instruction: hello doctor I was diagnosed with parkinson last year at the age of 45 I am on azilect since then my symptoms are mild stiffness lately I did not sleep well and I suffer from res about 5 nights per week I do sport but everything which required quick movement I am not able to do it well my neurologist suggested that I start sifrol er 26 my should I start or not I have a neuro patch samples my which I tried days ago I sleep better and have more ability to move quickly so I see the difference but I feel headache little bit should I start treatment with agonistes dopaminergic what is the best first treatment for early onset in my case is there neuro my could I take neuro my each two days
output: hello I read carefully your question and would explain that in the early stages of parkinson disease in young persons it is recommendable to start treatment with ima which you are already taking azilect and a dopamine agonist in the this regard both neuropro and sifrol er would be good treatment options dopamine agonists can help improve res too you can increase the dose of neuropro to my daily after two weeks headache and increased sleepiness are common adverse effects of this drug if you do not tolerate it you can switch to sifrol er