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מאת ד"ר גלעד יהלום רופא בכיר בתל השומר

Question

I have a question regarding Dopicar (250/25). The current regimen is half tablet 4 times/day with meal.

My mom lives in Israel and has been recommended to take the tablets with meal. She is also taking Amantadine twice a day and Rasagiline daily.

Since almost every meal contains protein, would it be effective to take Dopicar with meal?.

I would appreciate if you clarify the recommendation.

Thank you in advanace for your response.

Answer

We initially tend to instruct patients to take dopicar with or after meals. It is indeed less effective since proteins affect negatively the absorpion of dopicar. but on the other hand there are less possible side effects such as nausea and dizziness with this regimen. Following this adjusting period. We tend then to switch the intake to Dopicar to 30 -60 minutes before the meals. Obviously, for patients who are suffering from side effects of the drug we avoid intake of the Dopicar before meals.