Recently Answered Questions
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What can I do for migraines that is worsening of late?
Query: Hello doctor, I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it ... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you feel like the throbbing or pulsating sensation in your ear becomes worse with the headaches or it is present even with no migraine? I would also like you to explain your headache in a bit of detail. What are the triggers? Are they one-sided or on both sides? Is ... Read Full »
Is there any medicine to control bad mood swings and short-temper?
Query: Hello doctor, I am suffering from heavy mood swings. If something is happening against my will, I lose my patience and I am not able to tolerate this. That phase is very short like for a few minutes, but in that short phase, I threw something or grumble my teeth or utter bad words to anyone who is... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I must assure you that there are multiple medications which can be used to control anger. Most of these medications stabilize your brain and help in controlling mood swings after a trivial incident. The ... Read Full »
Can Topamax and Marijuana be taken together?
Query: Hi doctor, I was prescribed Topamax recently for treatment of migraines. I am starting on 25 mg once a day and going up to 100 mg after one month. Are there any known interactions between Topamax and medical Marijuana? I use the former for treatment of anxiety and it is quite helpful, however, I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. Marijuana and Topiramate (Topamax) both increase sedation (increased sleepiness). If both are being used simultaneously, I would advice to avoid works that require constant attention and which risk the life of others (like driving, etc.). Ask your physician to modify... Read Full »
I am a 50-year-old female with sudden change in voice. Should I be concerned?
Query: Hello doctor, I am an elderly woman., I am on Pantoprazole and Topiramate both twice a day. My symptoms have persisted for at least a year. I am unable to sing and my voice is different. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. There are many potential causes of voice changes, including vocal cord nodules or polyps, acid reflux, laryngitis, upper respiratory tract infections, thyroid issues, or neurological conditions. Pantoprazole (antacid) is a proton pump inhib... Read Full »
Is it safe to increase Topamax dosage to 400 gm?
Query: Hello doctor, I have been taking Topiramate 300 mg, along with Zyprexa 10 mg and Wellbutrin 400 mg as well as Clonazepam 0.5 mg three times a day. I have schizoaffective disorder and need to up my Zyprexa to 15 as I have been extremely irritable lately. However my Topiramate also serves me as an ap... Read Full »
Answer: Hello, Welcome to icliniq.com. Increasing Olanzapine and Topiramate simultaneously is not a good idea. you can start with one medication at a time, or better idea would be to use Clonazepam more for the time being as I do not have details of your case, if your doctor is returning soon, you can man... Read Full »
I gained a lot of weight after taking Mirtazapine for depression. How to reduce it?
Query: Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly aro... Read Full »
Answer: Hello, Welcome to icliniq.com. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in wo... Read Full »
Why do I have headaches even after having a normal vision and good sleep?
Query: Hi doctor, I am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. I feel pressure when I bend forward and also some discharge from the nose with a salty taste. I am getting the pain while watching television and when working in the computer. I am having ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through all the details you have posted, and the differential diagnosis for your problem would be as follows. First is frontal sinusitis, as you have mentioned pain when you press above the left eye. Normally, the frontal sinus drains into the nasal cavity ... Read Full »
What are the risks of taking tablet Topiramate?
Query: Hello doctor, I am a 57-year-old male in good health. I have suffered from severe headaches for several years, and recently they have got worse. Sumatriptan taken with Asprin, Acetominophen, and Cafein will help in reducing the pain, but they do not prevent them. I am attaching a headache log. I ... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some further details about your headache. 1) Since when you are having headaches? 2) In which part of the head do you feel pain? 3) What kind of headaches have you felt? 4) What is the duration of one episode of headache? 5) Do you have any ... Read Full »
Why do I experience headaches even with the slightest stress?
Query: Hi doctor, I suffer from an exertional headache, once or more than one time a week, for 20 years now. Every time I stress my body even a little bit, carrying a burden for a little while, or doing a sexual activity, or even exercise without a proper warm-up, after 24 hours, I suffer from a dull, thr... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern and would recommend performing a brain MRI in order to exclude possible Chiari Malformation, which can lead to this clinical situation. In the meantime, I would recommend to avoid straining, physical activity and trying taking Verapamil or To... Read Full »