Why Do People Get Recurring Sinus Infections?

Posted on April 9, 2026 by Patrick Hercules

A sinus infection, also known as acute sinusitis, is the inflammation of the tissues in your sinuses. It can make breathing through the nose difficult and cause swelling in the area around the eyes and face. It may also cause a headache or a throbbing pain in the face. Other common symptoms of a sinus infection include:

A runny nose with thick yellow or greenish mucus
Post-nasal drip
A stuffy nose
Pain, tenderness, swelling, and pressure around the eyes, cheeks, nose, or forehead that gets worse when bending over
Ear pressure or pain
Pain or pressure in your teeth
Fever
Cough
Bad breath
Headache
Tiredness
A changed sense of smell

Common acute sinus infections usually don’t last long and clear up easily. Recurrent or chronic sinusitis, on the other hand, is when a person has four or more separate infections within one year, with each infection lasting at least 10 days with symptom-free intervals between them. This may often be a signal that an underlying issue needs to be addressed.

Recurrent sinus infections can have many underlying causes, which can often include a variety of factors working together:

Structural issues that affect sinus drainage, such as nasal polyps or a deviated septum
Infections that are difficult to clear due to bacterial infections that develop after a viral illness, which include Staphylococcus Aureus and antibiotic-resistant strains like MRSA
Health conditions or treatments that weaken the immune response or affect sinus function, such as:
- Asthma
- COPD
- Cystic fibrosis
- Immunosuppressant medications, chronic illness, or high stress levels may reduce immune effectiveness
- Dental infections that spread to nearby sinuses, which contribute to persistent or recurrent infections that have been overlooked

To diagnose recurrent sinus infections, a healthcare provider may perform a nasal endoscopy, order a CT scan, or conduct an allergy test

Identifying the underlying cause of recurrent sinus infections allows your healthcare provider to customize a treatment plan to help prevent them from occurring.

Treatment options for recurrent sinus infections vary based on your condition and may involve:

Medications such as nasal corticosteroid sprays, saline irrigation, antibiotics, and antihistamines or allergy medications
Surgical interventions such as straightening a deviated septum, removing nasal polyps, or performing endoscopic sinus surgery
Addressing biofilms and resistant infections
Lifestyle tips to help prevent recurrent sinus infections, such as quitting smoking
Managing allergies
Using a humidifier
Practicing good hand hygiene
Supporting your immune system with a balanced diet, regular exercise, sleep, and stress management

If you or a loved one is suffering from recurrent sinus infections, you can make an appointment with an ENT doctor at Jamaica Hospital Medical Center. Please call 718-206-7110.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Why Spring is A Good Time to Rebuild Healthy Routines

Posted on April 3, 2026 by Patrick Hercules

Spring has finally arrived, and with it comes warm weather, blooming flowers and trees, and longer days. It is a time for renewal and rejuvenation, and as we thaw out from winter, we may realize that spending most of our time indoors has caused us to fall into sedentary habits, such as binging comfort foods, not exercising, and other sluggish routines.

However, spring is the perfect time to refresh your health goals, rebuild healthy routines, and establish new habits. Here are some ways you can reset for the season:

Spring cleaning usually relates to deep cleaning our homes and decluttering our closets. However, it can also be a great way to reset your mindset. A clutter-free environment can help encourage mental clarity, productivity, and relaxation. You can start spring cleaning by organizing your workspaces, donating unused clothes and items, and deep-cleaning busy areas to create a space that feels new and cheerful. You can also declutter any digital spaces, such as emails, phone apps, and limit screen time, which can promote a more mindful relationship with technology.

Warmer temperatures and longer daylight hours make springtime the perfect time to take advantage of the sun. It allows us to enjoy its benefits, as it can boost our mood and energy. The spring sun recharges us with the vitamin D we were lacking after a cold and dreary winter. The sun also helps regulate circadian rhythms, which improves sleep and overall well-being. Even taking a short daily walk during the daytime can increase mental clarity and reduce stress. It is important to note that you should put on sunscreen, wear sunglasses, wide-brimmed hats, and garments with long sleeves and pants while outside to help prevent skin cancer.

