Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Medical consultation The gastroenterologist prescribed Oprel for the treatment of irritable bowel syndrome, instructing me to take one 0.5 mg tablet after each of my three meals daily. After taking it for about two weeks, I stopped the medication and experienced two days of withd...
Dr. Qiu Junda Reply:
Hello. Regarding the discontinuation of Opipramol, it is best to taper off gradually. For example, start with half a tablet after each of three meals for 7 days. Once you have adjusted, switch to half a tablet in the morning and at night for 5 days. After that, change to half a t...[Read More] Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Understanding Nocturnal Auditory Hallucinations: When to Seek Help
It is uncertain whether it qualifies as a hallucination? Hello, occasionally I hear a voice calling my name from the door in the early morning, and sometimes there are two knocks on the door, but it only happens once and then stops. This wakes me up, and I have confirmed that my ...
Dr. Cai Qijin Reply:
Hello: Hypnagogic and hypnopompic hallucinations – These auditory hallucinations are associated with the brain being in a semi-dream state. The sounds may call your name or say short phrases, and they typically disappear upon waking, usually without significant concern. Insomnia ...[Read More] Understanding Nocturnal Auditory Hallucinations: When to Seek Help
Long-Term Use of Mirtazapine for Insomnia: Risks and Side Effects
Morus alba is used for insomnia? Is the antidepressant Mirtazapine used for insomnia safe for long-term use? Does it have more severe side effects? Can it cause an increase in blood sugar levels?
Dr. Lin Mianzhang Reply:
Hello, A-Cang: Mirtazapine can be taken long-term. Common side effects include increased appetite, weight gain, drowsiness, and constipation. More serious but less common side effects (occurring in less than 0.1% of patients) include blood cell reduction. If increased appetite du...[Read More] Long-Term Use of Mirtazapine for Insomnia: Risks and Side Effects
Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...[Read More] Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Managing Bipolar Disorder and Coexisting Health Conditions: A Guide
Bipolar disorder and various other conditions? Hello, doctor. I am 22 years old and this year I was diagnosed with type II bipolar disorder, type II diabetes, hypertensive heart disease, insomnia, and sleep apnea (I just completed a septoplasty last week). I smoke and have been d...
Dr. Qiu Junda Reply:
Hello. 1. If you plan to take Mirtazapine long-term to reduce the duration of depressive episodes, it is essential to discuss this with your physician, as Mirtazapine may trigger manic episodes (not just hypomania), which should be approached with caution. 2. Distinguishing life ...[Read More] Managing Bipolar Disorder and Coexisting Health Conditions: A Guide
Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Drug withdrawal? Hello, doctor. I originally had a sore throat that wouldn't improve for a long time. The clinic doctor suggested it might be gastroesophageal reflux disease (GERD), so I underwent an endoscopy, which showed mild GERD. I took medication for a month, but my th...
Dr. Wu Enliang Reply:
Netizens are open to relaxation training, psychotherapy, or other types of medication treatment. It is recommended to consult with a psychiatrist for discussion. Dr. Wu En-liang.[Read More] Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda Reply:
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Questions regarding the efficacy of Rifampin in treating physical symptoms? Hello Doctor: After being diagnosed in January this year, I began experiencing symptoms in February, such as severe insomnia, difficulty concentrating, dizziness, lightheadedness, slow focus switching bet...
Dr. Qiu Junda Reply:
Hello. Medications like Librium and other benzodiazepines have sedative effects, primarily aimed at improving insomnia in your case. They are unlikely to help with other issues such as dizziness, lightheadedness, or cognitive impairments. If there is no improvement in your insomn...[Read More] Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Managing Sleep Issues Linked to Medication: A Psychiatric Perspective
Due to issues related to medication? Doctor, I recently visited a urologist due to discomfort while urinating, and the doctor prescribed Mu Jing 1.5 mg. I later discovered that I can't sleep without taking Mu Jing. I researched online and found that discontinuing it can lead...
Dr. Lin Mianzhang Reply:
Hello: There are many reasons for insomnia. I'm not sure if your doctor has discussed the specific cause of your insomnia with you. Understanding the underlying reasons for insomnia is essential to address the issue appropriately, rather than just relying on sedatives or sle...[Read More] Managing Sleep Issues Linked to Medication: A Psychiatric Perspective
Is Using Nicotine for Focus in Studying a Safe Approach?
Is it appropriate to use nicotine in the short term to maintain focus while studying? I have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) since childhood. I am currently 22 years old. During high school, I felt very frustrated and insecure about my inabilit...
Dr. Qiu Junda Reply:
Hello. Nicotine is a central nervous system stimulant and is classified as an addictive substance. Long-term use generally has more adverse effects on both physical and mental health. I personally have doubts about the claim that nicotine can maintain focus while studying, as I h...[Read More] Is Using Nicotine for Focus in Studying a Safe Approach?
Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...
Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...[Read More] Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...
Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Dealing with Family Dynamics and Paranoia in Young Adults
Family interactions, paranoid delusions? I'm sorry to hear about your situation. It sounds like your cousin is exhibiting some concerning behaviors that may indicate underlying psychological issues. Given her history of trauma, such as being verbally and physically reprimand...
Dr. Yan Congyou Reply:
Hello: It sounds like your cousin's situation is causing you a lot of distress. Since a patient cannot be forcibly hospitalized without a diagnosis of a severe mental illness or a history of psychiatric hospitalization, it is advisable to first seek assistance from the local...[Read More] Dealing with Family Dynamics and Paranoia in Young Adults
Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Medication consultation My doctor prescribed me Esetam and Lorazepam, but Esetam has a side effect of insomnia. Would it be better if I take Lorazepam before bed? The doctor mentioned that I can take Lorazepam as needed. Is it true that Esetam can increase suicidal thoughts in in...
Dr. Lin Mianzhang Reply:
Hello, Xiao An: The side effects of medications can vary from person to person due to individual differences in physiology, so the side effects listed on the medication label may not necessarily occur in you. In my clinical experience, I often hear patients report feeling letharg...[Read More] Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Understanding ADHD: Medication Effects and Attention Challenges
ADHD-related issues Hello Dr. Wu, I am currently visiting the hospital for ADHD. I have been taking Strattera 25mg for 28 consecutive days, and I feel that there has been no improvement in my attention. I only feel that my heart is racing, which makes me uncomfortable, and my sex...
Dr. Wu Enliang Reply:
If you or your child experiences discomfort or insufficient effects from medication, please be sure to communicate this with your child and adolescent psychiatrist. There are many reasons for poor attention, such as depression, anxiety, and insomnia, which can all contribute to a...[Read More] Understanding ADHD: Medication Effects and Attention Challenges