Is Long-Term Use of Multiple Medications Safe for Insomnia?
Severe insomnia? Psychiatry: Before bedtime: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * (1 tablet or half), Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 1 tablet. Dermatology: Lyrica (Pregabalin) 75 mg * 1 tablet, Xyzal 5 mg (for skin itching severe enough to...
Dr. Huang Xiaoxian Reply:
Dear Lotices, Currently, the number of medications you are taking is relatively high compared to the general population, particularly with regard to sleep medications such as Zolpidem and Flunitrazepam, which together should not exceed two pills. It is advisable to discuss any ...[Read More] Is Long-Term Use of Multiple Medications Safe for Insomnia?
Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Anxiety disorder or menopause? Hello doctor, my mother is currently going through menopause. She previously visited a clinic for anxiety and insomnia and hasn't taken medication for a long time. She often has a furrowed brow, even while watching dramas. Over the past year, s...
Dr. Huang Xiaoxian Reply:
Dear ttkk, it sounds like your mother is indeed experiencing some anxiety. Women going through menopause often face changes in their physiological state, which can contribute to anxiety. Additionally, at this age, they frequently confront issues related to the passage of youth an...[Read More] Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Am I Just Overthinking My Mental Health Issues?
I don't know if I'm just complaining without any real illness? Hello, doctor. Since middle school, I have felt that my study efficiency is very poor; it takes me a long time to read an article. However, due to my competitive nature, I am willing to spend a lot of time i...
Dr. Huang Xiaoxian Reply:
Dear lulala, it sounds like your emotional state has a significant impact on you, and I hope you don't feel like you're just complaining without reason. Generally speaking, foundational medications like bupropion can help improve mood fluctuations, so I recommend discus...[Read More] Am I Just Overthinking My Mental Health Issues?
Understanding Breathing Issues: When to Consult a Psychosomatic Specialist
Respiratory issues Hello Doctor: My symptoms started at the end of February this year. I have a constant urge to take deep breaths, inhaling and exhaling deeply; if I don't do this, I feel a tightness in my chest. At that time, my heart rate was very fast (140 bpm during the...
Dr. Huang Xiaoxian Reply:
Dear Jason, based on your description, it seems to align with the symptoms of psychosomatic disorder. Most people who become overly focused on their breathing tend to experience an increase in their breathing rate, which can lead to discomfort. This excessive focus often stems fr...[Read More] Understanding Breathing Issues: When to Consult a Psychosomatic Specialist
Should I Seek Help for My Mental Health Struggles?
Should I seek medical attention? Hello Doctor: For the past two years, I have been experiencing unexplained bouts of anger, a lack of interest in anything, and a reluctance to go to work. I don't feel like talking and avoid conversations with friends or family. I've bee...
Dr. Huang Xiaoxian Reply:
Dear Raven, it seems like it's been a while since you mentioned your situation. If you're unable to adjust on your own in a short period of time, I recommend seeking evaluation from a mental health professional to shorten the duration of your distress and to prevent rec...[Read More] Should I Seek Help for My Mental Health Struggles?
Managing Sleep Issues and Mental Health: Strategies for Stress Relief
Sleep issues, bipolar disorder, stress-related problems? Hello Doctor, I am currently studying at a university in Japan, but I am stuck in Taiwan and unable to return to my studies. I am taking online courses, and the daily stress is overwhelming due to the large number of report...
Dr. Huang Xiaoxian Reply:
Dear Sammi, Thank you for your question regarding insomnia. It can indeed be challenging to address when faced with life stressors, and it's common for dreams to increase during such times (dreams are a physiological mechanism by which our brain attempts to process emotion...[Read More] Managing Sleep Issues and Mental Health: Strategies for Stress Relief
Is Stress Causing My Physical Symptoms? Understanding Mental Health Impact
Is this caused by stress? Hello doctor, I was partially forced into anal intercourse by my ex-boyfriend recently. Although my menstrual period has come, and I have seen a gynecologist, I still feel uncomfortable in my body and am very worried about the possibility of pregnancy. M...
