{"id":39727,"date":"2023-02-21T09:54:55","date_gmt":"2023-02-21T14:54:55","guid":{"rendered":"https:\/\/www.parkinson.ca\/?p=39727"},"modified":"2023-02-23T11:01:46","modified_gmt":"2023-02-23T16:01:46","slug":"parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it","status":"publish","type":"post","link":"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/","title":{"rendered":"Parkinson&rsquo;s OFF-time: what you need to know and how to manage it"},"content":{"rendered":"<p><span data-contrast=\"auto\">There\u2019s a lot to understand when it comes to Parkinson\u2019s and OFF-time is an important part of managing one&rsquo;s symptoms.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">It is possible for people living with Parkinson&rsquo;s to live fully and manage their motor symptoms, including tremors, impaired balance and slowness of movement, with medication such as levodopa which is specifically developed to help in treating Parkinson\u2019s. However, many people experience fluctuations in their symptoms as their medication wears off. These fluctuations are known as OFF-time: periods when the medication has yet to take effect or has worn off.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">During this OFF-time period, many people limit their activities and avoid social situations for fear of experiencing unexpected motor and non-motor symptoms, which add to the insecurity and anxiety the person may already be feeling. Fortunately, you can improve OFF-time with a few helpful tips and by talking with your doctor about what will work best for you:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3>1. Modify your diet<\/h3>\n<p><span data-contrast=\"auto\">There is more to healthy eating than the food you eat. It&rsquo;s also essential to develop healthy lifestyle habits, such as balancing your diet and exercising regularly, as these habits can improve your mood and make your medication more effective. In people with Parkinson\u2019s, helpful dietary considerations may include:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Eating a balanced diet<\/span><\/b><span data-contrast=\"auto\"> which includes vegetables, fruit, dairy, grains, and protein.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Keeping hydrated <\/span><\/b><span data-contrast=\"auto\">with plenty of water each day.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Improving fibre intake <\/span><\/b><span data-contrast=\"auto\">to reduce constipation caused by medication.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">It is also good to note that foods high in protein, such as meat, fish, dairy, and nuts, can interfere with the absorption of the drug levodopa. As a result, there is less of the drug in the body, making it less effective at managing symptoms.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Taking your medication 30 minutes before or 1 hour after meals containing protein or eating protein-containing foods at dinner rather than breakfast or lunch can reduce absorption interference. It is best to speak with your doctor and your dietitian about your diet and how it can help manage your OFF-time.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3>\u00a02. Adjust dosage\/timing<\/h3>\n<p><span data-contrast=\"auto\">Managing medications can be complicated. It is best to be proactive and take your medications as directed by your doctor, which includes getting refills and staying alert to side effects\/ OFF-time.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For the best results, your medication should be taken on time and as prescribed. Otherwise, the medicine may take longer to begin working. We all forget from time to time, so here are some tips to help you remember:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Set an alarm<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:390}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Make taking medications part of your daily routine<\/span><\/b><span data-contrast=\"auto\"> ie. right before brushing your teeth,<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:390}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Keep pills in a container.<\/span><\/b><span data-contrast=\"auto\"> Some pill containers have sections for multiple doses and for specific times of the day (morning, lunch and night).\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:390}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">As the saying goes, timing is everything. However, if you still have concerns about the effectiveness of your dosage\/timing, your doctor may also need to adjust depending on your medication.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3>3. Consider adjunct medical therapy<\/h3>\n<p aria-level=\"3\"><span data-contrast=\"auto\">There are different medication options available to combat OFF periods. Some are used to help maintain dopamine levels in the brain, while others are used as needed for the intermittent treatment of OFF episodes. In Canada, a sublingual apomorphine film, KYNMOBI\u2122, is available for intermittent treatment of OFF episodes. This medication is covered under certain exceptional or special access programs. Under medical supervision, approved medications in Canada can be used to treat OFF episodes and help make it easier for people living with Parkinson&rsquo;s to function in their daily lives. People are encouraged to maintain open and ongoing discussions with their Parkinson\u2019s healthcare team when considering treatment options.