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Managing Medication for Depression: Concerns and Guidance

Medication issues Hello Dr. Kong, I have been taking psychiatric medication for many years, but recently I have been experiencing insomnia and low mood, with occasional thoughts of self-harm. Currently, I have a regular follow-up appointment and am taking the following medicati...


Dr. Kong Fanjin reply Psychiatry
Although polypharmacy should be avoided whenever possible, it still frequently occurs in clinical practice. In your case, the combination of two antidepressants and two sedatives is considered appropriate. The dosages do not need to be perfectly equal; slight variations are accep...

[Read More] Managing Medication for Depression: Concerns and Guidance


Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication

Anxiety-related insomnia Hello Dr. Kong, I am 23 years old and currently experiencing symptoms of daytime anxiety and nighttime depression with suicidal thoughts. My physical symptoms mainly include shortness of breath, chest tightness, and bloating. For the past six months, I h...


Dr. Kong Fanjin reply Psychiatry
1. Doxepin, rifampicin, and temazepam are all sedative-hypnotics that exhibit cross-tolerance, meaning that as the dosage increases, the side effects become more pronounced, the effectiveness diminishes, and withdrawal becomes increasingly difficult. 2. Medications address the ...

[Read More] Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication


Persistent Dizziness and Hand Tremors: Seeking Medical Advice

I have been feeling dizzy for several days, even though I am getting enough sleep. My hands are shaking, and I am really scared. Please help me? Hello, doctor. I've been feeling very dizzy for almost a week now. When I walk, it feels like I'm floating, and even sitting ...


Dr. Kong Fanjin reply Physical Fitness
First, it is important to determine whether this is a temporary phenomenon or if it has been ongoing for a while. If medical attention is necessary, it is advisable to prioritize visiting an otolaryngology clinic (ENT), as the ear specialist is responsible for evaluating dizzines...

[Read More] Persistent Dizziness and Hand Tremors: Seeking Medical Advice


Personalized Exercise Prescription Based on Fitness Assessment Results

Hello? B.M.I: 22.21 Flexibility: 21 Muscle Strength: 55 Cardiovascular Endurance: 66.67 Could you please provide me with an exercise prescription?


Dr. Kong Fanjin reply Physical Fitness
Flexibility is average, BMI is acceptable, and both muscle strength and cardiovascular endurance are excellent. Exercise prescriptions vary by individual, and it is not suitable to provide them online. I recommend visiting the Ministry of Education's physical fitness website...

[Read More] Personalized Exercise Prescription Based on Fitness Assessment Results


Understanding Physical Fitness: Key Components and Benefits

Physical Fitness What is Physical Fitness?


Dr. Kong Fanjin reply Physical Fitness
1. Translated as physical fitness, the components mainly include: 1. Body composition (height, weight, body fat percentage) 2. Muscle strength (sprints, sit-ups) 3. Cardiopulmonary function (aerobic exercise, long-distance running, long-distance swimming) 4. Flexibility. 2. For m...

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Flexibility Issues and Smoking Cessation: Insights and Solutions

Regarding flexibility and smoking cessation? 1. Since childhood, I have been unable to touch the ground with my fingertips when bending over, even after jogging and stretching. Is this related to flat feet, or do some people experience similar symptoms? 2. I live on the hillside...


Dr. Kong Fanjin reply Physical Fitness
1. Flat feet are not related; many people cannot touch the ground with their fingertips when standing with a forward bend, and I have always only been able to reach my instep. 2. Nicotine is a central nervous system stimulant. To overcome withdrawal symptoms during the initial p...

[Read More] Flexibility Issues and Smoking Cessation: Insights and Solutions