Spring is a great time to assess your work-life balance and make the necessary adjustments that support your well-being. If you suffered from seasonal affective disorder or felt burnt out during winter, spring is an opportunity to rebalance work and life for less stress. Prioritize self-care and set boundaries. Make time for activities that bring you joy and happiness, such as engaging in your favorite hobbies, socializing with friends, or spending time with family. It is also important to schedule breaks, time outdoors, and moments of relaxation. A healthy work-life balance can increase mental clarity, motivation, and happiness, which can help you enter spring with restored energy and focus.

Warm spring weather provides the perfect temperature to move your workout outdoors. The standard minimum recommended time for moderate-intensity physical activity is 150 minutes per week. Whether it’s a morning jog, yoga in the park, evening walks, or gardening, it will do as long as your muscles are activated, and you do it consistently. Exercising in the sunshine adds a mood-enhancing benefit, as being amongst nature helps reduce cortisol levels, which improves heart health.

The longer days of spring may also benefit sleep health. The natural light of the sun during the day helps regulate the body’s melatonin production and improve your sleep quality and energy levels. Create a relaxing evening routine by winding down with calming activities such as reading, meditating, or gentle stretching. Try to avoid consuming caffeine or heavy meals late in the evening, as they can disrupt restfulness.

Spring is the time for new beginnings, which makes it an excellent time to focus on mental wellness. Mindfulness practices, such as meditation, deep breathing, or journaling, can help decrease stress and gain clarity. Take a few minutes each day to practice gratitude, as it can change your mindset and improve your emotional well-being. Think about establishing seasonal goals that fit your values, whether it is improving your fitness, learning a new skill or language, or creating more balance in your life. Connecting with nature, practicing self-reflection, and letting go of old habits can refresh your outlook, which can help you feel more grounded and at peace.

This season of renewal is a great time to make dietary changes. Trade in heavy, processed foods for seasonal fruits, vegetables, and lighter meals that support digestion and energy. Focus on eating foods that are rich in nutrients, such as berries, leafy greens, citrus fruits, and lean proteins. It is also important to hydrate. Increase your water intake and try drinking herbal teas or lemon water to support natural detoxification. Evaluate your eating habits and identify areas where there can be improvement. Decrease your consumption of excess sugar, refined carbs, and artificial additives. Replace them with foods that are rich in fiber, healthy fats, and lean proteins. Add more fermented foods such as yogurt and kimchi, as they can also promote gut health, boost digestion, and immunity.

Spring can be a seasonal reset, as it allows you to feel more energized, balanced, and refreshed. Incremental changes such as spending more time outdoors, improving your diet, prioritizing rest, and tidying up your space can make a major impact on both your physical and mental well-being. Embracing renewal and positive habits can help you enter spring rejuvenated, filled with happiness, vitality, and personal growth.

IBS Awareness Month

Posted on April 2, 2026 by Patrick Hercules

April is observed as IBS Awareness Month, a month dedicated to raising awareness about irritable bowel syndrome (IBS), a common disorder that affects the large intestine.

Researchers are unclear of what exactly causes IBS, but they categorize it as a neurogastrointestinal (GI) disorder. Neurogastrointestinal disorders, also known as gut-brain interaction, involve problems with how the gut and brain coordinate to help the digestive system work. This communication challenge between the brain and gut can cause:

Dysmotility

Visceral hypersensitivity

Other potential causes of IBS may include:

Gut bacteria

Severe infections

Food intolerance

Childhood stress

IBS affects approximately 15% of the U.S. population, causing abdominal pain and changes to the frequency of your bowel movements. Other symptoms of IBS include:

Diarrhea, constipation, or alternating between the two

Feeling like you are unable to empty your bowels after pooping

Cramps

Excess gas and bloating

Mucus in stool that makes it look whitish

If a person has IBS, they may notice when certain things trigger symptoms. A trigger doesn’t cause IBS itself, but it can cause or worsen symptoms to flare up. Common IBS triggers include:

Periods

Certain foods

Stress

Researchers categorize IBS based on how a person’s stool looks on the days when they’re having flare ups. Most people with IBS may experience days when they have normal bowel movements and days when they experience abnormal ones. The bowel movements on abnormal days define the type of IBS they have. The types of IBS include:

IBS with constipation (IBS-C)- most of the stool is hard and lumpy

IBS with diarrhea (IBS-D)- most of the stool is loose and watery

IBS with mixed bowel habits (IBS-M)- stool is both hard and lumpy and loose and watery

