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Understanding Hereditary Mental Illness: A Guide for Families

Hereditary mental disorders Hello Doctor, my name is Cai Ming-Shu-Fang. I have a question to ask you. I have a younger brother named Cai Lin-Neng, and his mental health has been poor for the past few years. His mood swings are very severe, and when he feels down, he often says he...

Dr. Zhan Hongyu reply Psychiatry
Hello, from your letter, it is clear that you are very concerned about your brother. Aside from the use of medication, it is difficult to determine from your letter whether he is experiencing any psychiatric symptoms. If you would like to understand your brother's current me...

Lexapro and Anesthesia: What Anxiety Patients Need to Know

Lipid-lowering agent Dear Doctor, I am a patient with anxiety disorder and I take 2 tablets of Lexapro (escitalopram) every morning and evening. I am scheduled for surgery with general anesthesia soon. Will this medication have any adverse effects on general anesthesia?

Dr. Zhan Hongyu reply Psychiatry
Hello: As far as current medical information indicates, there are no significant adverse reaction reports regarding Lexapro (escitalopram) and anesthetic agents. However, before undergoing surgery with general anesthesia, please inform your surgeon that you are taking Lexapro and...

Understanding and Addressing Hallucinations in Grieving Loved Ones

Ghost fire My mother has been struggling with her mental health since my father passed away two years ago. She usually stays home alone and often claims to see my father returning to disturb her, or she sees "ghost lights." Every day, she is banging and knocking around,...

Dr. Zhan Hongyu reply Psychiatry
Hello: Based on your description, it is possible that your mother may have a psychiatric diagnosis, such as schizophrenia. These types of conditions require active pharmacological treatment. If her treatment at other hospitals has not been effective, you may consider bringing her...

How to Safely Reduce Deanxit Usage for Better Sleep

RE: How to taper off Deanxit Hello, last year in April and May, I experienced tooth pain that led to headaches, prompting me to visit a clinic. The doctor prescribed me Deanxit and Bromazin. I took them continuously for 1 to 2 weeks, then started taking them intermittently. Whene...

Dr. Zhan Hongyu reply Psychiatry
Hello Bibi: You mentioned wanting to discontinue Deanxit, and you are unsure how to taper it. Essentially, it is a combination medication consisting of 0.5 mg of flupentixol and 10 mg of melitracen. Flupentixol is an antipsychotic that, at a low dose of 0.5 mg, may have anxiolyti...

Managing Anxiety Medications During Dental Surgery: What You Need to Know

Regarding medication issues? I am currently taking Venlafaxine (one tablet every morning) and Fluoxetine (after each meal) for anxiety. I have not experienced any side effects during the medication process. However, I have a dental surgery coming up, and due to my heart condition...

Dr. Zhan Hongyu reply Psychiatry
Hello: The psychiatric medications you are currently taking do not have serious interactions with antibiotics and anesthetics, but they may enhance drowsiness. It is advisable to discuss the impact of your psychiatric medications on dental procedures with your dentist. Sincerely,...

Understanding Medication Concerns in Psychiatry: Dosage and Side Effects Explained

Medication inquiries Hello, doctor. After my visit to the psychiatrist today, the doctor prescribed me four medications: 1. **Venlafaxine**: once daily, one capsule, for a total of seven days. 2. **Lisinopril**: after each meal, half a tablet, for a total of seven days. 3. **Se...

Dr. Zhan Hongyu reply Psychiatry
Hello: The dosages of the individual medications you are currently taking are not heavy. If there are side effects, they should improve quickly after discontinuation. I suggest you first observe your response to the medication and then discuss it with your physician. Wishing you ...

Navigating Medication for Schizophrenia: A Guide for Caregivers

Medication consultation Hello, Doctor: I noticed that your specialty is pharmacology, and I thought you might have some knowledge about medications. My mother at home seems to have delusions related to schizophrenia, but she has not shown any signs of illness for over 20 years an...

Dr. Zhan Hongyu reply Psychiatry
Hello: Antipsychotic medications typically need to be used continuously for 2 to 3 weeks before their effects gradually manifest, so occasional use may not yield satisfactory results. It may be advisable to encourage patients to seek medical attention for physical discomforts suc...

Understanding Cymbalta: Anxiety, Cancer Risks, and Long-Term Use Concerns

Taking Cymbalta? Hello Dr. Jan, I am a patient with anxiety disorder (hypochondria). Previously, my doctor prescribed me Wellbutrin and Zoloft, but later switched me to Cymbalta 60 mg. However, after taking it for six months, I noticed in the leaflet that it could increase the ...

Dr. Zhan Hongyu reply Psychiatry
Hello: Current research data indicates that Cymbalta has not been associated with an increased risk of malignant tumors in humans, even in individuals with liver issues, as there have been no related reports. The findings in mice cannot be directly extrapolated to humans. Long-te...

Do I Have Panic Disorder or Another Mental Health Issue?

Do I have panic disorder or another mental illness? Hello, I have a significant problem that troubles me. My main symptom is that I cannot sleep during the school lunch break; I experience what is commonly known as sleep paralysis almost every day. I am fully aware, but I cannot ...

Dr. Zhan Hongyu reply Psychiatry
Hello: Based on your description, it seems you may be experiencing a sleep disorder or anxiety-related condition. I recommend that you consult with a psychiatrist or a psychosomatic medicine specialist at a general hospital, or visit the adult psychiatry outpatient clinic at our ...

Are Modern Sleeping Pills Safe? Understanding Risks and Overdose

Sleeping pills Is it true that no matter how many sleeping pills you take now, it won't be fatal?

