Headaches
Botox is safe and effective as preventative treatment for chronic migraines. It is now FDA approved for the treatment of refractory migraines. I have been using Botox for over 10 years for migraines. Please call the office to see you qualify
Epilepsy
seizure medication such as gabapentin, lamotrigine, oxcarbazepine, tiagabine may be associated with increased risk of suicidal acts and violent deaths compared to topiramate. This study was published in April addition of JAMA.
Movement and memory disorders
MS Forum
Oral agent Laquinmod (Gilenya) is now available. Please call the office to see if you qualify
More and more studies have associated vitamin D deficiency and severity of multiple sclerosis. High dose vitamin D is not only safe but also reduces the relapse rates in MS patient. 15 minutes of sun exposure can equal 5 days of oral supplement. All MS patient should have their vitamin D and calcium level checked.
FDA has approved Ampyra (dalfamprodine) ER to improve walking in patients with MS. Please note that only a small percentage of patients benefit from this drug. Most common side effects include seizures, urinary tract infection, insomnia, dizziness, headache, nausea, etc.. Patient with renal disease should be monitored closely. The drug is available through the manufacturer. Special form has to be filled out. We can help you with this form.
Vascular Neurology
Dabigatran reduced risk of stroke 34% better than warfarin in patients with A-fib. This drug however is NOW approved for use in USA by FDA.
Sleep Medicine