I would talk to your neurologist about it. Hopefully you have a neurologist who specializes in Parkinson's/movement disorders. They would be best able to help with some options. My mom is on year 16 of her PD diagnosis, but was on antidepressants for several years before that, and she is still on the same one. It's the only one that has mostly worked for both depression and pain (it's not perfect, but it helps). The doctor did try to switch her to another one he thought might work better for pain, but it made everything worse. ... She has mild/moderate mood swings but mostly that's just the difference between "on" time and "off" time. When the medicine (sinemet, or carbidopa-levodopa) is working well, she will be "on," moving well, possibly too fast sometimes. With that comes a better mood. "Off" time is when the medicine isn't working so well. She is slower, moving less well. And her mood is low, sometimes very low. This is all common with Parkinson's. ... I would again be sure you have a neurologist that specializes in PD/movement disorders. They will be the most help--especially with all these complicated problems that regular doctors and regular neurologists cannot handle. There is a whole host of ancillary problems like depression, anxiety, mood, pain, constipation, stiffness, dyskinesia (involuntary movements), and on and on and on. You need an expert in PD.
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