Treatment Journey
One chapter at a time.

Earliest symptoms

Gradual hand shaking, especially on the left side.

Parkinson's diagnosis

Square Hospital, Dhaka

Diagnosed with Parkinson's disease.

Medication begins

Per family, Parkinson's medication started around Jan 2016; shaking initially stopped. Exact first medicine is unknown. This does not establish when Syndopa 125 started.

Incomplete medication history

Dhaka · Rajshahi · India

Consulted several doctors; condition progressively worsened. Family now recalls Syndopa 125 during treatment in India before ~2021, but its start date and dose frequency and other medicines remain unknown.

Syndopa 125 — family-reported treatment in India

India

Father reports starting Syndopa 125 obtained during treatment in India before first consulting Prof. Dr. Md. Amirul Haque. Exact start date, tablets per dose and dose frequency are unknown; do not equate this start with Jan 2016. Syndopa 125, Codopa 275 mg and Stalevo 125 mg remain distinct reported brands/formulations.

First consultation with Prof. Dr. Md. Amirul Haque

Bangladesh Specialized Hospital

First consultation around 2021, after family-reported Syndopa 125 treatment in India. The medicine schedule at this consultation is not confirmed. Later documented prescriptions are dated 25 March and 21 August 2023.

Unrelated surgery

Evercare

Prostate and gallbladder-related surgery. Personal history only — not Parkinson's treatment.

Stalevo 125 mg and Perkirol 2 mg — verified historical prescription

Bangladesh Specialized Hospital · Prof. Dr. Md. Amirul Haque

Family-provided prescription documents Stalevo (carbidopa + levodopa + entacapone): one tablet morning, noon and night (1+1+1); Perkirol (ropinirole): one tablet morning and night (1+0+1). August's prescription differs. Prescription date is documented, not a confirmed date taken. Transition, overlap, duration and response are unknown. Not a current regimen.

Codopa 275 mg and Perkirol 2 mg — verified historical prescription

Bangladesh Specialized Hospital · Prof. Dr. Md. Amirul Haque

Second family-provided prescription documents Codopa 275 mg (carbidopa + levodopa) and Perkirol 2 mg (ropinirole): each one tablet morning, afternoon and night (1+1+1). March listed Stalevo and twice-daily Perkirol. Codopa is not asserted to be the same brand as Syndopa. Prescription date is not a confirmed date taken; transition, overlap, duration and response are unknown. Historical only, not current.

Oridopa 25/100

Abu Dhabi · Dr. Shivam Om Mittal

Two tablets five times daily. Initially helpful; OFF periods persisted.

Eye laser procedures

One eye in 2024, the other in 2025. Personal history only.

Most severe period

Unable to sleep, lie down comfortably, stand or walk without assistance.

Madopar HBS 125 added

Bumrungrad Hospital, Bangkok · Dr. Amputch Karukote

Added to Oridopa; supervised combinations tried; ~1 month stay with physiotherapy. Sleep ~3–4 h; late-afternoon OFF remained.

Old schedule recorded

Oridopa ×5 doses + HBS ×3 doses (~1,300 mg levodopa/day). Many dose failures.

Switch to Madopar Dispersible

Cleveland Clinic Abu Dhabi · Dr. Shivam Om Mittal

Family-reported return visit to Dr. Mittal, who first saw my father in 2024. HBS replaced by Dispersible 125 five times daily with Oridopa (~1,500 mg levodopa/day), from ~4 PM.