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Dr. Brian Nichol

Anesthesiology
North Little Rock, AR
31 years experience male

Locations

Office

North Little Rock, AR

Address

5106 McClanahan, Suite B, North Little Rock, AR
Directions

Fax

501.255.1509

About

Bio

Individualized chronic pain management

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Anesthesiology

Doctor Q&A

257 Answers
408 Agrees
The number of answers this doctor has agreed with.
A 23-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: The dosages you listed are within the "usual" parameters for the drugs listed. Each patient is an individual and the dose is chosen on many factors in... Read More
A 41-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Medial branch nerve: The medial branch nerves supply the facet joints. A nerve block of these nerves will temporarily relieve the pain and is done as a diagnostic procedur... Read More
A 23-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: It have no effect on your anesthesia or surgery.
A 40-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Why?: Tolerance to the effects of narcotics occurs with repeated administration. I do not understand why you would intentionally wan to build up tolerance. ... Read More
A 21-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Call physician: You should contact the physician who performed the procedure as soon as possible; your symptoms may be a complication of the nerve block or a progress... Read More
A 40-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Sympathetic pain: You may have developed sympathetically mediated pain, also known as reflex sympathetic dystrophy. I would strongly encourage you to be evaluated for ... Read More
A 32-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
PT, TPI, TENS: In addition to physical therapy and deep tissue massage, the use of a tens unit, trigger point injections and possibly oral muscle relaxants may help.... Read More
A 32-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Time: System cleanouts sold will not remove the metabolites of hydrocodone.
A 41-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Out: Propofol administered by an anesthesiologist should result in a very sedated state. You wil be "out" and have no recall of the procedure. No need to w... Read More
A 48-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
1%: 50mg/5ml= 10mg/ml. 1000mg = mass of 1ml (h2o). 10mg/1000mg= 1/100=1%.
A 21-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
One: One vial should be adequate for this test. Doctors often order more than a single type of test and different vials which have different ways of prepar... Read More
A 33-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
yes: Claritin (loratadine) is not contraindicated in patients with a history of ulcers.
A 37-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
For many procedures: Conscious sedation is administered for many procedures to reduce the discomfort and anxiety patients may experience. It differs from general anesthesi... Read More
A 21-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Several things: Pain such as you describe can be of many causes. It is unlikely to be from your heart in a 21 yo, could be gall bladder or other GI pain or possibly m... Read More
A 40-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Yes: You probably received steroids in addition to the lidocaine. The steroids decreased the inflammation and resulted in an improvement of your pain.
A 30-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: It must be metabolized.
A 38-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
If prescribed...: If your physician has prescribed them for use together. There can be some sedation and possibly respirtory depression which can result from concomitan... Read More
A 47-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
0.7 : 1: 0.7 mg of oxycodone is approximately equal to 1.0 mg of morphine.
A 29-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Physical therapy: A physical therapist can evaluate and advise you an a rehabilitation program.
A 48-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Fistula: Your symptoms suggest the possibility of a vaginal fistula (opening which connects) to the urethra or bladder. When bearing down to pass a stool, the ... Read More
A 38-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: Versed is not toxic to the heart. It can be used very safely for sedation when propey administered and monitored.
A 36-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: Oxycodone is not toxic to the kidney.
A 44-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
If prescribed...: If your physician has prescribed them for use together. There can be some sedation and possibly respirtory depression which can result from concomitan... Read More
A 32-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Varies: Any amount in excess of that required to reduce pain to an acceptable level or which produces unacceptable side effects is too much.
A 38-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Likely unrelated: The only neurological effect likely from a dural puncture is that of a headache. Rarely, these headaches can last months but usually resolve within da... Read More
A 49-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Yes: Chantix and hydrocodone do not have significant interactions.
A 41-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
By compounding: I do not think it is commercially available but can be produced by a custom compounding pharmacy if your physician feels it is an appropriate drug for... Read More
