How to treat pseudo-Parkinsonism in me?

Hello doctor,

I was diagnosed with bipolar I and placed on the tablet Lithium. But that resulted in massive tablet polydipsia. So, it was replaced with the tablet Haloperidol. Next, it was replaced with tablet Sodium Valproate. Two years later a specialist in involuntary moments prescribed me Tablet Quetiapine to get over the tardive dyskinesia which had given rise to massive problems. Five to six years later it improved my movements, my speech, and my mental functioning and all of which had been affected negatively by the 20 years of the tablet Haloperidol. Then I changed over to tablet Lamotrigine and Oxcarbazepine. Seven years ago, while crossing a railway bridge, I faced my extreme balance problem. I did not identify the source of it until recently when I discovered it to be caused by low dopamine. I reasoned it was my pseudo-parkinsonism at play. I started on tyrosine, tryptophan, vitamin B1, and velvet beans to increase the production of dopamine. First, can you look at the PET CT scan images and tell me what are the issues with my brain as shown by the scan? The substantia nigra is the part that deals with dopamine. Is it affected? And by how much? What other observations would be significant in my case?

Please advise me about the next steps of treatment.

Hi doctor,

Thank you for the reply.

A laboratory urine test confirmed a low dopamine level. When I went off the tablet Haloperidol my movements were stiff, my speech unintelligible, and my mind was slow in functioning along with facial, buccal, and hand involuntary movements. Tablet Quetiapine normalized my speech, improved my mental agility, and relaxed my movements, Of course, the passage of time must have helped too. Would a video consultation substitute for a physical one? Else, what type of neurological sub-specialty do I look for in my town? Is parkinsonism a sub-specialty now common in here? The effect of the nutritional treatment outlined above sparked mental clarity, speed, coherence, and some improvement in balance. What can I add to speed up balance recovery? Is a new combination of tablet Levodopa and Carbidopa advisable for me? Please name some hospitals and doctors for further treatment.