Hello this is my first post and I’m looking for any help & advise & to see if any other people are having the same difficulties as my mum.
My mum Ruth was diagnosed 10yrs ago and wasn’t prescribed any drugs until 3 yrs later which was sinemet then went on stalevo in the day & half sinemet at night.
This was fine for a long time then over a short period of time (around lockdown)mums symptoms worsened & her mental health really suffered, mum was anxious & depressed often waking at 3 or 4 am frightened & worrying about everything. Sadly mum deteriorated further & ended up being sectioned in Walton hospital for 5 weeks.
Upon release mum appeared to be better all her meds were reduced & she was on a low dose of dispersable madapor & a plan put in place to increase the dose. Mum is now on madapor capsules (100mg/25mg) & 1 half sinemet of a night ( along with other pills for anxiety & depression, folic acid & docusate for her bowels).
But once again mum is suffering terrible anxiety & depression waking at 3/4 in the morning, basically mum is in torment most of the day, it seems to me that her mental problems are 80% & Parkinson’s is 20% .
Can anyone help or advise or has anyone been thru similar circumstances.
Hi Paul, 
Welcome to the forum. 
Sorry to hear about the difficulties your mum has been facing. I’m sure this must be distressing not only for her, but for you as well. I’m sure you’ll receive a lot of valuable advice and support from the community as unfortunately, both mental health issues and sleep problems are common in Parkinson’s.
In the meantime, there are some relevant pages on our site you can consult about Parkinson’s and mental health as well as sleep problems.
Our helpline and Parkinson’s local advisers are also available to answer any questions you may have. Feel free to give us a call on 0808 800 0303.
Thank you,
Nikos
Forum Moderation Team
well Paul, here is what take to retain mental clarity & mitigate PD dementia risk:
Ambroxol:- 300-400mg 2x per day
https://clinicaltrials.gov/ct2/show/NCT02914366
Acetyl LCarnatine: 1,000mg 1x day
https://www.psychologytoday.com/us/blog/integrative-mental-health-care/201710/acetyl-l-carnitine-important-mental-health
of the two the 1st is critical for me (as my neurorologist knows), but as always do your own due diligence, there is much more on the web if you search on Ambroxol & PD, my posts here include alot of it.