Thank you so much for your posting. I'm happy to hear that Catalina is responding to the Sinemet. The way Dr. Fink dosed Alexis, originally, was to see if she responded to the medication. After 24 hours, we saw her response was positive. Dr. Fink then took Alexis down to a baseline of the Sinemet, in other words, he cut her dose down to only a quarter of a pill once a day. After 2 weeks, he added a second dose of a quarter pill, 2 more weeks, he added a third dose of a quarter pill to her daily regiment. He initially wanted to see if she would respond to the medication. Once we knew she responded, he cut down her dose and slowly increased it so her body would get use to it. Too much dopamine (Sinemet) can cause tremors, lack of coordination, etc. If your daughter responded to the original dose, I believe it may be a good idea to follow Dr. Fink's plan of action and start her on a lower dose and gradually increase her every two weeks. You won't notice the immediate response, but it could be more of a permanent one if she is missing the dopamine her brain needs.
God bless you, Catalina and your family. We'll be praying for you.