Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. Do not stop taking except on your care team's advice. You may develop a severe reaction. Your care team will tell you how much medication to take.
Talk to your care team about what you need to do to care for your PEG-J tube site. Watch for signs of infection. Complications in the stomach or intestines can occur from the PEG-J tube procedure. Contact your care team immediately if you experience stomach pain, constipation that does not go away, nausea, vomiting, fever, or black stools.
If your PEG-J tube becomes kinked, knotted, or blocked, this may cause your Parkinson's symptoms to worsen or cause recurring movement problems (motor fluctuations). Call your care team if your Parkinson's symptoms get worse or you have slow movement while you are treated with this medication.
Eating high protein foods may affect how this medication works. Tell your care team if you change your diet.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medication affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medication. Avoid alcoholic drinks.
When taking this medication, you may fall asleep without notice. You may be doing activities like driving a car, talking, or eating. You may not feel drowsy before it happens. Contact your care team right away if this happens to you.
There have been reports of increased sexual urges or other strong urges such as gambling while taking this medication. If you experience any of these while taking this medication, you should report this to your care team as soon as possible.
Patients and their families should watch out for new or worsening depression or thoughts of suicide. Call your care team right away if you feel depressed or have thoughts of suicide.
You may experience a 'wearing off' effect before the time for your next dose of this medication. You may also experience an 'on-off' effect where the medication apparently stops working for any time from a minute to several hours, then suddenly starts working again. Tell your care team if any of these symptoms happen to you. Your dose may need adjustment.
If you have diabetes, you may get a false-positive result for sugar in your urine. Check with your care team.
This medication may discolor the urine or sweat, making it look darker or red in color. This is of no cause for concern. However, this may stain clothing or fabrics.
This medication may cause a decrease in vitamin B6. You should make sure that you get enough vitamin B6 while you are taking this medication. Discuss the foods you eat and the vitamins you take with your care team.