Side Effects of Psychiatric Medications: A Patient's Concern - Psychiatry

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Side effects of psychotropic medications?


I have been seeing a psychiatrist for about a month now, and my diagnosis is "mixed anxiety and depressive disorder." Currently, I have follow-up appointments every two weeks, and almost every visit, my medication is adjusted due to various symptoms (such as vivid dreams, anxiety, and depression).
Here is a list of the medications I have taken over the past month:
First appointment:
- Jing An Ning (Clonazepam) 0.5 mg
- You Bi Qing (Duloxetine) 50 mg
- Yong Kang Xu (Trazodone) 0.5 mg (the other medications are taken at bedtime, while Yong Kang Xu is taken only during acute episodes)
Second appointment:
- Ke Xian Ping (Lamotrigine) 0.5 mg
- Yi Si Tan (Escitalopram) 5 mg
- Fa Ma Zhen (Buspirone) 20 mg
- Xin Lv (Propranolol) 10 mg (Propranolol is taken during acute episodes, while the others are taken at bedtime)
Third appointment:
- An Xin Ping (Lorazepam) 1 mg
- Li You (Sertraline) 10 mg
- Fa Ma Zhen (Buspirone) 20 mg (all taken at bedtime)
Fourth appointment:
- Ai Si Le (Escitalopram) 2 mg (taken at bedtime)
- Wei Ke Juan (Venlafaxine) 150 mg (taken in the morning)
The fourth appointment was my most recent visit.
Although the previous medications caused some side effects like nausea and dry heaving, after starting the medications from the fourth appointment, I have been experiencing intermittent shortness of breath (a feeling of not being able to breathe), along with hand spasms and dizziness.
I would like to know if this is normal.
Could the shortness of breath be a side effect of the medication? Thank you!

Xiao Mo, 20~29 year old female. Ask Date: 2022/09/18

Dr. Wu Menghuan reply Psychiatry


Hello: The symptoms you mentioned, such as shortness of breath accompanied by hand spasms, do not seem to be related to medication.
It is advisable to seek medical evaluation as soon as possible.
Thank you for your inquiry.

Reply Date: 2022/09/18

More Info


When dealing with psychiatric medications, it's crucial to understand that while they can be effective in managing symptoms of conditions like depression and anxiety, they can also lead to various side effects. Your concern about experiencing symptoms such as difficulty breathing, hand spasms, and dizziness after starting a new medication regimen is valid and should be addressed with your healthcare provider.

Firstly, it's important to recognize that psychiatric medications, including those you've mentioned (such as Escitalopram, Clonazepam, and Mirtazapine), can have side effects that vary from person to person. Common side effects may include gastrointestinal issues (like nausea and vomiting), sedation, and cognitive effects (such as feeling "slow" or having difficulty concentrating). However, more severe side effects, such as respiratory difficulties or spasms, warrant immediate attention.

The symptoms you describe—difficulty breathing, hand spasms, and dizziness—could potentially be linked to the medications you are taking. For instance, some medications can cause muscle spasms or affect the central nervous system in ways that might lead to respiratory issues. It's also possible that these symptoms could be exacerbated by anxiety or panic attacks, which are common in individuals with mixed anxiety and depressive disorders.
It's essential to communicate these symptoms to your psychiatrist as soon as possible. They may need to adjust your medication regimen or consider alternative treatments. Stopping medication abruptly can lead to withdrawal symptoms or a worsening of your mental health condition, so any changes should be made under medical supervision.

In addition to medication management, consider discussing non-pharmacological approaches with your healthcare provider. Cognitive-behavioral therapy (CBT), mindfulness practices, and lifestyle modifications (such as regular exercise, a balanced diet, and adequate sleep) can complement medication and help manage symptoms more effectively.

Moreover, if you are experiencing significant distress or if your symptoms worsen, do not hesitate to seek immediate medical attention. Your safety and well-being are paramount, and healthcare professionals are there to support you through this process.

In summary, while psychiatric medications can be beneficial, they can also lead to side effects that may impact your quality of life. It's crucial to maintain open communication with your healthcare provider about any adverse effects you experience. They can help you navigate these challenges and adjust your treatment plan accordingly. Remember, you are not alone in this journey, and there are resources and support systems available to help you manage your mental health effectively.

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