Movapo 3

So
It's January 19, 2020 in New Brunswick
It's winter, it's snowing.
Big boot snow. Not a curl up and cry NL type of snow.

So good time to catch up on a few things, drink too much coffee, sleep.

It appears Rose has been busy.
I think I have received 3 or 4 calls about the Movapo.

It has been a little over a month since I have had the de-doping and got the pen.
(covered in Movapo 1 and 2 ) 
Let me answer the question everyone wants to ask, but is too polite to.
I can not speak for every situation.

For me the Movapo, and the needles, and the swabs are covered by my office Blue Cross plan.
Everybody's  plan is different so please check with your HR. If you are on the provincial drug plan.
I looked up the NB Drug plan and checked Movapo is there with the rest of the Parkie drugs.
So I would assume it is covered.
The other question is how much. According to Blue Cross the 2 boxes of 5 pens (10 in total) charged to my plan is $475.00. So 1 box of 5 pens = $238.00. Or  $48.00 per Pen.

It has been a month now.
In my usual style, I started great guns in recording the events. But then, now not so much.

What follows is a some what accurate account of the first 10 days after December 12.

The rules: As told to me (by everyone)...
1).  You can use the pen up to 5 times a day.

2).  Once you use a pen, you have to dispose of it after 48 hours. Regardless of how much is left in the pen.  I have tried to get a sense if this is a hard or soft deadline. But if you ask you get told " You must throw it out after 48 hours. " So 48 hours it is.

3).  Keep the pens out of the sun

4)   Keep taking the Anti-nausea medicine.

5)   Don't drive for at lease 1 hour after taking a shot.

 I do have a dated, detailed event list.     Boring .......
So I will try to answer some of the questions I have been asked, and give some observations.

First, it works as advertised. If you are feeling off, it will make you feel better, both physically and mentally.

The reason you take it is personal.
My reasons, I am up against the wall as to how much more Levadopa I can take. And I don't want to take more Premapoxole. So when I am experiencing an off period in the middle of a med cycle (4 hours), I can take a shot. And in 30 minutes I am back to work.

If working through a stressful event I can take a Movapo shot to help me work through it.

I have used it before my daily cycle starts.
When I go to Spin class, my right big toe will curl in my bike shoe 10 minutes into the Class.

My Spin Class starts at 5:45. My first dose is at 6 am. If I take my first regular dose at 5:30, the Levodopa does not start working until the class is almost over, and my toe curls about ten minutes in.
If I take a Movapo shot at 5 am, them I can complete the class with no incidents.  
Movapo helps before my regular dose takes effect.
Movapo helps if your day is running long as well.
 
Side effects...
What ever you do, don't stop taking the Anti-Nausea medicine.
Once or twice my stomach has been upset after taking a shot.
But it cleared up in 30 minutes.
I have noticed a slight up tick in the occasional Impulsive behavior, but it is nowhere near as bad as before. And the next day I was fine.
So I would have someone keep watch on you if you are using the pen a lot.

I would recommend Movapo to anyone.
I definitely do not use it as much as I thought I would, but it is nice to have when you do.  

I know there are a lot of questions I have not touched on.
I am on Face book.