Managing Multiple Medications: Safety and Interactions in Mental Health Treatment
Persistent Depressive Disorder (Dysthymia) and Generalized Anxiety Disorder? Psychiatry: Before bedtime, YOU-JET (SERTRALINE) 50 mg * 1 tablet, Eurodin 2 mg * 2 tablets, Zolpidem 10 mg * 2 tablets. Dermatology: At dinner, doxepin 25 mg * 2 tablets; before bedtime, doxepin 25 mg *...
Dr. Wang Yaoting reply Psychiatry
YOU-JET (sertraline) and doxepin are both classified as antidepressants. The combination of these two medications may slightly increase the risk of serotonin syndrome, but the likelihood remains low. If there are still concerns, it is advisable to consult a dermatologist to explo...[Read More] Managing Multiple Medications: Safety and Interactions in Mental Health Treatment
Managing Panic and Anxiety: When to Seek Medical Help Again
Panic and Anxiety Hello, doctor! I was diagnosed with panic disorder and anxiety during high school, and I underwent medication treatment at that time, even experiencing severe episodes that required emergency care. For the first one to two years of college, I felt normal and had...
Dr. Wang Yaoting reply Psychiatry
Hello Ms. Fang: The condition that was originally well-controlled has suddenly worsened without any specific events. It may be necessary to consider whether this is caused by endocrine or other bodily factors, such as thyroid dysfunction or mitral valve prolapse, among others. If...[Read More] Managing Panic and Anxiety: When to Seek Medical Help Again
Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Withdrawal symptoms from Yuankang? Hello Dr. Wang, I have been taking medication for depression for about 10 years. Initially, I was on a heavy regimen with multiple medications, but over time, I gradually reduced it to just taking Wellbutrin (Bupropion). About six months ago, a...
Dr. Wang Yaoting reply Psychiatry
The mechanism of action of "Yuekang 75mg" is to enhance the effects of central serotonin and norepinephrine. Withdrawal symptoms may occur upon discontinuation of the medication, such as dizziness, nausea, fatigue, and headaches. There have also been case reports of sym...[Read More] Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Understanding Reduced Tactile Sensitivity: Causes and Implications
Decreased tactile sensitivity? I would like to ask, these past few days I have felt that my body doesn't feel like my own. I often scratch or touch myself but don't feel much sensation, and my skin's sensitivity has significantly decreased. What could this conditio...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, it seems that you are experiencing a "decrease in somatosensory perception." This typically indicates a reduced responsiveness of the nervous system, leading to decreased sensitivity of the skin to temperature, pain, and touch. There co...[Read More] Understanding Reduced Tactile Sensitivity: Causes and Implications
Understanding Drug Interactions: Concerns with Antidepressants and Cold Medications
Medication consultation Hello, doctor. Recently, I have been taking Vistacap (venlafaxine) capsules, one each night. This morning, I felt some discomfort in my throat and drank Panadol (paracetamol) Fever and Cold drink, only to realize that it is not advisable to take cold medic...
Dr. Wang Yaoting reply Psychiatry
Hello: Wisenke capsules are the generic version of fluoxetine. The mechanism of action of this class of antidepressants is to inhibit the reuptake of serotonin at nerve endings, leading to an increase in serotonin levels in the brain. Serotonin syndrome is more likely to occur wh...[Read More] Understanding Drug Interactions: Concerns with Antidepressants and Cold Medications
Understanding Restless Legs: Insights on Mental Health and Diagnosis
Legs moving around? I experience this condition while sitting, and taking Ritalin hasn't significantly improved it. I have consulted a neurologist, but no issues were found. I would like to ask for your opinion, doctor. Additionally, do all patients with schizophrenia qualif...
Dr. Wang Yaoting reply Psychiatry
1. The movement of the legs may not necessarily be a side effect of medication; other conditions such as anxiety and physical health issues can also contribute to this. The specific medications you are taking, as well as the timing and frequency of the symptoms, can affect the as...[Read More] Understanding Restless Legs: Insights on Mental Health and Diagnosis
Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Bipolar disorder episode Hello, doctor. Question 1: Can medication control the onset of bipolar disorder? If not, what should be done? Question 2: Will it resolve on its own without medication? Question 3: How long does an episode typically last?
Dr. Wang Yaoting reply Psychiatry
1. During episodes of bipolar disorder, there may be "manic episodes" or "major depressive episodes." Typically, these episodes improve with medication treatment, though the duration varies from person to person, ranging from a few weeks to several months. If ...[Read More] Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Understanding Self-Talk: Is It a Sign of Mental Health Issues?
Soliloquy It's not auditory hallucinations, but does that indicate a mental health issue? Additionally, I want to mention that my home environment is not harmonious; my sister has a very bad temper, and as her older brother, I don't know how to interact with her. My par...
Dr. Wang Yaoting reply Psychiatry
Hello: "Talking to oneself," simply put, is when a person speaks to themselves. Some individuals do this in private without anyone else present, while others may do so in the presence of others but without a specific target audience. Self-talk can sometimes serve as a f...[Read More] Understanding Self-Talk: Is It a Sign of Mental Health Issues?
Understanding the Struggles of Depression and Anxiety: A Personal Journey
Depressive anxiety with feelings of dissociation? Engaging in a dialogue with my inner self, even to the point of arguing, I often find myself reflecting on what I'm doing. I remember everything clearly, yet I occasionally slip into this state of mind without realizing it. I...
Dr. Wang Yaoting reply Psychiatry
Based on your description, it seems that you have been experiencing depression and anxiety over the past six months. If you have had five or more of the following symptoms in the past two weeks: 1. Depressed mood: feeling unable to be happy, irritable, or down. 2. Diminished inte...[Read More] Understanding the Struggles of Depression and Anxiety: A Personal Journey