Dr. Huang Xiaoxian Reply:
Dear Vivian, thank you for your question. I can tell that this experience has been very distressing for you, and you are understandably concerned about the possibility of pregnancy. Although objective information indicates that the chances of pregnancy are low, it’s natural to st...[Read More] Is Stress Causing My Physical Symptoms? Understanding Mental Health Impact
Understanding the Challenges of Diagnosing Mental Health Issues
The doctor is unable to determine whether there is a genuine mental health issue? Hello doctor, I started experiencing auditory hallucinations and delusions at the age of 23, but at that time, I didn't believe I was ill. My family forced me to seek medical help, and the doct...
Dr. Wang Zhenyang Reply:
Hello, online user: It sounds like some of your symptoms are indeed troubling you, but it seems that the doctors have not yet been able to resolve your issues. I recommend that you find a physician to regularly follow up with, so that they can truly understand your problems and p...[Read More] Understanding the Challenges of Diagnosing Mental Health Issues
Understanding Insomnia and the Risks of Lendormin Use
Insomnia and Sleeping Pills I'm sorry, doctor, I would like to ask you some questions. I previously visited a doctor and was diagnosed with autonomic nervous system dysfunction. During this time, I feel that I don't have any particular stress, and I exercise regularly, ...
Dr. Qiu Junda Reply:
Hello. There are many causes of insomnia, and stress is one of the common reasons. However, sleep issues can also occur without any specific stress. Most sedative-hypnotic medications have the potential for addiction, and Lendormin 0.25 mg is no exception. Nevertheless, if treatm...[Read More] Understanding Insomnia and the Risks of Lendormin Use
Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Zanax for sleep assistance? Hello Doctor, I have previously been diagnosed with Generalized Anxiety Disorder due to my inability to attend school, severe hand tremors, and insomnia. Later, another doctor diagnosed me with Adjustment Disorder with anxiety and worry. I then consult...
Dr. Wu Enliang Reply:
Hello, user: Zolpidem itself should not cause insomnia and anxiety; it likely refers to the body's dependence that may develop from long-term daily use, which can lead to insomnia and anxiety. Your anxiety symptoms should not be managed solely with sedatives; it is advisable...[Read More] Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Ampernix medication I would like to inquire about the long-term side effects of using Ambien. If there are any, does long-term use affect sperm count in men who are planning to have children?
Dr. Wu Enliang Reply:
Hello, netizen: The main side effect of sedative-hypnotic medications like Ambien is the development of dependence. When not used, individuals may experience anxiety and insomnia. It is recommended to use them only when necessary, such as during episodes of anxiety, and not on a ...[Read More] Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Medication issues Hello doctor, I have been experiencing insomnia recently and visited a psychiatrist. I also have symptoms of chest tightness and anxiety. The doctor prescribed me propranolol 10mg, aripiprazole 5mg, fluoxetine 20mg, rivopam 2mg, mocalm, and zolpidem 10mg. Is it ...
Dr. Qiu Junda Reply:
Hello. These are all psychiatric medications. Since you have already consulted with a psychiatrist, the doctor should be treating your condition. I hope you can cooperate with the treatment. If you have any concerns after starting the medication (such as side effects, effectivene...[Read More] Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Overcoming Mental Stress: A Journey from Isolation to Healing
Psychological stress I am 26 years old. Last August, I interned as a part-time worker at 7-11, but my boss recently said that there are too many part-time workers and asked me to find another job. My parents keep asking why I need to find work again, constantly reminding me that ...
