Managing Anxiety: Can I Alternate Medications for Better Results?
Medication inquiries? Hello! Due to anxiety disorder, the doctor prescribed Elysium (Escitalopram) and Xanax (Alprazolam) to be taken every night before bed. I have been taking them for two weeks. I am unsure how long the treatment will last and I am worried about the potential f...
Dr. Qiu Junda Reply:
Hello. The method of medication can vary from person to person in clinical practice. Therefore, whether you can take Eshoo every other day depends on your condition. If this regimen can still stabilize your symptoms, it might be worth trying. However, it is best to discuss this w...[Read More] Managing Anxiety: Can I Alternate Medications for Better Results?
Managing Bipolar Disorder: Medication Effects and Strategies for Relief
Medication issues Hello, Doctor. I was diagnosed with bipolar disorder about a month ago. The medications I have taken include Liyou, Amberning, Anlif, Xinluying, Andingwen, Lianduomian, and Youleding. I started taking Andingwen tablets two days ago, along with Xinluying three ti...
Dr. Lin Mianzhang Reply:
Hello KK: After taking your medication at noon, you may feel sleepy, possibly due to an increase in blood sugar levels after lunch and a decrease in cerebral blood flow. You are not alone; many people have experienced similar situations. Additionally, the close timing between you...[Read More] Managing Bipolar Disorder: Medication Effects and Strategies for Relief
Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms
Uncontrollable tics similar to Tourette syndrome? Hello, doctor. I am a patient diagnosed with anxiety disorder and recurrent major depression, and I am currently undergoing medication treatment. I take my antidepressants and various supplements at a fixed time every day. Last ni...
Dr. Qiu Junda Reply:
Hello. Tics should be evaluated to determine if they are a symptom or related to medication. You can consult with your physician during your follow-up appointment (there's no need to see other specialists at this time). If necessary, a referral to another specialty will be a...[Read More] Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms
Overcoming Swallowing Anxiety: Tips to Manage Your Fear of Choking
Phagophobia Recently, I choked on some rice while eating, and since then, I have developed a fear of eating. I find myself chewing for an excessively long time, almost to the point where it resembles vomit. I know that my prolonged chewing is due to my fear of choking, and I want...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. Even with the same diagnosis, different treatments may be necessary based on individual circumstances. It is recommended to co...[Read More] Overcoming Swallowing Anxiety: Tips to Manage Your Fear of Choking
Is Heart Palpitations Normal After Taking Ubiquinol for Anxiety?
Anxiety-induced palpitations? Hello Doctor: The psychiatrist prescribed me Ubiquinone to take one before bedtime, but after taking it, I feel palpitations. Is this normal? Because previously I was taking half a tablet and did not experience that sensation.
Dr. Lin Mianzhang Reply:
Hello, Yan Yi: If you experience palpitations after taking a capsule of Youbiqing, it may be a side effect of the medication. Typically, side effects can improve after taking the medication for a period of time (a few weeks). Therefore, you may choose to continue with this dosage...[Read More] Is Heart Palpitations Normal After Taking Ubiquinol for Anxiety?
Coping with Anxiety and Panic Attacks: Tips for Social Situations
What should I do if I easily feel anxious or tense? Hello, doctor. I have a problem with easily feeling tense, which often leads to panic, palpitations, and chest tightness. Because of this, I rarely go out with others. Recently, a friend invited me to go shopping at a department...
Dr. Lin Mianzhang Reply:
Hello Jennifer: It seems that your anxiety can reach a level similar to panic. During such times, it is advisable to slow down your breathing (the slower, the better) and try to use diaphragmatic breathing as much as possible. Once your breathing slows down, the physical discomfo...[Read More] Coping with Anxiety and Panic Attacks: Tips for Social Situations
Managing Attention Issues: Alternatives to Abilify and Coping with Side Effects
Add-related questions? Hello, Doctor. I would like to ask about medication. About one or two months ago, I visited a psychiatrist due to issues with attention and concentration. After listening to my description of the situation, the doctor prescribed me Atomoxetine. Initially, I...
Dr. Qiu Junda Reply:
Hello. Amphetamine-based medications such as Adderall or lisdexamfetamine can be used for ADHD. The side effects are generally similar. Nausea and discomfort can be alleviated by taking them with food. Additionally, experiencing anxiety in challenging situations is not strongly r...[Read More] Managing Attention Issues: Alternatives to Abilify and Coping with Side Effects
Managing Panic Attacks During Blood Pressure Checks: Tips for Patients
Anxiety Panic Disorder Hello Doctor: I am a patient with anxiety and panic disorder. Whenever I go to the hospital to have my blood pressure measured, I experience a panic attack because I worry that my blood pressure will spike. The more I worry, the more panicked I become, and ...
Dr. Wu Enliang Reply:
If you are experiencing panic attacks when measuring your blood pressure, it's best to avoid doing so for now. However, it is clear that your panic disorder has not been fully addressed. I recommend that you continue to collaborate closely with your psychiatrist and adhere t...[Read More] Managing Panic Attacks During Blood Pressure Checks: Tips for Patients
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
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?
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
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