Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
Inquire about the differences between medications? Hello Doctor: I have depression and am currently taking Lexapro and Cymbalta (not at the same time). I later discovered that the two medications have different active ingredients, but both can serve as fundamental treatments for ...
Dr. Qiu Junda Reply:
Hello. Both of these medications with different ingredients can be used as treatments for depression because they are both SSRIs (Selective Serotonin Reuptake Inhibitors) that help prevent low serotonin levels in the body. The efficacy and side effects are theoretically not signi...[Read More] Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
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?
Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medication Consultation Hello Doctor, I have severe panic disorder. In early 2020, I took Escitalopram (5 mg) for six months, but after stopping the medication, my symptoms recurred. At the end of 2021, I started taking Escitalopram (5 mg) again, and I have been on it for almost ...
Dr. Lin Mianzhang Reply:
Hello A-Leh: This medication is very safe for long-term use, so you can take it with confidence. However, I want to remind you that regardless of the medication you are taking, it is essential to inform your physician about all the medications you are currently using whenever you...[Read More] Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medications for Panic Disorder: Which Contain MAO Inhibitors?
Medications for panic anxiety disorder that include monoamine oxidase inhibitors (MAOIs) are as follows: 1. Phenelzine (Nardil) 2. Tranylcypromine (Parnate) 3. Isocarboxazid (Marplan) These medications are used to treat depression and anxiety disorders, including panic disorde...
Dr. Qiu Junda Reply:
Hello. The medications you mentioned are not monoamine oxidase inhibitors.[Read More] Medications for Panic Disorder: Which Contain MAO Inhibitors?
Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Excessive worry leading to some anxious behaviors? Hello, Doctor. Since the pandemic worsened in 2022, I have been increasingly worried about contracting the virus. I've heard many negative experiences from those who tested positive, and everyone says it's better to avo...
Dr. Wu Enliang Reply:
Hello everyone: It is recommended to maintain a regular lifestyle, as the benefits include not having to worry about unpredictable or uncontrollable events. Engage in activities you enjoy, such as exercising, listening to music, taking baths, practicing yoga, doing stretching exe...[Read More] Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...
Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...[Read More] Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Coping with Panic Attacks and Anxiety After Betrayal: A Healing Journey
Panic disorder with multiple episodes daily, accompanied by muscle cramps, anxiety, and depression? I would like to consult a doctor because my partner, with whom I have been together for 13 years, had an affair and spent a night with someone else while I was at work. After I dis...
Dr. Bao Zhijia Reply:
It seems that you have already consulted a physician regarding your concerns. Both medication and psychotherapy are excellent recommendations, and given the severity of the symptoms you described, pharmacotherapy may be essential. Of course, a combined approach of medication and ...[Read More] Coping with Panic Attacks and Anxiety After Betrayal: A Healing Journey
Understanding the Interaction Between Methylphenidate and Paliperidone
The issue of co-administration of Methylphenidate and Paliperidone? Hello, doctor. I have been diagnosed with depression and ADHD. Before receiving the long-acting injection of Strattera, I found the effects of Ritalin (both short-acting and long-acting formulations) to be effect...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about the interaction between L-theanine and antipsychotic medications may not be beneficial for your condition. 1. Facing an uncertain future, ps...[Read More] Understanding the Interaction Between Methylphenidate and Paliperidone
Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Inability to concentrate on tasks, accompanied by cold sensations in the body and dizziness? Hello, doctor. I am currently seeing an endocrinologist and a neurologist. I have been on medication for about a year (for diabetes, lipid lowering, blood pressure, and heart rate). I am ...
Dr. Qiu Junda Reply:
Hello. The symptoms described are more indicative of anxiety and tension. It may be related to some stress you are experiencing. I recommend that you follow up with the endocrinology and neurology departments, where you can discuss this situation with your physician. After evalua...[Read More] Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Understanding Medication for Anxiety and OCD: Key Considerations
Medication consultation Hello Doctor, I have been experiencing symptoms of panic, anxiety, and obsessive thoughts for 20 years. I received treatment 10 years ago, during which the doctor prescribed Lexapro along with exercise. After about a year, I was able to work and socialize ...
Dr. Lin Mianzhang Reply:
Hello: This medication does not conflict with cold medications. Does the note on your prescription indicate that you have had an allergy to cold medications in the past? The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (S...[Read More] Understanding Medication for Anxiety and OCD: Key Considerations
Managing Anxiety Medication: Side Effects and Drug Interactions Explained
Anxiety disorder medication change? Hello Doctor, I have been on medication for anxiety for three years. Recently, due to issues with libido, I switched from the SSRI Escitalopram (Escipro) to the NDRI Bupropion (Buporin) about a month ago. In the past few days, I have started to...
Dr. Wu Enliang Reply:
If the symptoms have appeared after taking the medication for more than a month, it is less likely to be a side effect of the drug, as side effects typically occur shortly after starting the medication. During the period of taking Escipro, continuing to take Vetawon generally doe...[Read More] Managing Anxiety Medication: Side Effects and Drug Interactions Explained
Can I Take Famotidine with Sertraline and Venlafaxine Together?
Can I take Famag tablet 20 along with Jing An Ning and Yue Kang? I have symptoms of gastroesophageal reflux disease (GERD) and anxiety. The GERD has been more severe lately, but I consistently take Jing An Ning and Yue Kang before bed. My gastroenterologist prescribed me 20 mg of...