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:300,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Everyone experiences Parkinson\u2019s differently, but you are not alone. For more information, resources, and community support, contact Parkinson Canada\u2019s advocacy team at (800) 565-3000 or email <a href=\"mailto:advocacy@parkinson.ca\">advocacy@parkinson.ca<\/a>. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Our mission at Parkinson Canada is to transform the lives of Canadians living with Parkinson&rsquo;s. Articles like this represent our commitment to building awareness and providing resources and support for people living with Parkinson&rsquo;s and their care network.<\/span><\/p>\n<hr \/>\n<p><span data-contrast=\"auto\">This blog was made possible with sponsorship from Paladin Labs.<\/span><\/p>\n<p><em>Disclaimer:\u00a0<\/em><em>The contents of this article are provided for information purposes only. They do not represent the advice, an endorsement or a recommendation, with respect to any product, service or enterprise, and\/or the claims and properties thereof, by Parkinson Canada.\u202f\u00a0\u00a0\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There\u2019s a lot to understand when it comes to Parkinson\u2019s and OFF-time is an important part of managing one&rsquo;s symptoms.\u00a0\u00a0 &#8230; <a href=\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/\" class=\"more-link\">En savoir plus<\/a><\/p>\n","protected":false},"author":82,"featured_media":39729,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[237],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Parkinson&#039;s OFF-time: what you need to know and how to manage it - Parkinson Canada<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Parkinson&#039;s OFF-time: what you need to know and how to manage it - Parkinson Canada\" \/>\n<meta property=\"og:description\" content=\"There\u2019s a lot to understand when it comes to Parkinson\u2019s and OFF-time is an important part of managing one&rsquo;s symptoms.\u00a0\u00a0 ... En savoir plus\" \/>\n<meta property=\"og:url\" content=\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/\" \/>\n<meta property=\"og:site_name\" content=\"Parkinson Canada\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/parkinsoncanada\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-21T14:54:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-23T16:01:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/Blog-Photo-18-700x394.png\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"394\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Mikaela Derksen\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ParkinsonCanada\" \/>\n<meta name=\"twitter:site\" content=\"@ParkinsonCanada\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mikaela Derksen\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/\",\"url\":\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/\",\"name\":\"Parkinson's OFF-time: what you need to know and how to manage it - Parkinson Canada\",\"isPartOf\":{\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/#website\"},\"datePublished\":\"2023-02-21T14:54:55+00:00\",\"dateModified\":\"2023-02-23T16:01:46+00:00\",\"author\":{\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/#\/schema\/person\/6650a86d605ef0b6b183826bc4c613f8\"},\"breadcrumb\":{\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/fr\/parkinsons-off-time-what-you-need-to-know-and-how-to-manage-it\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/archiveparkinson.thedev.ca\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Parkinson&#8217;s OFF-time: what you need to know and how to manage it\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/#website\",\"url\":\"https:\/\/archiveparkinson.thedev.ca\/\",\"name\":\"Parkinson Canada\",\"description\":\"Empowering the Parkinson&#039;s community across Canada\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/archiveparkinson.thedev.ca\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/#\/schema\/person\/6650a86d605ef0b6b183826bc4c613f8\",\"name\":\"Mikaela Derksen\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/archiveparkinson.thedev.ca\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/3e000bf17e14ea99fc1ae56bcdc3aa18?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/3e000bf17e14ea99fc1ae56bcdc3aa18?s=96&d=mm&r=g\",\"caption\":\"Mikaela Derksen\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Parkinson's OFF-time: what you need to know and how to manage it - Parkinson Canada","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"fr_FR","og_type":"article","og_title":"Parkinson's OFF-time: what you need to know and how to manage it - Parkinson Canada","og_description":"There\u2019s a lot to understand when it comes to Parkinson\u2019s and OFF-time is an important part of managing one&rsquo;s symptoms.\u00a0\u00a0 ... 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