Dr. Lin Mianzhang Reply:
Hello, Yaya: It seems that you are facing quite a few challenges at work, and the psychological stress is really significant. It’s tough to bear so much pressure alone, especially without a channel to express your feelings. Considering seeing a psychologist is a very positive ste...[Read More] Overcoming Mental Stress: A Journey from Isolation to Healing
Understanding PTSD: Managing Panic and Anxiety After Trauma
Post-Traumatic Stress Disorder (PTSD) Previously, I experienced generalized anxiety disorder due to a stressful situation, which lasted only 2-3 days without recurrence. However, on May 22, I was startled by an event, which caused daily panic attacks that last about 2 hours each....
Dr. Wu Enliang Reply:
1. Some say that medical attention is only needed if the situation lasts more than a month. Is that true? If emotional distress is unbearable and affects daily life, seeking medical help is advisable, regardless of the one-month timeframe. 2. The psychiatrist prescribed me Sert...[Read More] Understanding PTSD: Managing Panic and Anxiety After Trauma
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Overcoming Interview Anxiety: Strategies for Job Seekers
Interview pressure and fear? Hello, Doctor. As the title of the article suggests, I am currently struggling with the fear of interviews while being unemployed. Most people feel pressure and fear due to prolonged unemployment, but since I just finished my last job and have not yet...
Dr. Huang Xiaoxian Reply:
Dear figarowhat, I apologize for the late response regarding your inquiry. It is indeed a concern that many people face. Generally speaking, when individuals encounter challenging situations, there is an instinctive response of fight or flight, which is accompanied by the reflexi...[Read More] Overcoming Interview Anxiety: Strategies for Job Seekers
How to Support a Partner with Paranoia and Mental Health Issues?
My girlfriend is exhibiting moderate symptoms of paranoid delusions (schizophrenia). How can I gently guide her towards seeking medical help? I have been in a relationship with my girlfriend for over four years, but due to my studies abroad, I have been unable to closely monitor ...
Dr. Liang Sunyuan Reply:
Hello Mr. Zheng, based on her symptoms, it seems she needs to seek medical attention. It is advisable to encourage her in a way that she can accept, such as discussing her symptoms like insomnia, restless sleep, or muscle tension, and see if these physical symptoms can motivate h...[Read More] How to Support a Partner with Paranoia and Mental Health Issues?
Understanding Emotional Turmoil: Navigating Mood Swings and Mental Health
Emotional fluctuations? Hello, doctor. About a year ago, I started feeling down due to various pressures and setbacks, and I haven't had a single good day since then. Initially, I only felt sadness and low spirits from the stress and blows I faced. Now, my emotions have beco...
Dr. Guo Jialun Reply:
"Emotional fluctuations, changes in sleep or appetite are common experiences for most people and are related to factors such as stress and hormonal changes (e.g., the female menstrual cycle). If these issues severely impact daily functioning, such as persistent difficulties ...[Read More] Understanding Emotional Turmoil: Navigating Mood Swings and Mental Health
Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Ativan 0.5 mg, 8 tablets? The current medications being taken include Escitalopram 10mg, Doxepin 25mg twice, Pregabalin 75mg twice, Metformin 500mg, Tamsulosin 0.2mg, and Ativan 0.5mg eight times a day. I would like to ask if the dosage of Ativan 0.5mg taken eight times, prescrib...
Dr. Cai Qijin Reply:
Ativan is commonly used to relieve symptoms of anxiety, panic, and insomnia, with an average daily dosage of 2-4 mg. Your current daily dosage of 4 mg is within the normal range. If you have any questions about the medication, it is advisable to discuss them with your physician.[Read More] Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Managing Academic Pressure: Understanding Anxiety and Depression in Students
Learning and Stress I am currently a student and I once studied extremely hard for the junior high school entrance exam. I truly mean that I was studying to the point of exhaustion. From the start of my preparation until the day of the exam, I actually slept no more than two hour...
Dr. Wu Enliang Reply:
If you are worried that you might be suffering from depression, it indicates that your mental and physical condition is struggling to cope with stress. It is advisable to seek help. If possible, let your parents know about your recent mental and physical state. Alternatively, you...[Read More] Managing Academic Pressure: Understanding Anxiety and Depression in Students