and Treatment.

Parkinsons disease is a progressive brain disorder that affects certain cells responsible for the production of dopamine, a neurotransmitter which governs body movement. The disease is usually recognized when body experience complications like shaking, rigidity, and difficulty with walking. In addition to these motor symptoms, the disease also strikes the body with some non-motor symptoms.

Low blood pressure is one of the most frequent non-motor symptoms of Parkinsons disease. It is estimated that up to 40% of Parkinsons patients have low blood pressure . Despite such a high prevalence, this sign of the disease is often poorly recognized and inadequately treated.

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Are There Any Simple Strategies That Can Be Adopted To Cope With Low Blood Pressure

Yes, these include:

  • Do not stay in an overheated environment for too long. Try to curtail unnecessary activity in hot temperatures. Try to keep cool and hydrated with extra fluids
  • Try not to sit or stand still for long periods. Do tasks sitting down, where practical. When doing a task that requires standing then move about a little
  • Some dizzy spells can be avoided by taking time to alter positions such as rising from a chair to standing position. On rising, do not walk away from the chair straight away. Before getting out of bed, allow the feet to dangle on the floor for a few minutes before rising. Then rise slowly
  • When bending or reaching, do so slowly, holding on to something if needed
  • It helps to raise the head of the bed so that less of a postural drop is experienced when standing
  • Eating small, frequent meals, increasing fluid intake, avoiding caffeine and alcohol may also help
  • Taking some medication on an empty stomach may aggravate the problem
  • Recognising what triggers symptoms & what makes them better/worse, will help manage the issue
  • Exercise, e.g. leg exercises, flexing the ankle, squeezing the calf muscle, crossing & uncrossing legs. Most of these can be done sitting, standing or lying in bed. A physiotherapist can advise further on exercises
  • If feeling dizzy or faint, sit or lie down immediately, until the feeling passes. Some people with severe symptoms also find it helpful to use a Derby or shooting stick to sit on
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    What To Use For High Blood Pressure Home Remedies

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    Sinemet With Other Drugs In Parkinsonism Treatment

    For parkinsonism treatment, your doctor may also recommend that you take other medications along with your Sinemet.

    For example, encephalitis is a possible cause of parkinsonism. And encephalitis may be treated with steroid medications such as prednisone. In addition, encephalitis is sometimes caused by a viral or bacterial infection. So, in people with this type of encephalitis, antibiotics or antiviral drugs may also be needed.

    If you have questions about your parkinsonism treatment plan, talk with your doctor.

    Hypertension And Risk Of Subsequent Motor Pd

    Seven cohort studies published between 2007 and 2015 included 3,170 persons who met the criteria for PD diagnosis and 339,517 participants who had not met the criteria for PD diagnosis during follow-up. Among them, four studies reported that hypertension is associated with an increased risk of PD , whereas the other three studies indicated that there was no significant association .

    Figure 2. Meta-analysis of the association between hypertension and Parkinsons disease risk.

    Figure 3. Meta-analysis of the association between hypertension and Parkinsons disease risk after adjustment for the potential confounding vascular factors.

    I know it has been well established that Parkinsons patients often experience fluctuations in BP.

    Does anyone know:

    Is the cause Parkinsons disease or the medications?


    My guess is, Who knows!!

    It could be one or both.

    Just take good care of yoursself.

    Love, Eva G.

    I believe it can be caused by both.

    My vote for the cause of blood pressure changes in PD patients is the disease.

    Well my husband, has come off his BP meds,

    Since he had these problems, with his blood pressure,

    Ok sitting down . But plummets when hes standing..

    But does vary with Parkimsons

    Its the disease not the meds. I collapsed before I had my diagnosis and the neuro said it was due to low blood pressure.

    my neuro has never asked me about my blodpressure.

    Isnt this strange?

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    Out Of High Blood Pressure Medication

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    Sinemet For Parkinsons Disease

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    Sinemet is approved to treat Parkinsons disease in adults. This disease affects your movements and nervous system. Symptoms of PD tend to slowly get worse over time, and they may include:

    • problems with balance

    The exact cause of PD isnt known, but it may be related to:

    • your environment, such as where you live
    • any chemicals youve been exposed to

    Although the cause may not be known, the changes in the brain that PD causes are very similar among people with the condition. Usually, neurons make a chemical called dopamine. Dopamine helps control your movements and send chemical messages in your body.

    But with PD, the brain cells that usually produce dopamine begin to die or stop working. This causes low levels of dopamine in the brain, which can cause symptoms of PD to occur. And as the amount of dopamine in the brain decreases, PD symptoms tend to gradually get worse.

    Sinemet works to reduce PD symptoms by increasing the amount of dopamine in your brain. To learn more about how Sinemet does this, see the How Sinemet works section below.

    Effectiveness for Parkinsons disease

    There havent been any clinical studies on Sinemets effectiveness in treating PD. However, 2021 guidelines from the American Academy of Neurology state that drugs containing levodopa are the most effective drugs for treating PD.

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