Your Psychiatric Medications: A Guide to Common Prescriptions - Psychiatry

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Dear Ema,
Thank you for reaching out with your concerns regarding the medications prescribed to you. It’s understandable to feel anxious when multiple medications are involved, especially when you’re experiencing symptoms like heart palpitations, stress, fear, and difficulty sleeping. Let’s break down the medications you mentioned, their uses, and potential side effects to help you understand their purpose better.

1. Vanipen (煩力平錠): This medication is known as a tranquilizer or anxiolytic. It is often used to treat anxiety disorders and can help alleviate feelings of panic and stress. Common side effects may include drowsiness, dizziness, and fatigue. It’s important to monitor how you feel when taking this medication, especially if you are also taking other sedatives.

2. Inderal (Propranolol): This is a beta-blocker primarily used to manage physical symptoms of anxiety, such as rapid heartbeat and tremors. It can also be prescribed for hypertension and migraine prevention. Side effects may include fatigue, cold hands or feet, and gastrointestinal issues. Propranolol does not directly address psychological symptoms but can help with the physical manifestations of anxiety.

3. Sunpylon (Sulpiride): This medication is an atypical antipsychotic that can be used to treat depression and anxiety. It works by affecting neurotransmitters in the brain, particularly dopamine. Side effects can include weight gain, sedation, and potential movement disorders, so it’s essential to discuss any unusual symptoms with your doctor.

4. Tofranil (Imipramine): This is a tricyclic antidepressant that is effective for depression and anxiety disorders. It can also help with insomnia. Common side effects include dry mouth, constipation, blurred vision, and drowsiness. It may take several weeks to notice the full effects of this medication.

5. Stilnox (Zolpidem): This medication is a sedative primarily used for the short-term treatment of insomnia. It helps you fall asleep faster and stay asleep longer. Side effects can include dizziness, daytime drowsiness, and in some cases, unusual behaviors during sleep (such as sleepwalking). It’s crucial to use this medication as prescribed to avoid dependency.

6. Serenal: This medication is typically used for anxiety and may contain various active ingredients depending on the formulation. It often has calming effects and can help with sleep disturbances. Side effects can vary widely, so it’s essential to consult your doctor about what to expect.

Regarding your concerns about your mental health status, it’s important to remember that the presence of anxiety and stress does not necessarily mean you are in a "bad" situation. Many people experience anxiety due to various life stressors, and it can manifest in different ways. Your doctor’s assessment that you may not have a full-blown anxiety disorder but rather a tendency towards perfectionism suggests that your symptoms could be situational rather than chronic.

The combination of medications prescribed to you is likely aimed at addressing both the psychological and physical symptoms you are experiencing. It’s not uncommon for doctors to prescribe multiple medications to target different aspects of a patient’s condition. However, it’s crucial to maintain open communication with your healthcare provider. If you have concerns about the medications, their interactions, or their side effects, don’t hesitate to bring these up during your next appointment.
In conclusion, while it may feel overwhelming to manage multiple medications, understanding their purposes can help you feel more in control. Always follow your doctor’s instructions and report any side effects or concerns you may have. With time and the right treatment plan, many individuals find relief from their symptoms and improve their overall well-being.

Wishing you the best on your journey to better mental health.

Sincerely,
Doctor Q&A Teams