Hi Helen – in reply to your comment of 8 December which was in reply to Debbie Templeton’s comment of 10 October – I am not keeping abreast with the latest medications for MSA but I do remember that as well as being prescribed Levadopa (Sinemet), Patricia was also given Parlodel (Bromocriptine) and I remember the Neurologist telling me that Patricia’s mild Obsessive Compulsive Disorder (OCD) would be made worse – and it was. She initially suffered a high level of paranoia until the medication dosage was sorted out. I will forward your query on to the MSA group in the US where there is a lot more expertise on line.