Re: Off Feed Again
Thanks, Marsha. I’m sure you meant Dr. Van Noy of Auburn, rather than Abbott, but I will clarify that here for anyone reading. I had not read about that APF dosing schedule before but your and Nancy’s posts led me to think I might be missing something. APF protects against the unwanted effects of hormonal changes rather than absolute dosages so if you continue increasing pergolide to say 3 mg, you should not need to triple the APF given. There’s been evidence that increasing pergolide (which includes starting it) during the seasonal rise is less effective than at other times of year. I believe this is a relatively new observation. As I understand it, the pergolide you are giving will become more effective as the rise subsides. I went through many years of adjusting pergolide doses without knowing this or observing that kind of anomaly myself, which probably says more about my observational skills than anything else. Just wanted you to be aware of this. Martha in Vermont
ECIR Group Primary Response July 2012
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)
Martha and Logo
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