Post-infectious IBS- generally occurs after an infection in the intestines, and stool is either similar to IBS-D or IBS-M, with a smaller number of cases presenting stool as IBS-C

To diagnose IBS, a healthcare provider will get a full medical history by asking about your symptoms. Depending on your symptoms, they may need other tests to confirm a diagnosis. These tests include:

Lab tests

Imaging tests

No specific therapy works for everyone who has IBS. However, most people with IBS can find a treatment plan that works best for them. Typical treatment options for IBS include:

Modifying your diet

Exercising regularly and trying relaxation techniques

Therapy

Medications

No matter what form of IBS you are experiencing, working with a gastroenterologist can help you manage your symptoms effectively. You can schedule an appointment with a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Managing Seasonal Allergies If You Have Asthma

Posted on April 1, 2026 by Patrick Hercules

Spring has finally sprung, and with it comes growing grass, blooming trees, and flowers. The season of renewal also comes with seasonal allergies due to the spreading of grass, tree, and flower pollen, as well as mold spores.

Seasonal allergic rhinitis or hay fever affects many people who have pollen allergies. About 26% of adults and 19% of children are affected by seasonal allergic rhinitis.

When a person who suffers from seasonal allergies inhales pollen, it causes allergic reactions in the eyes, nose, sinuses, throat, and lungs. Seasonal allergic rhinitis can also affect those who suffer from asthma, a chronic condition that causes the airways to become narrow and inflamed and can also cause extra mucus to be produced.

Allergic asthma can be triggered by inhaling mold spores and pollen from trees, flowers, and grass. If a person who suffers from asthma inhales pollen, it can cause their airways to narrow and become swollen, which makes it difficult for them to breathe.

Asthma symptoms include:

Wheezing

Shortness of breath

Chest pain or tightness

Coughing

Common treatments for asthma include:

Nasal corticosteroid sprays

Antihistamines

Immunotherapy or allergy shots

If you suffer from seasonal allergies or asthma, there are several ways to manage allergies and reduce your exposure to pollen, including:

Using the air conditioner

Sleeping with the windows closed

Keeping track of the air quality and pollen counts

Taking your asthma medications as prescribed

Using an air purifier

Washing clothes and bedding regularly

Showering after being outdoors

Staying indoors when the pollen count is high

If you are experiencing symptoms related to seasonal allergies or asthma, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

World Epilepsy Awareness Day (Purple Day)

Posted on March 26, 2026 by Patrick Hercules

World Epilepsy Awareness Day, or Purple Day, is observed on March 26th, a global initiative to raise awareness of epilepsy and support the millions of people living with it worldwide.

Approximately 65 million people are living with epilepsy across the world, and one in 26 people in the U.S. will be diagnosed with epilepsy during their lifetime.

Epilepsy is a brain condition that causes recurring seizures. Most people who suffer from epilepsy generally have the same type of seizure each time, and symptoms are usually similar from episode to episode. The symptoms of seizures can vary depending on the type of seizure, and because epilepsy is caused by certain activity in the brain, seizures can affect any brain process. Seizure symptoms may include:

Short-term confusion.

A staring spell.

Stiff muscles.

Jerking movements of the arms and legs.

Loss of consciousness.

Psychological symptoms such as fear, anxiety, or déjà vu.

Sometimes people with epilepsy may have changes in their behavior and may also experience psychosis.

Seizures can be categorized as either focal or generalized, based on where in the brain the brain activity that causes the seizure originates.

Focal seizures are the result of brain activity in just one area of the brain. Focal seizures can fall into two categories: focal seizures with preserved consciousness or focal seizures with impaired consciousness.

Types of focal seizures include:

Temporal lobe seizures

Frontal lobe seizures

Occipital lobe seizures

Focal seizures may have warning signs called auras in the moments before a seizure begins. Auras might include a feeling in the stomach, emotions such as fear, or the feeling of déjà vu. They can also be a taste, a smell, or a visual, such as a steady or flashing light, a color, or a shape. Some people may even experience dizziness and loss of balance, or hallucinations.

