A 64-year-old male asked:
Disclaimer

can a parkinson patient who takes sinemet&requip take sudafed for congestion & robotussin to losen mucus together? it says not to take with maoi drugs

1 doctor answer
Dr. Stuart Kanter
20 years experience Geriatrics
Yes: Neither sinemet or Requip (ropinirole) are MAO inhibitors. Sudafed can affect blood pressure.
Answered on Dec 5, 2014
2
2 comments
Dr. David Keller
28 years experience Internal Medicine
The two Parkinson's medications which are MAO-inhibitors are Azilect (rasagiline) and generic selegiline. They inhibit MAO-B. The old MAO-A inhibitors like Nardil are far more dangerous with regard to causing a crisis in combination with Sudafed and certain foods and other drugs. I have explained elsewhere why I do not recommend Sudafed for anyone's nasal congestion, it is too risky overall.
Dec 5, 2014
Dr. David Keller
28 years experience Internal Medicine
Don't use oral sudafed to treat nasal congestion. It can raise BP & the risk of stroke & heart attack, and in Parkinson's patients worsens tremor and dyskinesias (writhing movements). Nasal congestion can be treated with fast-acting neosynephrine nasal spray for up to 3 days, concurrent with fluticasone spray, which is safer & lasts longer but kicks in slowly.
Dec 5, 2014

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