When i was diagnosed,the first thing my Neuro wanted to start me on,along with Azilect and pramipexole,was anti-depressants.The AD’S,mainly to regulate mood.I resisted them for a few years.Then felt the need,so started.However,had to go through a mine-field,when finding an Anti-depressant that didn’t contra-indicate the Azilect i was taking.All to do with seratonin levels etc.At the time my Neuro had no idea of this.So i independently went through a Psychopharmacist ,who came up with the safest option “Mirtazapine”.
Anyway,that is another massive story,covered on the history threads.The point is,it wasn’t until i stopped the Anti-depressants after nearly 2 years.That i realised how significant they were in masking my tremor.This could be helpful when trying to keep pd med dosage down,at least for a while longer.
So now i have been back on the Mirtazapine almost a year again.Plus Neuro’s know that they are useful in external tremor control and that dreadful internal one.
Hope you find a solution.
Oh,and you are the exact age as me,54.
I was diagnosed in Nov,2009