I have been taking Stalevo for several years, and have had good results. Recently, my pharmacist has supplied Stanek and/or Sastravi with the same active formulation. I accept that it may be coincidental but, since this change, my PD symptoms have deteriorated significantly; where previously I was “on” until the next 3-hourly dose was due, I now turn “off” before it is due. Where previously the turn-off was gradual, now it is like throwing a switch. I also find that it can be as much as an hour after a dose before I feel the benefit.
Are these alternative products made to give identical controlled-release profiles? These effects could, of course, be due to the progression of my PD, or (for some reason I cannot imagine) be linked to hip repair surgery at about the same time, but the fact that they coincided exactly with the change of product.makes me ask the question.
Hi Woody, welcome to the community. Sorry to hear your medication isn’t working as well following the switch to Stanek/Sastravi. We recommend you discuss this with your Parkinson’s nurse and/or a health professional. You might also want to try calling our Helpline, who can advise on a wide range of issues. You can reach them via email at [email protected], or call free on 0808 800 0303. Lines are open Monday to Friday from 9am to 7pm, and on Saturday from 10am-2pm.
I realise this post is old, I have just changed to taking Stanek, as Entacapone is not available. This includes taking a higher dose of the sinemet in the afternoon to stop my off times. It doesn’t seem to be working and I also experience joint pain and a dullness in my head. I wondered how you are
getting on?