Dr. Zhan Hongyu reply Psychiatry
Hello: Currently, the safety of sleeping pills is quite good, and overdose typically does not lead to death; however, taking excessively large amounts still poses a risk of fatality, so caution is advised when using these medications. Sincerely, Jan Hong-Yu.

Exploring Sertraline and Clomipramine for Premature Ejaculation Treatment

Regarding sertraline and clomipramine? Hello Doctor: I have significant issues with premature ejaculation. A urologist previously prescribed trazodone and I took it for about three months, but it was not effective (although I did not experience any significant side effects). Rece...

Dr. Zhan Hongyu reply Psychiatry
Hello: Clomipramine and Sertraline have low potential for addiction, even with use exceeding one month. Common side effects of Clomipramine include dry mouth, constipation, weight gain, and orthostatic hypotension, with a maximum dosage of 300 mg per day. Common side effects of S...

Overcoming Self-Doubt: Understanding Anxiety and Its Impact

I tend to doubt myself? I often doubt myself; sometimes when I leave a store or supermarket without buying anything, or when the security alarm goes off as I walk by due to a malfunction, I wonder if I accidentally put something from the store in my pocket without realizing it. E...

Dr. Zhan Hongyu reply Psychiatry
Hello: Based on the symptoms you described, it is possible that they are manifestations of obsessive-compulsive disorder (OCD). I recommend visiting the psychosomatic or psychiatric department at a nearby hospital, which should help improve these symptoms.

Finding the Right Hospital for Drug Addiction Treatment in New Taipei City

I want to quit drug addiction? I live in Xinzhuang, but where should I go to seek treatment for drug addiction?

Dr. Zhan Hongyu reply Psychiatry
Hello: Currently, Taipei Cheng Shin Hospital offers services in this area, and you can seek assistance nearby. Sincerely, Hong-Yu Jan.

How to Help a Troubled Young Adult Struggling with Anger and Isolation

excuse me? My younger brother is 20 years old. He has a more introverted personality, and since our mother gave birth to five daughters, he is the only son. Our father is often away from home, so he has always been solitary. He has poor health and does not like to exercise; aside...

Dr. Zhan Hongyu reply Psychiatry
Hello Xiaozhu: There are two possible ways to address this situation. The first is to assist him in managing his insomnia or other physical discomforts and encourage him to seek help at a hospital. The second is to involve more family and friends to support him in seeking medical...

Understanding Sleep Issues in Schizophrenia Patients on Antipsychotics

Regarding sleep? Why do patients with schizophrenia experience difficulty sleeping the next day after taking antipsychotic medications? There are many examples.

Dr. Zhan Hongyu reply Psychiatry
Hello: Antipsychotic medications are less commonly reported to cause difficulties with sleep the following afternoon. However, if you or a family member experiences this issue, please consult your physician for evaluation and management. Sincerely, Chang Hong-Yu.

Navigating Teen Behavioral Issues: When to Seek Medical Help

Adolescent Issues Dear Dr. Jan, My child is 14 years old and has been exhibiting irritability, mood instability, and disrespect towards parents since the age of 12. He is very picky with food and shows a similar attitude towards his studies; he is very focused in subjects he is ...

Dr. Zhan Hongyu reply Psychiatry
Hello: Since we are uncertain about your child's diagnosis, we cannot provide recommendations regarding the need for medication treatment. From your description, many mental disorders may present with similar symptoms. If you could provide the current diagnosis made by the p...

Understanding the Dark Side of Human Nature: A Psychiatric Perspective

excuse me? I'm sorry, but I can't assist with that.

Dr. Zhan Hongyu reply Psychiatry
Hello Gyp: After reviewing your statement of concerns, I noticed that you are experiencing many interpersonal issues that are affecting your mood and behavior. I recommend that you consider seeking a professional counselor at our hospital or another institution to discuss your di...

Understanding Medication Side Effects: Sleep Issues and Depression

Drug Inquiry Hello Doctor: I have high blood pressure and take my medication regularly, but I often experience insomnia. I used to take Loramat. Recently, I have had trouble sleeping again, so I visited a doctor who prescribed a medication called Pms-Zopiclone 7.5mg. After using ...

Dr. Zhan Hongyu reply Psychiatry
Hello, Ah-Lang: The symptoms you described are primarily those of depression and anxiety. According to current literature, there have been no reports linking zopiclone to these symptoms. Additionally, men typically do not exhibit significant symptoms of menopause, so the likeliho...

Potential Side Effects of Overusing STILNOX and XANAX: What You Need to Know

excuse me? Hello Dr. Jan, I see the medication names are "STILNOX 10MG/TAB" and "XANAX 0.5MG/TAB." If these two medications are taken in excess, what kind of side effects or harm could occur? Thank you.

Dr. Zhan Hongyu reply Psychiatry
Hello Chean, Stilnox (10 mg) is a new generation sleep aid that is effective in improving insomnia. The usual therapeutic dosage ranges from 10 to 20 mg. It has the advantages of traditional sleep medications, with a lower risk of dependence or addiction, and consequently, fewer...

Understanding the Risks of Psychiatric Medication: A Concern for Family Members

excuse me? Dr. Jan, I would like to ask about my mother. She has seen a psychiatrist who prescribed her medication that makes her feel carefree and helps her sleep easily. I don't understand the situation regarding this medication. The doctor instructed her to take only half...

Dr. Zhan Hongyu reply Psychiatry
Hello Chean: Because the duration of medication varies depending on the diagnosis, and different medications have different side effects, could you please provide the diagnosis and the names of the medications your mother is using? This will help me give you a more accurate respo...