Safe B-Class Medications for Insomnia in Pregnant Women: What You Need to Know
I would like to inquire about the category B psychiatric medications that are safe for pregnant women to take? I have schizophrenia and severe insomnia. Previously, I was taking heavy psychiatric medications, including 0.25 mg of Lendormin (France) twice before bed, 10 mg of Sert...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Safe B-Class Medications for Insomnia in Pregnant Women: What You Need to Know
Do Antidepressants Affect Your Menstrual Cycle? Understanding the Connection
Do antidepressants affect the menstrual cycle? Hello Doctor: I have been experiencing anxiety and irritability for the past one to two years, along with intrusive thoughts (I tend to be particularly sensitive and anxious when I hear ominous statements). After the 403 earthquake, ...
Dr. Qiu Junda Reply:
Hello. Medications and emotions can affect the menstrual cycle. You may not need to visit the obstetrics and gynecology department for an examination at this time. Please discuss your situation, including the use of Xinna tablets, with your psychiatrist during your next appointme...[Read More] Do Antidepressants Affect Your Menstrual Cycle? Understanding the Connection
Interactions Between SSRIs and Cold Medications: What You Need to Know
Inquiry about the interaction between SSRI medications and cold medications? Thank you, doctor, for taking the time to read this. I am a patient with anxiety disorder and currently take one and a half tablets of Liyou (15 mg) daily. Recently, I have had a slight cold and, after t...
Dr. Qiu Junda Reply:
Hello. The dosage of one and a half anxiety medication taken occasionally with Tylenol should not have significant interactions or conflicts, and it is unlikely to cause any adverse effects on the body.[Read More] Interactions Between SSRIs and Cold Medications: What You Need to Know
Overcoming Cancer Fears After COVID-19: What You Need to Know
Worried about having cancer? I'm sorry, doctor. Last year, while I was in the military, I accidentally contracted COVID-19. Fortunately, I recovered after a while, but a few months later, I started experiencing mild shortness of breath (which does not affect my daily activit...
Dr. Wu Enliang Reply:
There is no evidence to suggest a connection between COVID-19 and lung cancer. However, if you still have concerns, it is advisable to get checked. A low-dose chest CT scan can be performed, and if the results are clear, you can feel reassured. If you still have worries after the...[Read More] Overcoming Cancer Fears After COVID-19: What You Need to Know
Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Narcolepsy? Autonomic nervous system dysfunction anemia? Since one day at work, I suddenly felt the urge to sleep without any reason, and since then, it has been happening every day. The timing of these episodes is unpredictable, but they are more likely to occur after meals. I f...
Dr. Lin Mianzhang Reply:
Hello Lia: Your condition may be due to autonomic nervous system dysfunction, anemia, or other causes. A detailed consultation with a physician is necessary, and further tests (such as blood tests, sleep studies, etc.) may be required to confirm the diagnosis. It is recommended t...[Read More] Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Managing Panic Anxiety: Can You Safely Combine Medications?
Panic Anxiety Disorder I have been prescribed Xanax and Sertraline by my doctor for anxiety and panic disorder, to be taken as needed. I would like to know if I can continue taking Escitalopram, which I have taken before, and how long I should wait after taking Xanax before I can...
Dr. Lin Mianzhang Reply:
Hello Ann: Ease Comfort is a long-acting sedative that can be taken in combination with Xanax and Lexapro. However, these medications are intended for emergency use and cannot prevent the occurrence of anxiety and panic. It is recommended that if you frequently experience anxiety...[Read More] Managing Panic Anxiety: Can You Safely Combine Medications?
Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing
Negative thoughts and emotional instability? Hello, Doctor. Since childhood, due to family discord and being isolated by teachers and classmates, I have developed self-harming habits starting from fifth grade, using items like metal rulers and utility knives, and even having suic...
Dr. Qiu Junda Reply:
Hello. Your current physical and mental condition has caused significant distress. It is advisable to seek treatment at a mental health clinic to facilitate improvement. Additionally, you can call the 1925 mental health hotline for similar counseling services.[Read More] Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing
Understanding Panic Disorder Treatment: Side Effects and Medication Efficacy
Panic disorder treatment issues? Hello, doctor. I have experienced a relapse of panic disorder for the third time recently. I am currently in the fourth week of treatment with Tianeptine Sodium (Taiwanese brand name: 替你憂-S). At the beginning, taking half a tablet caused side effe...
Dr. Lin Mianzhang Reply:
Hello Emily: After taking your medication this time, you are still experiencing occasional panic attacks, which could be due to two possible reasons. First, your panic disorder may have worsened, making the current dosage of your medication insufficient for complete control. Seco...[Read More] Understanding Panic Disorder Treatment: Side Effects and Medication Efficacy
Understanding Adult Asperger Syndrome: Diagnosis, Challenges, and Support
Adult Asperger syndrome I am actually quite confused about whether I have Asperger syndrome or simply high-functioning autism, and whether I also have ADHD. Or could it be that I have Asperger syndrome, high-functioning autism, and ADHD as comorbid conditions in different proport...
Dr. Liang Sunyuan Reply:
Hello: Q1: Asperger's syndrome is also classified as high-functioning autism, and there is currently a tendency not to differentiate it further, as the intervention methods are similar and it is not possible to confirm the diagnosis based on the aforementioned descriptions. ...[Read More] Understanding Adult Asperger Syndrome: Diagnosis, Challenges, and Support
Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide
Psychological anger, national examinations, masturbation, and related lifestyle issues? Hello, doctor. I used to have very few issues with insomnia, but this year, as I prepare for the national exam, I encountered obstacles at the beginning of the year with family needing my help...
