Please suggest medicine for my laughing problem.
Patient's Query
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 pseudobulbar affect (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 magnetic resonance imaging (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 are stroke, dementia and ALS. The investigation to be done is brain MRI. Treatment include Nuedexta.
Patient's Query
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 cause is dementia and amyotrophic lateral sclerosis (ALS). The investigations to be done is brain magnetic resonance imaging (MRI). The differential diagnosis is ALS.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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