Generalized seizures are seizures that involve all areas of the brain. Types of generalized seizures include:

Absence seizures

Tonic seizures

Atonic seizures

Clonic seizures

Myoclonic seizures

Tonic-clonic seizures

There is no identifiable cause of epilepsy in about half of the people with the condition. In the other half, the condition may be traced to various factors, including:

Family history of epilepsy

Head trauma

Brain tumors

Infections, such as meningitis, HIV, viral encephalitis, and some parasitic infections

Abnormal blood vessel formation or bleeding in the brain

Alzheimer’s disease

Strokes, heart attacks, and other conditions that deprive the brain of oxygen

Brain inflammation or swelling

Alcoholism or alcohol withdrawal

Injury before birth

Developmental conditions

Seizures can be caused by environmental triggers. These seizure triggers don’t cause epilepsy, but they may trigger seizures in people who suffer from epilepsy. Most people with epilepsy don’t have reliable triggers that always cause seizures. However, there are often factors that make it easier to have a seizure, including:

Flashing lights

Alcohol

Illicit drug use

Lack of sleep

Stress

Dehydration

Skipping doses of anti-seizure medicines or taking more than prescribed

Skipped meals

Illness

Epilepsy is diagnosed when a healthcare provider reviews your symptoms and medical history. They may perform several tests to diagnose epilepsy and to detect the cause of seizures. These tests include:

A neurological exam

Blood tests

Genetic testing

A healthcare provider may also request brain-imaging tests and scans that detect brain changes, including:

Electroencephalogram (EEG)

High-density EEG

CT scan

Functional MRI (fMRI)

PET scan

Single-photon emission computerized tomography (SPECT)

Neuropsychological tests

Along with the test results of these brain-imaging tests, a combination of other techniques may be used to help pinpoint where the seizures start in the brain. They include:

Statistical parametric mapping (SPM)

Electrical source imaging (ESI)

Magnetoencephalography (MEG)

Treatment can help people who have been diagnosed with epilepsy have fewer seizures or even completely stop having seizures. These treatments include:

Medicines

Therapies that include devices that stimulate the brain

Surgery

A ketogenic diet

If you are experiencing any symptoms of epilepsy, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

Prescription Glasses Vs. Readers

Posted on March 20, 2026 by Patrick Hercules

For some people, their eyesight gradually declines. For others, it can happen quickly. When it comes to wearing glasses, the choice can be between getting prescription glasses or non-prescription “readers” also known as “cheaters”.

With either choice, it is important to get an eye examination to determine if you need prescription glasses, if there’s an issue related to your vision, or if readers are okay to use.

Most people can use over-the-counter (OTC) readers if they match the power of their prescription. An example of this is if their eye doctor recommended +2.00 in each eye, and they purchased OTC readers that had the same power.

It is important to note that despite OTC readers being less expensive than prescription glasses, they are mass-produced, and the quality of their lenses and the materials they are made of are usually inferior to those of prescription glasses, which are privately manufactured.

Additionally, there are rare cases when the pupillary distance, which is the distance between the pupils of the eyes, is very small or very wide, and the lenses in the OTC readers can cause eye strain or double vision.

If you experience any of these symptoms with OTC readers, it is recommended to replace them with a pair of prescription glasses.

However, if you do purchase OTC readers, here are some tips to follow to make sure you get the most benefits from them:

Find a pair of readers with the right power. Reading glasses will have signs or stickers describing their power. In many cases, they will range from +1 to +4 diopters, increments of +.25. Diopters are the unit of measurement used to calculate the focusing strength of a pair of glasses or contact lenses. Look for the number that matches your prescription. If you don’t have a prescription, try +1 first, as it is the lowest power

Test the glasses by using them to read. If you have a book or magazine, try using the glasses to read at a comfortable distance. You can also use the eye chart at the eyeglass display to test the glasses. It is important to try different powers until you can read clearly at a distance that is most comfortable for you

Try glasses with larger lenses first, as they offer more of an optimal zone where the prescription is. This will make it easier to use smaller lenses once you get used to wearing glasses.

If you decide to wear prescription glasses instead of OTC readers, you may want to know how to read your prescription.

An eyeglass prescription is made up of an odd series of letters and numbers that are instructions for making your glasses. Here is what they mean:

In a typical prescription, there are two acronyms, one for each eye.

