Hello doctor,
I have a problem with laughing. I laugh without any reason, and I cannot control the laugh. I laugh while speaking to others or on the phone without reason. It is a problem to me and my career. I cannot do a job with this laughing problem. I have seen on the internet that laughing without any reason is PBA. Please suggest me medicine to cure the problem.
Hi,
Welcome to icliniq.com.
- I carefully read your question and would explain that your symptoms seem to be related to pseudobulbar affect. For this reason, I would first recommend performing a brain MRI to investigate the possible causes underlying your symptoms.
- An electromyography is also necessary to exclude possible ALS (amyotrophic lateral sclerosis).
- Regarding medication, I suggest trying Nuedexta (Dextromethorphan and Quinidine). It is the only specific drug for this condition. But, it should be given under medical prescription.
- Other drugs to consider would be antidepressants like Sertraline or Paroxetine.
The Probable causes:
Stroke, dementia and ALS.
Investigations to be done:Brain MRI.
Treatment plan:Nuedexta.
Regarding follow up:For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist
Hi doctor,
I searched for Nuedexta tablets, but I did not find anywhere. Can you please suggest me any other name with same formula and dosage?
Hi,
Welcome back to icliniq.com.
- It contains Dextromethorphan and Quinidine. If you do not find it, then I would suggest Sertraline 50 mg daily.
- You should start with half a tablet for a week and then increase the dose to 50 mg daily. Consult your specialist doctor, discuss with him or her and take medicine with consent.
The Probable causes:
Dementia and ALS.
Investigations to be done:Brain MRI.
Differential diagnosis:ALS.
Regarding follow up:For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist
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