episodes of laughing or crying that are exaggerated or simply don't match how you feel, it can often lead to feeling misunderstood. this is called pseudobulbar affect, or pba. a condition that can occur from brain injury or certain neurologic conditions like stroke or dementia. nuedexta can make a difference by significantly reducing pseudobulbar affect episodes. tell you doctor about medicines you take. some can't be taken with nuedexta. nuedexta is not for people with certain heart conditions. serious side effects may occur. don't take with maois or if you are allergic to dextromethorphan or quinidine. tell your doctor if you have bleeding or bruising. stop if muscle twitching, confusion, fever, or shivering occurs with antidepressants. side effects may include diarrhea, dizziness, cough, vomiting, weakness or ankle swelling. ask your doctor about the only fda approved treatment proven to reduce pba episodes. nuedexta. treatment proven to reduce pba episodes. and butch.aura. and tank. and tiny. and this is laura's mobile dog grooming palace.