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I have severe post stroke nausea. Nothing works. I am taking…

I have severe post...

I have severe post stroke nausea. Nothing works.

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

I am taking loads of gabapentin and 3 murinol a day. still have symptoms.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I had breast cancer and chemo . the stroke came after the chemo.

Doctor's Assistant: Are you keeping a personal medical record while dealing with this?

Not formally but I can tell you there are very few good days.

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Answered in 8 minutes by:
6/1/2018
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,112
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer or further information request.

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I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Your doctor may try any of these;

1) Olanzapine,

2) Doxepin

3( Desipramine
4) Imipramine

5) Corticosteroids

6) Scopolamine.

These medicines can be used in combinations.

Please feel free for your follow up questions.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 2 months ago
What do you think of the meds I am taking now? Are they helpful?

Yes, these are good.

For intractable nausea, drugs have to be tried in various combinations, as individual responses to very diverse combinations.

So there is no straight way of saying that one would be relieved by this medicine.

I am sorry, I cannot phone you but some other expert may telephone you.

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Customer reply replied 2 months ago
Scopolamine didn’t work.

Okay.

So you have to be put on the other combination.

Your doctor may add low dose steroids, which is likely to help you.

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Customer reply replied 2 months ago
Stomach meds do not work. This is brain based.

I understand.

The other medicines are (these have central and peripheral actions);

Cinnarizine
 Cyclizine
Hydroxyzine

Prochlorperazine
Promethazine
 Chlorpromazine
Perphenazine

Metoclopramide
 Domperidone

Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,112
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified
Dr. Arun Phophalia and 87 other Medical Specialists are ready to help you
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DIEGO BONILLA
Category: Medical
Satisfied Customers: 690
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Phone call session started

Let me know if I can do anything further.

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Customer reply replied 2 months ago
I take gabape tin and murinol. What would you think of replacing the gaba with phenobarbital?
Customer reply replied 2 months ago
Remember this is nausea due to a stroke after chemo

If gabapentin is not giving the desired response, you may replace it with Phenobarbitol. It is a good drug.

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