Doctor Q&A for Dr. Galina Nikolskaya

A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Status migrainous: this may be status migranous (if classic migraine features are present) and when it persists and escalates for days, it may require IV treatment in ER... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
C 7 radiculopathy: If you have no carpal tunnel (median nerve compression at the wrist), numbness of the middle finger is from C7 root compression. If there is no weakne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: only permanent damage of the memory centers of the brain can erase memories and hypnosis cannot do that
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Zofran, steroids, PT: if all peripheral causes of vertigo have been ruled out (ex: bppv) along with vestibular migraine, ask your neurologist to prescribe you zofran and if... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Not for anxiety: trazodone is mainly for depression, if anxiety is a major issue you need Venlafaxine or Buspirone, an agent with norepinephrine uptake inhibition
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Contraindicated: toradol will relieve the pain but in a case of a brain bleed is contraindicated as it inhibits platelet function which can worsen your bleeding
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: migraine can cause autonomic symptoms like nasal congestion, rhinorrhea, along with face tenderness that may feel like sinusitis but it should not cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes: it's unlikely your body has gotten used to topamax after only 2-3 days so you should be fine stopping it, but before you do speak with the prescrib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes: yes the two conditions can have overlap in the compensatory self injurious behavior following overeating, the distinguishing feature is the bulemics t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
250bid starting dose: Depending on your size you may require much higher dose of this AED and typically 250 mg bid is a starting dose. Frequently patients require much high... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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