O.D.- is short for oculus dexter, which is your right eye

O.S.- is short for oculus sinister, which is your left eye

The sphere column is often abbreviated as SPH. This is the lens power needed to fix your vision. A minus sign (-) next to the number means nearsightedness. This means you see better up close and need distance correction. A plus sign (+) indicates that you are farsighted and can see better from far away and need your near vision corrected.

Since lens power is measured in diopters, if the sphere field is written as -9.00 D, which means there are 9 diopters of nearsightedness. The measuring system is an integer line, with zero in the middle, needing no correction. The further you get away from zero on either the minus or plus side, the stronger your prescription is.

The cylinder number is how much astigmatism you have, if any. This is when part of the cornea has a different curve. Normally, an eye is shaped like a basketball, rotated in any direction, with the curve staying the same. An eye with astigmatism is oval, or egg-shaped, or more like a football, with one curve being longer than the other. Their CYL number corrects the different second curves.

The axis number tells you where astigmatism is on the cornea. The axis is written in degrees between 1 and 180, indicating which way the astigmatism lines up.

The add column is where any additional lens power is written. For example, some people over the age of 40 may not want an extra pair of glasses for reading and may choose to wear bifocals instead. The lower half of the lens will give them their reading vision.

Additionally, there may be a field for prism on the right side. This is a special type of correction built into the lens for some people with double vision. This means they see two separate images of the same object. The prism fuses the two images together, so they will only see one image.

If you need an eye exam, you can schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Center by calling (718) 206-5900.

Patient Testimonial: Kiana Jennings

Posted on March 19, 2026 by Jamaica Hospital Medical Center

“Thank you to the Department of Neurosurgery, the Stroke Care Team, the OTs, PTs, PCAs, and day-to-day nurses for their care. They were very good and very nice,” is what I said after having a blockage removed at Jamaica Hospital Medical Center.

My name is Kiana Jennings, and I am a 36-year-old flight attendant who has lived in Jamaica, Queens, for the past 13 years, but I am originally from the Bronx. In July of 2025, I had just returned from Sweden and went to take a shower. While I was showering, I suddenly passed out. After regaining consciousness, I was able to crawl to my bedroom, where I attempted to get my phone to call a friend who lived in my apartment building. Unfortunately, I passed out again. Thankfully, my friend hadn’t heard from me in a while, so she did a wellness check. When my friend arrived at my apartment, she found me on the floor of my bedroom and immediately called 911.

When I woke up, I was in the emergency room at Jamaica Hospital and was told by my neurosurgeon that I had a stroke. He then discussed the surgical procedure required to remove a blockage that caused the stroke. I also had partial paralysis on my left side.

The procedure was successful, and the blockage was removed. After the procedure, I was in the hospital’s ICU for two weeks before I was taken to the rehabilitation unit to start my recovery. When I got to rehab, I was weak and couldn’t walk on my own. Thankfully, the occupational therapists took the time to talk to and socialize with me as I was on my recovery journey. In physical therapy, the physical therapist made me work and pushed me to keep going. It was difficult, but I thank them all for helping me build back my strength and get back on my feet. My rehabilitation was tough, but everyone made me feel human and showed sympathy and empathy, as they let me be emotional.

I value all the relationships I made during my time at the hospital. I am thankful to be mobile again and am looking forward to being a flight attendant and traveling the world.

Employee Spotlight Shines on Lisette Drummond, RN, BSN, CEFM

Posted on March 19, 2026 by Andrew Rubin

This month, we are proud to shine our Employee Spotlight on Lisette Drummond, RN, BSN, C-EFM, an employee at Jamaica Hospital Medical Center for over 21 years. During her years at the hospital she has worked on several different units including: med/surg, pediatrics, ICU, emergency department, labor and delivery, and radiology. Through all of these opportunities, she has gained a great deal of experience. In addition to her role as a nurse, Lisette currently serves as the chairperson for the Labor Management Committee meetings.

Lisette is originally from the Caribbean. After she moved to the United States, she received her BSN from Lehman College. In her free time, she enjoys participating in medical missions, and community health fairs. She considers herself an avid traveler and has visited many foreign countries. One of her most memorable trips was to Kruger National Park in South Africa where she was able to view the “Big Five” lions, leopards, elephants, rhinos and buffalo.

