Exploring the Impact of Lower Medication Doses on Side Effects in Psychiatry
Medication issues Is it possible to experience more side effects from a lower dose of medication? Currently, I am taking 18mg of Strattera, and it seems that I am more prone to irritability compared to when I was on 36mg. Additionally, while taking Strattera, I experience numbnes...
Dr. Wu Enliang Reply:
According to pharmacological mechanisms, a higher dosage is more likely to result in side effects. Numbness in the legs is one of the rare side effects; if it occurs, please discuss it with your physician. Dr. Wu En-Liang.[Read More] Exploring the Impact of Lower Medication Doses on Side Effects in Psychiatry
Understanding Alprazolam Use: Managing Anxiety Without Dependency
Issues related to the administration of Panadol? I have been prone to severe anxiety since childhood (thinking the worst of situations, sweating, feeling tightness in my chest, social anxiety, and worrying about trivial matters all day). However, I only sought help from a psychia...
Dr. Wu Enliang Reply:
1. The doctor told me to take it as needed, and I have been taking it intermittently for almost two years. Does this violate the instruction that states "do not use for more than four months"? Will intermittent use cause withdrawal symptoms? A: There is no violation; th...[Read More] Understanding Alprazolam Use: Managing Anxiety Without Dependency
Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...
Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....[Read More] Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Studying Abroad with Schizophrenia: Challenges and Solutions
Schizophrenia and issues related to studying abroad! Hello Dr. Tang, I am a 40-year-old male diagnosed with schizophrenia, and I have been dealing with this condition for about 16 years. I initially experienced symptoms such as flat affect, delayed responses, delusions, and audi...
Dr. Tang Jiahong Reply:
Hello: Regarding medications, according to the National Health Insurance Administration's website: "Chronic patients with continuous prescriptions who are scheduled to travel abroad, return to offshore islands, or are crew members of deep-sea fishing vessels or internat...[Read More] Studying Abroad with Schizophrenia: Challenges and Solutions
Can You Take Zapline and Alprazolam on an Empty Stomach?
Medication Consultation Hello Doctor, may I ask if Zapline 50mg (take half a tablet before bedtime) and ALPRAZOLAM 0.5mg (take one tablet as needed) can be taken on an empty stomach? Or is it recommended to eat something before taking them, or what is the best way to take them? I...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about the side effects of medication. 1. Anxiety disorders and psychosomatic disorders are common in modern society, often stemming from the uncertainty of the fut...[Read More] Can You Take Zapline and Alprazolam on an Empty Stomach?
Do I Have Depression? Understanding Symptoms and Self-Doubt
Do I have depression? My family does not have a history of depression, but I often find it difficult to focus on completing my academic goals due to excessive thinking about my existence lacking substantial value, my inability to feel motivated to continue experiencing the future...
Dr. Wang Zhenbang Reply:
First of all, I commend you for bravely sharing your feelings and concerns. The emotional fluctuations and mental state you are experiencing are worthy of attention, and seeking professional help is a very important step. Based on the symptoms you described, including low self-wo...[Read More] Do I Have Depression? Understanding Symptoms and Self-Doubt
Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Sleep issues Hello, doctor. I have difficulty falling asleep. I lie down at 11 PM, and sometimes I fall asleep shortly after, but other times I can't sleep at all. In the morning, I go for a walk for about 50 minutes. After lunch and dinner, I walk in place for over 30 minut...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery...[Read More] Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...
Dr. Lin Mianzhang Reply:
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Can antidepressants be ineffective? Hello Doctor: I started experiencing nasal congestion in April, which led to difficulty breathing and gradually increased anxiety that affected my sleep. Since August, I have been unable to sleep well. A psychiatrist prescribed "0.5 mg of ...
Dr. Qiu Junda Reply:
Hello. Antidepressants should not lose their effectiveness. The condition may fluctuate (stress from preparing for surgery can also affect the condition). It is not that the medication is ineffective. Hyperventilation can be alleviated with anxiolytics. I recommend that you conti...[Read More] Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Understanding Cognitive Decline: Overcoming Brain Fog and Mental Struggles
Cognitive decline, brain fog, neurological issues? I have recently been finding it very difficult to check out when shopping. It used to be a simple task, but now it feels very strenuous. My ability to adapt to my environment has also worsened; even the walk to the nearby conveni...
Dr. Qiu Junda Reply:
Hello. I wonder if you have experienced any recent changes or shocks in your life that have caused you stress or distress. It is advisable to seek medical attention (in the field of psychosomatic medicine) as soon as possible to facilitate improvement.[Read More] Understanding Cognitive Decline: Overcoming Brain Fog and Mental Struggles
Understanding Your Medication: Managing Side Effects and Long-Term Treatment
Paranoid delusions Hello Doctor, here are the medications I am taking at the clinic. I have been going to bed early and waking up early, getting up at 8 AM and sleeping at 10 PM. Could you please take a look at my medication list and let me know if there is anything I should be a...
