Drug side effects
Hello, Doctor.
I apologize for interrupting you during your busy schedule.
Currently, I am taking Xinelon capsules (one capsule every morning) and Lexapro, and I have been on them for a week.
However, I still feel drowsy during the day, lack motivation, and have difficulty concentrating.
Will this side effect gradually improve? Thank you, Doctor.
A, 20~29 year old female. Ask Date: 2022/09/16
Dr. Xue Gengming reply Psychiatry
I recommend that you: 1.
Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary.
2.
Alternatively, consider seeking treatment from other medical institutions.
Thank you, and wishing you good health!
Reply Date: 2022/09/16
More Info
Managing side effects of psychiatric medications can be a challenging experience, especially when starting a new treatment regimen. In your case, you are currently taking "信樂膠囊" (likely referring to an antidepressant such as venlafaxine or a similar medication) and "樂息伴" (which may refer to a medication like a benzodiazepine or another anxiolytic). It’s common for individuals to experience side effects when beginning these medications, and it’s important to understand what to expect and how to manage these effects.
Firstly, the side effects you are experiencing, such as daytime drowsiness, lack of motivation, and difficulty concentrating, are not uncommon with many psychiatric medications, particularly antidepressants and anxiolytics. These medications often take time to adjust to, and many side effects can diminish as your body becomes accustomed to the medication. Typically, it can take several weeks for the full therapeutic effects of antidepressants to manifest, and during this period, side effects may gradually improve.
However, it’s crucial to communicate openly with your prescribing physician about the side effects you are experiencing. If the drowsiness and lack of motivation persist or worsen, your doctor may consider adjusting your dosage or switching you to a different medication that may have a more favorable side effect profile for you. In some cases, the timing of when you take your medication can also influence side effects. For instance, taking certain medications at night instead of in the morning may help mitigate daytime drowsiness.
Additionally, lifestyle modifications can also play a significant role in managing side effects. Regular physical activity, a balanced diet, and good sleep hygiene can help improve your overall mood and energy levels. Engaging in activities that you find enjoyable or fulfilling can also help combat feelings of lethargy and lack of motivation.
It’s also important to be aware of the potential for drug interactions, especially if you are taking multiple medications. Some combinations can exacerbate side effects or lead to increased sedation. Always keep your healthcare provider informed about all the medications you are taking, including over-the-counter drugs and supplements.
In summary, while it is common to experience side effects when starting psychiatric medications, many of these effects may improve over time. However, it is essential to maintain open communication with your healthcare provider to ensure that your treatment plan is tailored to your needs and to address any persistent or troubling side effects. If the side effects do not improve or significantly impact your daily life, do not hesitate to reach out to your doctor for further evaluation and potential adjustments to your treatment regimen. Your mental health is paramount, and finding the right balance in medication can take time and careful consideration.
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