Baclofen

Baclofen belongs to a group of drugs called skeletal muscle relaxants. It helps in treating the spasm of muscles, muscle clonus, rigidity, and pain caused due to multiple sclerosis. It is injected into the spinal cord to treat spasticity, spinal cord injuries, and other spinal cord diseases. Dizziness, weakness, headache, and nausea are some side effects seen.

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My mom was treated for trigeminal neuralgia, with no relief. What to do?

Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sod...  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no r...  Read Full »

Should I be concerned about my father's hiccups and burping?

Query: Hi doctor, My dad recently was admitted to hospital after a heart attack, and he was in the hospital for almost a week. Currently, he was discharged and taking rest at home. The doctor advised that his heart pumping rate is around 23% and require improvement. Since morning he has been having hiccup...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. I saw your dad's reports (attachment removed to protect patient identity). He has severe heart failure due to supposedly decreased blood supply to the heart (ischemic left ventricular dysfunction). The cause of hiccups and burping could be due to gastritis induced by ...  Read Full »

How to deal with teeth grinding that developed due to brain tumor?

Query: Hello doctor, My nephew is 2 years and 5 months old and he had a brain surgery two months ago to extract a brain tumor. It was an anaplastic ependymoma on his fourth ventricle. After brain surgery, his awareness was low and he was on a ventilator for 50 days. He is doing well know, but ou...  Read Full »


Dr. Chirag Solanki

Answer: Hello, Welcome to icliniq.com. Sorry to hear about your nephew. Due to the tumor for which he was operated, the cerebellum (small brain) was affected. Due to that, he has developed bruxism which is a rare complication. Unfortunately, there is no effective established recommended treatmen...  Read Full »

Why do I have chest pain frequently with shortness of breath?

Query: Hello doctor, I am an 18 year old male, and I am overweight. I have been having sharp upper right chest pains, that are very frequent. I did not have them before, but I started getting them recently. At first, I was having shortness of breath, and it felt as if someone was standing on my chest. But...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Your chest pain is a result of gastroesophageal reflux disease (GERD). Cardiac chest pain increases during respiration and comes with other symptoms like palpitations, etc. Omeprazole and Baclofen that your physician prescribed should reduce the symptoms you a...  Read Full »

How to treat indigestion and worm infestation?

Query: Hello doctor, I am a 48 year old male, who is in good health. I have a long history of indigestion, mostly experienced as a pressure in the throat. About ten years ago, I had a clear endoscopy, and I took Nexium for six months and cut way back on alcohol drinking, which seemed to do the trick. I had...  Read Full »


Dr. Ramesh Kumar S

Answer: Hello, Welcome to icliniq.com. I have seen the attached photo (attachment removed to protect patient identity). For dyspepsia and gastritis, I would suggest you take Nexium (Esomeprazole). Initially, take it 40 mg twice daily, however, if it is not relieved, doses can be increased to 80 mg twice a d...  Read Full »

Even after taking Phenytoin, my daughter is getting seizures. What can I do?

Query: Hi doctor, My daughter is suffering from cerebral palsy of right side since birth. It is also called seizure, hemiplegic type. Now she is 24 years old. Her right side of the body, right leg and right hand are not working properly. She walks with staggers with raised heel part of the right leg and ri...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Your daughter seems to have right hemiplegia and seizures. The way of walking with raised heel and right arm twisted is increased tone in right-sided limbs suggestive of spasticity and contracture. As you told that she is already on Tablet Eptoin (Phenytoin) 100 mg th...  Read Full »

What medication do I need to take for my high triglyceride levels?

Query: Hello doctor, I am 34 years old. My lipid profile shows: Total cholesterol 154 mg/dL HDL 26.8 mg/dL LDL 67.9 mg/dL Triglyceride 298 mg/dL FBS is 95mg/dL and RBS 132 mg/dL. Blood pressure 146/82 mmHg. Can I use the cholesterol medicine for triglycerides?  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from back pain and hypertriglyceridemia with low HDL (high density lipoprotein) level. You have a high VLDL (very level density lipoprotein) level too. For your abnormal lipid profile l...  Read Full »

Do you have any recommendations on how to stop the drug Suboxone?

Query: Hi doctor, I have had about a six years dependency on the drug Suboxone. I do not abuse it, but I have tried several times to taper or wean. I have a white-collar high profile job and I really need to get this off to avoid problems in the future. Do you have any recommendations to get this off? I w...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. Suboxone consists of Buprenorphine and Naloxone. Buprenorphine is a partial opioid agonist. The drug is given in order to replace opioids during opioid de-addiction. If not properly tapered and doses taken regularly, then the drug is known to cause significant dependence....  Read Full »

Please suggest a medicine for muscle stiffness, apart from Baclofen.

Query: Hi doctor, My dad is without ventilator support since 40 days and his tracheostomy has also removed five days back. Without any life support system, he is currently breathing by himself for last 7-8 days with saturation level 100% on air. Past four days he is able to keep his eyes open for few minu...  Read Full »


Dr. Ambekar Sudheer

Answer: Hi, Welcome to icliniq.com. Thank you for the detailed information. I am happy to see your father improve gradually. Here is what I suggest. There is no other medicine for stiffness. However, physiotherapy should be carried out aggressively to prevent worsening of stiffness. One should rul...  Read Full »

Can cold and sinus problem aggravate my peptic ulcer symptoms?

Query: Hello doctor,I have been diagnosed with peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was th...  Read Full »


Dr. Ramesh Kumar S

Answer: Hi, Welcome to icliniq.com. Most likely, your symptoms are aggravated by the sinus infection. As H.pylori is negative and you are responding to Lansoprazole, I do not think an urgent endoscopy is required. I would suggest you switch over to Nexium (Esomeprazole), initially take it 40 mg twice dai...  Read Full »

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