Dr. Xue Gengming Reply:
It is advisable to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can I Take Famotidine with Sertraline and Venlafaxine Together?
Understanding Withdrawal Symptoms and Medication Stability in Psychiatry
Medication issues Hello Doctor, I would like to ask if there are withdrawal symptoms associated with Jing An Ning and Mei Shu Yu. I have noticed that I seem to have trouble sleeping without these medications. Additionally, I left the medication in the trunk of my car for about fi...
Dr. Yan Congyou Reply:
Hello, A-Leh: The two medications you mentioned can be used without withdrawal symptoms when discontinued under a physician's guidance. Please do not adjust the dosage or stop the medication abruptly. The medications should not degrade when exposed to the temperature of a tr...[Read More] Understanding Withdrawal Symptoms and Medication Stability in Psychiatry
Understanding Involuntary Hospitalization for Anxiety Disorders
Involuntary hospitalization Hello, doctor. I have a friend who suffers from anxiety disorder. Recently, his anxiety has relapsed, and he had an impulse to take pills. However, he managed to suppress it and called others for help. The night before last, he suddenly lost control an...
Dr. Wu Kunhong Reply:
Treatment options for mental illnesses include emergency care, outpatient services, home treatment, and inpatient care. Your friend should seek an evaluation from a trusted psychiatrist to adjust medications and choose the appropriate treatment method. Wishing you all the best. D...[Read More] Understanding Involuntary Hospitalization for Anxiety Disorders
Overcoming Challenges in Medication Reduction for Insomnia Treatment
Encountering setbacks in medication reduction? Hello doctor, I have been experiencing insomnia (difficulty falling asleep) since March 2022. I visited a psychiatrist who prescribed medication for me to take before bed. Currently, I am taking 1 mg of Zolpidem (Ambien) and 0.5 mg o...
Dr. Lin Mianzhang Reply:
Hello Ms. Chen: 1. Jing'an Ning and Keqianping are both sedatives, and prolonged use can lead to dependence. 2. It appears that you are experiencing rebound insomnia. We should continue to observe or adjust the medication based on your tolerance level. If you can accept you...[Read More] Overcoming Challenges in Medication Reduction for Insomnia Treatment
Managing Mood Disorders: Navigating Medication Side Effects and Adjustments
The medication doesn't seem to be effective, and increasing the dosage makes me feel uncomfortable? Hello, doctor. I am being treated for bipolar disorder and I am taking half a tablet of Lurasidone along with other medications for anxiety and heart rhythm. Last week during ...
Dr. Tang Jiahong Reply:
According to the lurasidone prescribing information, the incidence of dizziness at doses of 20mg, 40mg, and 80mg is 6%, 4%, and 4%, respectively. The incidence of drowsiness at these doses is 15%, 16%, and 15%. If symptoms resolve upon discontinuation of the medication and reappe...[Read More] Managing Mood Disorders: Navigating Medication Side Effects and Adjustments
Struggling with Sleep: Early Waking After Medication Changes
Going to bed before 11 PM and waking up very early? If you are taking medication and find that you can fall asleep easily but wake up before 2 AM, whereas previously you could sleep until at least 6 AM, this could indicate a problem. You mentioned that you have been prescribed ps...
Dr. Qiu Junda Reply:
Hello. There are various options for sleep medications in the field of psychosomatic medicine. The effectiveness of these medications, including the duration of sleep, varies from person to person. If you find that you still frequently wake up and do not sleep for long periods af...[Read More] Struggling with Sleep: Early Waking After Medication Changes
Understanding Anxiety: When to Seek Help for Emotional Turmoil
Anxiety disorder-related issues? Hello, doctor. I am a university student. During high school and college, I have sought help from a mental health specialist due to issues with insomnia, anxiety, palpitations, and self-harm. I have been taking medications such as Abilify, Sertral...
Dr. Wu Enliang Reply:
Netizens, could it be that anxiety and depression have recurred? It is indeed advisable to seek medical attention. Dr. Wu Enliang.[Read More] Understanding Anxiety: When to Seek Help for Emotional Turmoil
Managing Panic Disorder: Understanding Symptoms and Treatment Options
Anxiety Panic Disorder Hello, Dr. Wu. I often experience chest tightness and difficulty breathing. In the mornings, about ten minutes after I wake up, I start to feel dizzy and nauseous, along with bloating. Every day, I have a sensation of tightness in my shoulders and neck, and...
Dr. Wu Enliang Reply:
Netizens are unsure why some people stop using Paxil (Paroxetine). Is it due to side effects? After the first-generation SSRI Paxil, many medications with fewer side effects and potentially better efficacy have been introduced. Xanax (Alprazolam) is a medication that provides tem...[Read More] Managing Panic Disorder: Understanding Symptoms and Treatment Options
Managing Insomnia, Memory Loss, and Attention Issues: A Guide
Insomnia, forgetfulness, and poor attention issues? Hello, I have been experiencing insomnia for a while, and I've noticed a decline in my attention and memory. I'm unsure how to address this. Recently, I've often struggled to recall certain people, events, or term...
Dr. Wu Enliang Reply:
1) Should sleep medications be increased? Please consult your physician regarding medication adjustments. However, if there are no issues with anxiety, depression, or sleep hygiene, a sleep study is recommended. 2) Is there a way to recover from memory and concentration impairmen...[Read More] Managing Insomnia, Memory Loss, and Attention Issues: A Guide