Dr. Wu Enliang Reply:
Fallep Tablets 2mg is a sleeping pill; it's best to take it sparingly, with the hope of eventually not needing it. It's important to exercise regularly and manage your diet to avoid weight gain. Please arrange for annual blood tests to check blood sugar and lipid levels...[Read More] Understanding Your Medication: Managing Side Effects and Long-Term Treatment
Managing Medication for Schizophrenia: Side Effects and Long-Term Solutions
Paranoid delusions Hello Doctor, here are the medications I am taking at the clinic. I have been going to bed early and waking up early, getting up at 8 AM and sleeping at 10 PM. Could you please review my medication list and let me know if there is anything I should be aware of?...
Dr. Wu Enliang Reply:
Fallep Tablets 2mg is a sleeping pill; it's best to take it sparingly and hope to eventually stop using it. It's important to exercise regularly and control your diet to avoid weight gain. Please arrange for annual blood tests to check blood sugar and lipid levels with ...[Read More] Managing Medication for Schizophrenia: Side Effects and Long-Term Solutions
Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Medication consultation Hello doctor... I have a sleep disorder and usually take sleep aids before bed. Recently, I've been having frequent nightmares, so the doctor prescribed enteric-coated antidepressants to take before sleep. Could you please tell me what side effects I ...
Dr. Wu Enliang Reply:
Hello, if there are side effects, they are generally gastrointestinal, such as nausea, vomiting, and diarrhea. It is advisable not to take the medication on an empty stomach and to start with a low dose to generally avoid side effects. As for sexual dysfunction, it can also occur...[Read More] Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Can Stopping Seroquel Suddenly Cause Delusions?
Discontinuation of Sikkim? Hello doctor, can suddenly stopping the use of Seroquel lead to the emergence of delusional symptoms? (There were no delusional symptoms prior to taking it.)
Dr. Tang Jiahong Reply:
Hello: It is difficult to distinguish whether the symptoms are related to the original condition (which often worsens after discontinuation of the medication) or if they are related to the withdrawal from the medication, requiring longer observation. Withdrawal symptoms also enco...[Read More] Can Stopping Seroquel Suddenly Cause Delusions?
Understanding Discomfort in Intimate Social Interactions
Experiencing nausea during intimate contact with others? Hello Doctor: Since I was a child, whenever I had close interactions with family or friends that made me feel needed or loved, including physical contact, I find it hard to describe that feeling. It’s as if when everyone is...
Dr. Wu Enliang Reply:
If you experience feelings of nausea or discomfort during physical contact or in warm, affectionate environments, which disrupts your daily life, it is advisable to seek psychological therapy to explore the underlying causes and find solutions. Dr. Wu Enliang.[Read More] Understanding Discomfort in Intimate Social Interactions
Understanding Self-Harm and Mental Health: Is It a Disorder?
I'm not sure if this is a medical condition? I have been suffering from severe depression, and throughout three years of treatment, my emotions have fluctuated repeatedly. Currently, I feel that my depression is not as severe, yet I also hope that it will never completely go...
Dr. Wu Enliang Reply:
If online interactions are causing significant disruptions in your life, it is indeed a form of illness. It is advisable to continue collaborating with your physician and psychologist to receive the necessary treatment. Dr. Wu En-Liang[Read More] Understanding Self-Harm and Mental Health: Is It a Disorder?
Understanding Memory and Focus Issues: A Guide for Young Adults
Insufficient memory and concentration? Hello, Doctor! I discovered that I started experiencing some social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I'...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang.[Read More] Understanding Memory and Focus Issues: A Guide for Young Adults
Understanding Side Effects of Qian You Jie: A Patient's Experience
Side effects of Qianyoujie (also known as "Qianyoujie" or "Qian You Jie")? Hello doctor, I have been taking Qianyoujie for six years, two pills a day, always in the morning. Recently, I couldn't get an appointment for a follow-up visit, so I stopped takin...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to concerns about the side effects of your medication. 1. Anxiety disorders are common in modern society, characterized by uncertainty about the future. This is a chronic condit...[Read More] Understanding Side Effects of Qian You Jie: A Patient's Experience
Understanding Memory and Focus Issues: A Guide to Mental Health Concerns
Insufficient memory and concentration? Hello, doctor! I discovered that I started experiencing social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I’m with str...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang[Read More] Understanding Memory and Focus Issues: A Guide to Mental Health Concerns