Lisette is a devoted mother and wife. She enjoys creating meaningful memories with her family and friends. She enjoys a wide variety of foods from many different cultures. Lisette likes gospel and afro beats music.

Jamaica Hospital was instrumental in Lisette’s decision to become a nurse. She had a near death medical emergency in 2000 and she credits the staff of Jamaica Hospital for the life saving treatment that she received. This inspired Lisette to leave modelling and pursue a career in nursing. She has found a great deal of job satisfaction with caring for, and engaging with the multicultural patients and staff at the hospital. We are very proud to have Lisette as a member of our team and look forward to her continuing for many more years.

Treatments to Reduce Alzheimer’s Disease

Posted on March 18, 2026 by Patrick Hercules

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

There is currently no cure for Alzheimer’s disease. However, there is progress in Alzheimer’s and dementia research that is creating promising new treatments for those living with the disease.

The U.S. Food and Drug Administration (FDA) has approved medications for Alzheimer’s disease, which fall into two categories:

· Drugs that change disease progression in people living with early Alzheimer’s

· Drugs that temporarily ease some symptoms of Alzheimer’s

Drugs that change disease progression target the underlying biology of the disease process by aiming to slow the decline of memory and thinking, as well as function.

Anti-amyloid treatments work by removing a protein that accumulates into plaques in the brain, called beta-amyloid. Each treatment works differently and targets beta-amyloid at a different stage of plaque formation.

These treatments change the course of the disease significantly for those who are in the early stages by giving them more time to be able to participate in daily activities and live independently.

The two treatment therapies that change disease progression are Donanemab and Lecanemab.

Donanemab is an anti-amyloid antibody intravenous (IV) infusion therapy that is delivered every four weeks to treat early Alzheimer’s disease, which includes people who are living with mild cognitive impairment (MCI) or mild dementia due to Alzheimer’s who have been diagnosed with elevated beta-amyloid in the brain.

Donanemab was the third therapy that demonstrated that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

Lecanemab was the second therapy to demonstrate that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

It is important to note that anti-amyloid treatments do have side effects, such as allergic reactions, amyloid-related abnormalities (ARIA), infusion-related reactions, headaches, and falls.

As Alzheimer’s progresses, brain cells die, and the connections among those cells are lost. When this occurs, it causes cognitive and noncognitive symptoms to worsen.

Although these medications don’t stop the damage that Alzheimer’s disease causes to brain cells, they may lessen or stabilize symptoms for a limited time by affecting specific chemicals involved in delivering messages among and between the brain’s nerve cells.

The medications that are prescribed to treat symptoms related to memory and thinking include:

Cholinesterase inhibitors are prescribed to treat symptoms related to memory, thinking, language, judgment, and other thought processes. These medications prevent the breakdown of a chemical messenger important for memory and learning, called acetylcholine. Cholinesterase inhibitors support communication between nerve cells. The most prescribed cholinesterase inhibitors include:

· Benzgalantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Donepezil treats mild-to-severe dementia due to Alzheimer’s disease

· Galantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Rivastigmine treats mild-to-moderate dementia due to Alzheimer’s disease as well as mild-to-moderate dementia due to Parkinson’s disease

Possible side effects for these medications include:

· Headache

· Dizziness

· Diarrhea

· Increased frequency of bowel movements

· Nausea

· Vomiting

· Loss of appetite

Glutamate regulators are medications prescribed to improve memory, attention, reasoning, language, and the ability to perform simple tasks. This medication regulates the activity of glutamate, a different chemical messenger that helps the brain process information.

Memantine is a glutamate regulator that treats moderate-to-severe Alzheimer’s disease. It can cause side effects that include headaches, constipation, confusion, and dizziness.

A cholinesterase inhibitor combined with a glutamate regulator, such as donepezil and memantine, treats moderate-to-severe Alzheimer’s disease. Possible side effects can include nausea, vomiting, loss of appetite, confusion, dizziness, increased frequency of bowel movements, and constipation.

Alzheimer’s disease doesn’t just impact memory and thinking. It also impacts a person’s quality of life by affecting a variety of behavioral and psychological symptoms that come with dementia, such as agitation, hallucinations and delusions, and sleep disturbances. Some medications focus on treating these non-cognitive symptoms for a time; however, it is important to try non-drug strategies to manage behaviors before adding medications.