A 40-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Initially : They will both usual show as opiates on the initial screen. Confirmatory testing will be more specific.
A 23-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Unlikely : It is very unliky that you will absorb enough topically administered Lidocaine and ketamine to achieve any significantly high blood levels which would... Read More
A 32-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
delivery: Eclampsia is life threatening and usually requires immediate delivery by c-section in addition to aggressive treatment of the mother's hypertension an... Read More
A 43-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
10mg: The dose is 10mg of hydrocodone with the second number indicating the amount of Acetaminophen combined with it. You should take it only as directed by... Read More
A 32-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Benadryl (diphenhydramine): Diphenhydramine is an antihistamine with the side effect of sedation. It is commonly used as an OTC sleep aid.
A 50-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Should not be done: Transdermal fentanyl patches are engineered to deliver a specific dose per unit of time. The size of the patch and the adhesives/compounds in the patc... Read More
A 47-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
no: Methylprednisolone is a corticosteroid used as an anti-inflamatory drug.
A 52-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
probably acclimate: Nausea is a side effect of narcotics to which most patients become tolerant to over time. Your physician may consider prescribing medications to help ... Read More
A 33-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
abnormality: It is likely your doctor saw an abnormality in the rhythm on your ecg. An echo will evaluate the anatomy of your heart to determine if a structural or... Read More
A 34-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
No: Suboxone is classified as category c by the fda. It has caused defects in animal studies but has not been adequately studied in humans. Hydrocodone al... Read More
A 49-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Rx required: Lidocaine patches (lidoderm) requires a prescription.
A 28-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
EMG should show : If you had a normal cervical spine MRI it is no surprise that epidurals were ineffective. The EMG you said is abnormal - it should suggest the nerves ... Read More
A 37-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
no: The spinal fluid leak from the puncture of the dura matter has healed. You should have no long term problems.
A 44-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
poor choice: Xylocaine (lidocaine) gel is poorly absorbed through intact skin but readily effective on mucus membranes. It would not really "numb" the penis but wo... Read More
A 48-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Several factors: It depends on the surgical procedure being performed and wether it can be safely performed under regional or local anesthesia as well as patient posit... Read More
A 41-year-old member asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
varies: Typically metabolites of hydrocodone are present in urine from 3-7 days.
A 44-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Possibly: Epidural injections do not "fix" a disc herniation. The steroids decrease the inflammation on the nerve roots they are close to thus deceasing the pai... Read More
A 22-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Suprascapular nerve: You probably have a spasm of the supraspinatus muscle which overlies the suprascapular nerve. This pain often extends to the shoulder and sometimes pa... Read More
A 52-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
several options: Nsaid medications (ibuprofen, celebrex..), Acetaminophen (tylenol), Cymbalta (duloxetine) as well as some topical medications (voltaern gel, pennsaid)... Read More
A 26-year-old female asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Methotrexate: Methotrexate will result in a decrease in wbc. Your rheumatologist should be monitoring you blood counts regularly.
A 19-year-old male asked:
Dr. Brian Nichol
Anesthesiology 31 years experience
Possibly: If you are still having pain with activity you may have exacerbated the inflammation or developed an additionall injury by continuing to play on it. P... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
241
Thank you notes
Nov 27, 2013
Dr. Nichol provides factual answers about pain and anesthesia, with a compassionate voice. I'm glad he's part of the HealthTap community.
Oct 23, 2013
Allow me to be the first to thank you for your insightful answers! Keep up the great job!
HealthTap member
Mar 30, 2015
Dr. Nichol is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Ok--quite variable. Cannot trust him any longer since he never mentioned that it could happen. Dropped the ball.
HealthTap member
Thank you, your answer was very helpful! Great. Since the pain is minimal and wil be reduced.wil pain disappear
HealthTap member
Thank you, your answer was very helpful! I am slowly tapering off & so far so good. Thanksfor your interest!

Education & Training

Medical/Graduate school

University of Arkansas for Medical Sciences/UAMS College of Medicine, AR
Graduated 1991MD

Residency

University of Arkansas for Medical Sciences

Awards

Thought Leader, First Place, Arkansas - Spring
2014
Top Doctor, Third Place, Arkansas - Spring
2014
Top Anesthesiologist, First Place, Arkansas - Spring
2014
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less