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Doctor insights on:
Anti Migrane Agent Brain And Nerve Agent
1
What're the uses of tegretol besides being an anti convalescent and anti epileptic?

Many uses: Tegretol is also used as a mood stabilizer and has been used for migraine prophylaxis. ...Read more
Nerve (Definition)
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
2
Is Ketamine &/or Lidocaine IV infusion capable of breaking an active migraine.Tried DHE,triptans,aleve, topamax, (topiramate)nerve block etc and nothing has worked?

Sure : These are serious medications with my r serious complications this is a question of management for your doctor and you ...Read more
3
Rfractory seizures in meningoencephalitis not responding to 4 anti convulsion drugs, like midazolam, levitricetum, eptoin and gardinal, what next?

Doubt meds will work: After 3 or 4 drugs, the chance of success is below 4-5% at best, and unless you have some metabolic imbalance, you should consider a more aggressive approach such as a vagal nerve stimulator or even a surgical procedure. Get evaluation at a local medical school and see what might be available for you. ...Read more
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4
Does taking tricyclic antidepressants such as amitridmline cure or temporarily dampen pain signals due to nerve damage?

Amitriptylene: Yes, amitriptylene at low dose can help dampen pain signals. I wouldn't say it "cures" them (meaning restores the condition back to normal) -- but it ameliorates the symptoms. ...Read more
5
What helps prevent brain damage in nerve agent victims?

Gas mask: Bast way to avoid the adverse sequelae of nerve gas is to avoid inhaling it ...Read more
6
Does Excitotoxicity cause symptoms like tinnitus and visual static? Are the treatments anti-epileptics and NMDA receptor agonists?

Good question: The full range of symptoms with exitotoxicity is unknown. Your symptoms, (Diarrhea, Palpitations, Vomiting) can also be caused by a broad range of disorders (hyperthryroidism, VIPoma, Porphyrrhea, pheochromocytoma, IBS, abdominal epilepsy). Hopefully you can get to the bottom of things. Not sure what you mean by visual static though. ...Read more
7
Could temporary exposure of the bbb, plus already present Lyme disease, and an affected cerebellum/or not. Cause anti-nmda receptor encephalitis?

Clarification needed: I have no idea what you are referring to. I assume bbb is blood-brain-barrier but I am not sure what anti-nmda receptor encephalitis is. ...Read more
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8
Pt ganglion provides vascular parasympathetics => vascular constriction. How does this mechanism relieving cluster ha w/ pt ganglion nerve block?

Blocks pathway: A sphenopalatine ganglion block will affect both sympathetic and parasympathetic preganglionic fibers as well as sensory affervent nerves. Blocking these pathways inhibits the transmission of the nerve impulses which are thought to be involved in cluster headaches. ...Read more
9
Is there a cocktail of meds that break status migrainousos particularly well? Read iv compazine (prochlorperazine) and iv dihydroergotamine.

Good combination: or adding Toradol to the cocktail. Alternatively for status, a small amount of steroid and or narcotic like Demerol (meperidine hydrochloride) or MS. ...Read more
10
Multiple system atrophy with bradykinesia Treatment? Is this a form of Parkinson's. 100% Viet nam vet. Exposed to agent orange. Neuropathy, 3 tias, Ca

HowAboutANeurologist: First and foremost, thank you for your service.That was a tough time.There is just too little information in your question.Yes,bradykinesia can be a symptom of Parkinson's, which can be a symptom of MSA.There is "suggestive but limited evidence that exposure to Agent Orange and other herbicides used during the Vietnam War is associated with an increased chance of Parkinson's disease."See your doc ...Read more
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11
For me, pregnenolone = a powerful mood stabilizer, antidepressant, anxiolytic & sensory sensitivity reducer. What could this mean? Adrenal issue?

Intriguing: There are some early research studies that suggest that pregnenalone may indeed do what you're describing. It's too early to consider it a psychiatric drug for anxiety and mood disorders. But who knows what the next year or two might uncover. (to prove absolutely that it is not an adrenal issue will require some blood work ordered by your doc. ...Read more
12
Why keppra (levetiracetam) or valporic acid prescribed by doctor to a non epileptic myoclonus patient? Trembling of hands, migraine are side effects of valporic acid?

Valproic acid: Causes tremors of the hands very frequently. It is uncommon for it to cause migraines; in fact, it it's widely used to prevent migraines ...Read more
13
I read anti depressants cause permanent brain damage? Is this true?Www.Examiner.Com/article/antidepressants-cause-permanent-brain-damage
Not likely : There is no evidence that antidepressants cause brain damage, although side effects, usually temporary , can occur. Interestingly, there is evidence that they can help brain cells re-grow and return to normal as the depression is successfully treated! ...Read more
15
Does transcutaneous electrical nerve stimulation for mummular headache or other head pain work?

Temporarily: Tens or transcuteous nerve stimulation is a usefull modality for temporary relaxation of certain muscles associated with headaches, and neck and shoulder pain. ...Read more
16
Which is best for treating alzheimers, traditional medicines eg. Cholinesterase inhibitors or deep brain stimulation?

DBS for Alzheimer's: Deep brain stimulation is currently an experimental therapy for alzheimer's disease. ...Read more
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17
Which anti psychotic drug has the side effect of twitching sometimes severe?

I am afraid that: This can occur with multiple antipsychotic medications. ...Read more
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18
Using Tylenol (acetaminophen) sinus medicine to combat Rhinitis caused by side effect from medication. Is that ok?

Most likely: The only exception would be if you have uncontrolled high blood pressure. Tylenol (acetaminophen) Sinus has phenylepherine, which is a vasoconstrictor, and can increase blood pressure. Use with care if your BP is too high. Hope this helps! ...Read more
19
Can the antihistamine hydroxyzine pam lower the seizure threshold for someone being treated for epilepsy?

Unlikely: Atarax (hydroxyzine) is an antihistamine, which has sedative effect and unlikely affect seizure threshold. It may interact with other medications, but It is not contraindicated in a seizure disorder. ...Read more
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20
Can prolonged serotonin syndrome (4 1/2 months of savella (milnacipran) and tramadol taken together) cause damage to the central nervous system?

Serotonin Syndrome: It's possible, if a hypertensive crisis or spike in BP occurred . Micro vascular CNS infarcts may be a residual. It doesn't seem likely as it went on for months and would have been picked up by your md. Serotonin syndrome is a serious condition which makes people very sick. Symptoms are significantly debilitating. Milder forms would be very unlikely to leave sequelae. ...Read more
Migraine (Definition)
A type of headache that is associated with throbbing localized pain and usually causes light ...Read more
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