The FDA has approved only one drug to manage symptoms of insomnia that has been tested in people who are living with dementia, and one that treats agitation.

Orexin receptor antagonists are prescribed to address symptoms of insomnia and inhibit the activity of a type of neurotransmitter involved in the sleep-wake cycle called orexin.

Suvorexant treats insomnia and has been shown in clinical trials to be effective for people who are living with mild to moderate Alzheimer’s disease. Possible side effects can include a risk of impaired alertness and motor function, worsening depression or suicidal thinking, complex sleep behaviors, sleep paralysis, and compromised respiratory function.

Atypical antipsychotics are a group of antipsychotic drugs that target the serotonin and dopamine chemical pathways in the brain. These drugs are mainly used to treat schizophrenia and bipolar disorder, as well as add-on therapies for major depressive disorder. The FDA requires that all atypical antipsychotics carry a safety warning that the medication has been associated with an increased risk of death in older patients who are experiencing dementia related psychosis.

Many atypical antipsychotic medications are used “off-label” to treat dementia-related behaviors, and there is only one FDA-approved atypical antipsychotic to treat agitation associated with dementia due to Alzheimer’s disease. It is important to try non-drug strategies to help manage non-cognitive symptoms such as agitation before adding any medications.

Brexpiprazole treats agitation associated with dementia due to Alzheimer’s disease. Possible side effects may include weight gain, sleepiness, common cold symptoms, dizziness, and restlessness.

If you or a loved one is experiencing any symptoms of Alzheimer’s disease or would like to learn more about treatment options, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

Botox for Migraines

Posted on March 14, 2026 by Patrick Hercules

Chronic migraines are a severe, recurring type of headache that is often debilitating. Migraines have four phases, which are prodrome, aura, migraine headache, and postdrome.

Although the exact cause of migraines is unknown, researchers believe genetics is a factor.

There are a few conditions and lifestyle factors that can trigger a migraine, including:

Anxiety

Bipolar disorder

Depression

Epilepsy

Sleep disorders

Caffeine or withdrawal from caffeine

Taking certain medications or taking them too often

Migraines are more likely to occur in the morning, making it common to wake up with a migraine. Some people have a predictable pattern of migraines, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines.

There is no cure for migraines, but they can be managed and prevented with over-the-counter triptans and pain relievers.

Another treatment that can be used for chronic migraines is Botox. Botox for migraines is a type of botulinum toxin that may prevent chronic migraines and is only recommended by a healthcare provider if a person has 15 or more headaches per month.

Although Botox is mostly known for its cosmetic use, it has medical benefits, such as blocking pain signals before they reach the brain, as certain nerves are highly active during a migraine.

To prevent this from happening, a healthcare provider injects Botox into specific muscles in the head, neck, and shoulders using a tiny needle. These areas connect to the nerves that send pain signals during a migraine. Botox travels along these connected nerves towards the brainstem and blocks the release of chemicals that trigger pain. This may reduce how often a person gets a migraine or make their symptoms less severe when they experience one.

Before receiving Botox for migraine treatment, you will meet with your healthcare provider, who will explain the risks and benefits of it and make sure that it is a safe option for you. If you agree to move forward, you will sign a consent form.

It is important to let your healthcare provider know about any medications and supplements that you are currently taking, as Botox may interact with different types, such as muscle relaxants.

Botox has many side effects, including:

Mild pain and bruising at the injection site

Neck pain and stiffness

Headache

Flu-like symptoms

Temporary changes in appearance

These side effects are usually minimal and will clear up. Let your healthcare provider know if you are experiencing any severe pain or discomfort.

The main benefits of Botox for migraines are that it reduces:

The severity of migraines

The frequency of migraines

The duration of migraines

Botox for migraines has other benefits, including:

It’s effective with long-term use and has minimal complications

It can be combined with other migraine medications

The side effects may be better tolerated than other medications available

Chronic migraines can be painful and debilitating, and trying to find the right treatment to provide relief can be difficult and frustrating. If you are suffering from chronic migraines and haven’t found the right treatment options to relieve your symptoms, discuss Botox treatment for migraines with your healthcare provider.

If you are experiencing any symptoms of chronic migraines and are interested in Botox for migraines, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.