Dr. Nitish Mandal
Personalized medications
You are already on tablets. Some help a little. Some make you drowsy, constipated, or foggy. The aim here is fewer medicines where possible, chosen for your pain, not a stack of leftovers.

What personalized medications means here
Medicines are chosen to increase relief while reducing side effects. That is a goal, not a guarantee.
The motto of the practice is Minimum Medicines, Maximum Relief. Injections, blocks, and infusions are used so that life does not depend on climbing tablet doses.
When this conversation happens
- You are taking more than one painkiller and still planning your day around the pain.
- Side effects are now part of the problem.
- You want a plan that can be simplified after a procedure, not expanded forever.
Medicines after the source is found
The first visit still finds the source. Tablets are then matched to that source, rather than treating pain as a generic symptom.
Some people need a short, careful medicine plan while a procedure takes effect. Some can step down once the source is treated.
Frequently asked questions
- Will you stop all my painkillers?
- Not on a webpage. The aim is fewer medicines where possible. Any change is decided after you are seen.
- Is this instead of injections?
- No. Personalized medications sit alongside diagnosis, injections, blocks, and infusions. Many people need both, in that order.
No tablet plan can promise maximum relief with no side effects. The honest aim is a smaller, better-chosen list after the pain source is identified.
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The questions on this page, with answers taken from the same details shown above.
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Will you stop all my painkillers?
Not from a webpage. The aim is fewer medicines where possible, chosen after the source is found. That is not a guarantee of no side effects.