Dr. Li Zhengfeng Reply:
Hello: For insomnia, it is indeed recommended to first use non-pharmacological treatments, such as physical therapy, psychotherapy, and occupational therapy. If medication is absolutely necessary, it is also advised to avoid long-term use of sleep aids to prevent physiological or...[Read More] Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide
Effects of Sports Drinks with Anxiety Medications: What You Need to Know
Regarding the combination of sports drinks and medication? Hello, doctor. I would like to ask, what would happen if I drink sports drinks while taking Lexapro or Ativan, or other types of anti-anxiety medications? Thank you.
Dr. Li Zhengfeng Reply:
Hello: The main ingredients of sports drinks typically include water, fructose, sucrose, glucose, sodium, calcium, and potassium. Taking Librium or Ativan, or other types of anti-anxiety medications, should not pose significant issues. Thank you for your message.[Read More] Effects of Sports Drinks with Anxiety Medications: What You Need to Know
Understanding Autonomic Nervous System Dysregulation and Panic Disorder
Autonomic nervous system dysfunction Hello, doctor. Due to long-term night shifts, I have experienced multiple episodes in the past two months where I suddenly feel palpitations and my heart is pounding strongly, accompanied by a noticeable heartbeat sound. My blood pressure has ...
Dr. Lin Mianzhang Reply:
Hello Ah-Hua: I apologize for the delayed response as I did not receive a notification for your question. If your blood pressure remains uncontrolled despite taking antihypertensive medication, you may need to discuss with a cardiologist whether a medication adjustment is necessa...[Read More] Understanding Autonomic Nervous System Dysregulation and Panic Disorder
Seeking Guidance on Mental Health Support in Rehabilitation Facilities
Hello Dr. Wu: I would like to inquire about issues related to nursing homes? Hello, 1. Background 1. My late father suffered from schizophrenia and was often verbally and physically abused during my childhood. 2. My parents had a rather unusual marriage and social lif...
Dr. Wu Enliang Reply:
It is highly recommended that you collaborate closely with a physician you are familiar with, and consider seeking psychological therapy to address these internal conflicts. Dr. Wu En-Liang.[Read More] Seeking Guidance on Mental Health Support in Rehabilitation Facilities
Struggling with Sleep Despite Medication: Is It the Side Effects or My Liver?
I still can't sleep well even after taking the medication? Hello, Doctor. I have been having trouble sleeping since the beginning of this year, and I have also been feeling depressed. Last week, the doctor prescribed me Trazodone and Doxepin to take before bed, but even afte...
Dr. Yan Congyou Reply:
Hello: Medications typically require an adjustment period during the initial use, usually stabilizing after about 6 to 8 weeks. During this time, if you experience uncomfortable side effects or if the medication seems ineffective, be sure to discuss this with the physician who pr...[Read More] Struggling with Sleep Despite Medication: Is It the Side Effects or My Liver?
How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
How to properly interact with individuals who have social anxiety and panic disorder? Dear Dr. Chang, I have a younger relative staying at my home for an extended period. He is currently a PGY2 resident and is working alongside you. However, there are some issues concerning him,...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to issues related to interpersonal sensitivity and interaction. These concerns involve specialized treatment modalities, including pharmacotherapy and psychotherapy. I strongly encourage you to se...[Read More] How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
Managing Medication Dosage for Bipolar Disorder: When to Consult Your Doctor
Medication dosage Hello, I have been seeing a psychiatrist for six months, and I have been diagnosed with bipolar disorder. Currently, I am in a depressive episode. I have been switched to taking two tablets of Bupropion in the morning, half a tablet of Lamotrigine, one tablet of...
Dr. Tang Jiahong Reply:
Hello, some of these medications may cause side effects such as rapid heartbeat and tremors in a small number of individuals. It is advisable to keep a record of the medication taken, the dosage, and the timing of these symptoms. Then, discuss this with your physician. If the sym...[Read More] Managing Medication Dosage for Bipolar Disorder: When to Consult Your Doctor
Should You Take Anxiety Medication? Assessing Your Needs and Concerns
How to determine if you should take anti-anxiety medication? I have always been a person who is easily nervous and anxious. My current profession is a teacher. In my first year after entering the workforce, I struggled with my abilities and did not perform well in many tasks, whi...
Dr. Tang Jiahong Reply:
Hello. If we view psychiatric medications (especially the stigmatized benzodiazepines used for sedation, sleep, and relaxation) as just a common tool to help improve functionality, it becomes clear that we should use this tool when there is impairment in (daily life, work, academ...[Read More] Should You Take Anxiety Medication? Assessing Your Needs and Concerns
Understanding ADHD's Impact on Medical Examinations for Railway Careers
Regarding the assessment of Attention Deficit Hyperactivity Disorder (ADHD) in the context of physical examinations? Hello Dr. Wu, I am a 20-year-old university student majoring in Transportation Studies, currently in my second year. I was diagnosed with Attention Deficit Hyperac...
Dr. Wu Enliang Reply:
ADHD is quite common and is not classified as a severe mental illness! - Dr. Wu En-Liang[Read More] Understanding ADHD's Impact on Medical Examinations for Railway Careers
Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...
Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Understanding Anxiety-Induced Numbness and Its Symptoms
Numbness and anxiety? During a boat ride, there was initially localized paralysis, which later progressed to generalized paralysis, resulting in the palms curling inward and an inability to extend the fingers normally. The legs also became immobile. After calming down, the sympto...
Dr. Qiu Junda Reply:
Hello. It does seem like the anxiety response you mentioned. If you can manage to calm yourself down, it shouldn't be a major issue. However, if it occurs frequently and causes significant physical and mental distress, it would be necessary to seek medical treatment for impr...[Read More] Understanding Anxiety-Induced Numbness and Its Symptoms