Medication consultation, Psychiatry FAQ

Medication Consultation for Anxiety and Panic Disorders: Safety and Usage

Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...

Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...

Medication Consultation for Psychiatric Concerns: Dosage and Side Effects

Medication consultation Dear Dr. Wu, I have the following questions: Q1. My mother is currently taking Alpraline (Alprazolam), with a fixed dose of 0.5 mg before bedtime. Could you please advise on the maximum number of tablets she can take in a day? Additionally, what are the ...

Dr. Wu Enliang Reply:
Q1. My mother is currently taking Alpraline, one tablet (0.5mg) before bed. Dr. Wu, what is the maximum number of tablets of Alpraline that can be taken in a day? Also, will taking too much cause side effects? A: It is recommended not to take too many; usually, just one tablet ...

Medication Consultation for Anxiety: Dosage Concerns and Safety

Medication consultation Hello doctor, I would like to ask about my current situation. I am taking half a tablet of Mirtazapine at night, and most of the time I feel fine. However, I occasionally experience some anxiety when I am nervous or feel unwell. Do I need to increase my do...

Dr. Wu Enliang Reply:
Hello, if you only experience anxiety occasionally when feeling nervous or unwell, it is considered normal anxiety and does not require medication. Overmedication typically leads to drowsiness. - Dr. Wu Enliang

Medication Consultation for Sleep Issues During Pandemic

Medication consultation for sleep issues? Hello, doctor. Due to the recent surge in the pandemic, there are some confirmed cases near my home, making it inconvenient to visit the hospital to consult my attending physician. I would like to ask about taking Mirtazapine 3 mg, Olanza...

Dr. Wu Enliang Reply:
The medication "Good Silence" is an anxiolytic that can indeed help some individuals reduce their anxiety levels and improve their sleep. However, the required dosage varies from person to person. Antidepressant medications cannot be used to infer the severity of depres...

Understanding Medication Consultation and Diagnosis in Psychiatry

Medication consultation and diagnostic issues? Two questions: First, the doctor mentioned that Depakote can enhance the effects of Lexapro, so could it be that patients with pure major depressive disorder or those who need Lexapro, who may also have anxiety disorders, might be pr...

Dr. Wu Enliang Reply:
Hello, netizen: First: The doctor said that Depakote can enhance the effects of Lexapro, so is it possible that patients with simple depression or those who need Lexapro, who may also have anxiety disorders, could be prescribed Depakote, which is primarily a mood stabilizer? A:...

Medication Consultation for Attention and Anxiety Disorders

Medication consultation Hello Doctor, I would like to ask about the medications I am currently taking: 1. Strattera (Atomoxetine) - one capsule after breakfast; 2. Mindset (Lisdexamfetamine); 3. Lyrica (Pregabalin). The main purposes are: 1. To address attention deficit; 2. To tr...

Dr. Liang Sunyuan Reply:
Hello Mr. Chuang: Strattera is primarily used to treat Attention Deficit Hyperactivity Disorder (ADHD). The other two medications have effects on treating depression and anxiety. Taking them together at the current dosage is generally safe. Whether to continue the medication is a...

Understanding ADHD: Insights on Medication Effects and Emotional Well-being

Attention Deficit Hyperactivity Disorder, Type 2 Hello Doctor: I have some questions I would like to ask you, and I will try to be brief to minimize wasting your valuable time. These questions may seem trivial to you, but they would be extremely helpful to me. Please make sure to...

Dr. Wu Menghuan Reply:
Hello: Q1. Medication Consultation: I would like to ask if it is normal to feel a bit better and more motivated after taking my medication (Concerta 54mg) today, and that things seem to go more smoothly? A1: Concerta contains Methylphenidate, which is used to treat Attention D...

Medication Consultation for Anxiety and Depression in Teens

Medication consultation Is Liyou suitable for adolescents under 18? Should it be taken 1 hour before bedtime? It is classified as a selective serotonin reuptake inhibitor (SSRI), which aims to increase serotonin levels, correct? Why is it called a reuptake inhibitor? My condition...

Dr. Peng Liyun Reply:
Hello~ I can sense your anxiety regarding medication, but most questions require an in-person consultation for a comprehensive assessment, such as which medication is suitable for you or whether you absolutely need to take medication, etc. I can explain that the mechanism of sele...

Managing Anxiety-Induced Insomnia: Medication Consultation and Alternatives

Sleep issues and medication consultation? Hello Doctor, due to anxiety and insomnia, I experienced weight loss in December. After seeing a doctor, I was prescribed Alprazolam 0.5mg (to be taken once at bedtime), and I have been taking it for over a month and a half now. My weight...

Dr. Qiu Junda Reply:
Hello. Alprazolam and SSRIs are different classes of medications. SSRIs are theoretically less addictive, but it is uncertain whether they can help with your sleep. Alprazolam, like other sedative-hypnotics, has the potential for addiction. It is not possible to immediately deter...

Managing Ventricular Premature Contractions: Medication Consultation Insights

Ventricular premature contractions, medication consultation? Hello, Doctor. I am experiencing ventricular contractions caused by autonomic nervous system dysregulation. I am currently taking 20 mg of Prozac (fluoxetine) twice a day and half a 5 mg tablet of Nortriptyline. Is this...

Dr. Liao Dinglie Reply:
Hello, user: The autonomic nervous system dysfunction has led to ventricular premature contractions (VPC). You are using Prozac (fluoxetine) and Nortriptyline, and it seems you have already undergone evaluations related to your heart and received psychiatric treatment. Regardin...

Managing Excessive Sleep Due to Mirtazapine: A Patient's Dilemma

Mirtazapine causing excessive sleep duration issues? Hello Doctor, this is Lin, a student who wrote to you recently. Fortunately, the issue regarding my ADHD medication has been resolved (the doctor is willing to prescribe Strattera for me to try). However, as I continue to take ...

Dr. Wang Yazhen Reply:
Hello, Lin: I see that you are very meticulous in addressing medication consultation opinions, which shows you are a diligent researcher. Mirtazapine generally allows the body to adapt to its effects and maintain stable results after administration. It is less common, as you ment...

Managing Schizophrenia: Medication Consultation and Side Effects

Schizophrenia, medication consultation? Hello Doctor, I am a patient with schizophrenia. I started experiencing symptoms around middle school, with negative symptoms appearing, and by high school, I began to have delusions, feeling that everything I saw and heard was a suggestion...

Dr. Wu Enliang Reply:
Hello, online user: It is quite rare for patients taking Otsuka's medications to experience fatigue and drowsiness, and when they do, it is usually a short-term issue. First, I would suspect whether there are other underlying causes, such as any medical conditions that might...

Managing Anxiety and Sleep Issues: Medication Consultation Insights

Medication consultation Hello Doctor, my husband has been experiencing anxiety, worry, and sleep disturbances due to some events that occurred last year. After encouragement from family and friends, he began seeing a psychiatrist in November. The doctor prescribed the following m...

Dr. Liang Sunyuan Reply:
Hello: 1. Currently, both Anxiolytic and Rifampicin are at low doses, and they should be able to be discontinued once the condition improves. 2. After improvement, it is advisable to stabilize for one to two weeks before gradually tapering off the medication, which should increas...