Interactions Between Eye Drops and Psychiatric Medications: What You Need to Know
Interactions between medications and drugs? Hello, Doctor. I am currently using "Alcon" Lumigan 0.03% eye drops (manufactured in Ireland). After my eye examination, the doctor informed me that I have early symptoms of glaucoma and that I need to continue follow-up visit...
Dr. Qiu Junda Reply:
Hello: The 10 mg Liyou film-coated tablets and the 50 mg Mirtazapine tablets contain anticholinergic components, which may cause side effects such as constipation, dry mouth, and blurred vision (though not everyone will experience these). Regarding concerns about glaucoma, you ha...[Read More] Interactions Between Eye Drops and Psychiatric Medications: What You Need to Know
Understanding HRV Testing for Autonomic Nervous System Disorders
Autonomic Nervous System Dysregulation HRV Assessment Hello Doctor, I am the person who asked question #191267. Thank you for the advice you provided. A few days ago, I visited a psychosomatic specialist and underwent a test for autonomic nervous system dysfunction (HRV). I had p...
Dr. Lin Mianzhang Reply:
Dear Ms. Chen, The three medications prescribed by your doctor are all intended to alleviate anxiety symptoms. Yuli Shupan and Kexianping are sedatives, while Xinlvding can help reduce heart rate. These medications are primarily "symptomatic treatments," meaning they c...[Read More] Understanding HRV Testing for Autonomic Nervous System Disorders
Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Drug withdrawal Hello, doctor. Due to work-related issues, I have been experiencing sleep deprivation for the past two weeks, waking up around 4-5 AM. I visited a psychiatrist to see if there were any solutions. The doctor used instruments to test and diagnosed me with mild auton...
Dr. Qiu Junda Reply:
Hello. Anxiolytic medications generally have fewer withdrawal issues (theoretically, they are less addictive). If there are withdrawal symptoms, they are likely related to sleep and anti-anxiety medications. However, improvement should typically be seen after about two weeks. Reg...[Read More] Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Jing'an Ning medication I have been experiencing tinnitus and during my treatment, the doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for another six mon...
Dr. Liang Sunyuan Reply:
Hello: Stopping medication when symptoms have not improved can indeed lead to anxiety, insomnia, and other symptoms. After resuming medication, it may sometimes take patience to wait for a period of time before stability returns. If there is still no improvement after adjusting t...[Read More] Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Understanding Withdrawal Symptoms from Jing An Ning: A Psychiatric Perspective
Jing'an Ning withdrawal syndrome I have been experiencing tinnitus and during the treatment, my doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for anothe...
Dr. Wu Enliang Reply:
The user, Gao Jing'an, is a short-acting anxiolytic medication that can lead to dependence with long-term use. It is recommended to discuss with your physician the possibility of switching to a long-acting medication to avoid severe withdrawal symptoms. Dr. Wu Enliang.[Read More] Understanding Withdrawal Symptoms from Jing An Ning: A Psychiatric Perspective
Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Autonomic Nervous System Panic Hello doctor, I have arrhythmia and premature contractions in my heart. I also feel a sense of pressure and tightness on one side of my neck, which often makes me feel like I can't get enough air. The lymph nodes in that area are swollen, and I...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Does Panic Disorder Affect Hospital Hiring for New Staff?
Will panic disorder affect the hiring of new personnel in hospitals? I have been attending anxiety/panic disorder outpatient clinics for a long time. Recently, I was hired as a general clerk at a hospital (not in direct contact with patients), but I am unsure if I will pass the n...
Dr. Li Jite Reply:
Due to the fact that the items in a typical employment health examination are usually not too complex, taking the medications you mentioned typically does not affect the results of blood tests. However, whether you can pass the health examination depends on the regulations of the...[Read More] Does Panic Disorder Affect Hospital Hiring for New Staff?
Understanding Depression Relapse: Insights on Medication and Recovery
Depression relapse Hello Dr. Lin, Thank you for taking the time to respond to me. This is my first relapse. I was first diagnosed with depression last July when I completely lost control of my emotions and broke down crying in the clinic. The doctor prescribed me 10 mg of Mirtaz...
Dr. Lin Mianzhang Reply:
Hello Daissy: It seems that you still have significant symptoms of depression. I recommend discussing with your physician whether to adjust your medication, as there is still room for modification. The medications you are currently taking, Mirtazapine and Duloxetine, are safe; ho...[Read More] Understanding Depression Relapse: Insights on Medication and Recovery
Understanding Mental Health: Concerns About SSRIs and Stress Management
Many worries? Doctor: I'm not sure if this is an illness or just a poor mindset; it might be due to high stress, which makes me feel anxious. I'm uncertain if the level of anxiety is within a normal range, but I feel completely fine during holidays. 1. If it were an ill...
Dr. Qiu Junda Reply:
Hello. I'm not sure if you have ever been treated with SSRIs (selective serotonin reuptake inhibitors) for depression. If you have used them, these medications can actually help prevent the shrinkage of the hippocampus, so there’s no need to worry. As for whether you should ...[Read More] Understanding Mental Health: Concerns About SSRIs and Stress Management
Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Obsessive-Compulsive Disorder (OCD) or Hypochondriasis? Hello, Doctor! Since the pandemic began, I've started to feel some anxiety. While I'm not as anxious about COVID-19 anymore, it seems that I've developed a form of obsessive cleanliness, constantly washing my ...
Dr. Lin Mianzhang Reply:
Hello Lily: It seems that you are really anxious, and I empathize with you! Your situation may be related to "illness anxiety disorder" or "obsessive-compulsive disorder," or possibly both. These conditions are associated with stress, especially since you star...[Read More] Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Safe Medication Choices for OCD: Avoiding Interactions and Risks
Obsessive-Compulsive Disorder Medication Supplement Consultation Hello Dr. Lin, thank you for your response. I would like to ask if there are any medication options for treating obsessive-compulsive disorder that do not interact with cardiovascular medications like aspirin and ca...
Dr. Lin Mianzhang Reply:
Hello JJ: The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (SSRIs). These medications can potentially affect coagulation function, with varying degrees of impact. It is advisable to regularly monitor coagulation function ...[Read More] Safe Medication Choices for OCD: Avoiding Interactions and Risks
Navigating Treatment Challenges for Family Members with Schizophrenia
Issues related to family members with schizophrenia seeking medical care? Hello Doctor, my mother is 56 years old. Her past medical history includes hypertension, and there is a family history of cancer. Her current condition started about a year ago with olfactory and visual hal...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic conditions such as diabetes and hyperte...[Read More] Navigating Treatment Challenges for Family Members with Schizophrenia
Struggling with Insomnia After Lorazepam: Seeking Expert Advice
I don't know what to do~ I hope the doctor can help me? The doctor prescribed Lorazepam 0.5 mg, and after taking it for over three months, I stopped the medication but developed insomnia. I never had insomnia before, and I deeply suspect that it was caused by the medication....
Dr. Wu Enliang Reply:
Hello, it's difficult to answer your question. There are many causes of insomnia. However, if you have been experiencing persistent insomnia without resolution, it might be a good idea to spend a night at a sleep center for a more accurate diagnosis, which will help in provi...[Read More] Struggling with Insomnia After Lorazepam: Seeking Expert Advice
Choosing the Right OCD Treatment for Patients with Cardiovascular History
Consultation for Medications in the Treatment of Obsessive-Compulsive Disorder (OCD) Hello Dr. Lin, I am 39 years old and have experienced obsessive-compulsive symptoms over the years, but I have never sought treatment from a psychiatrist until a few months ago when my mother pas...
Dr. Lin Mianzhang Reply:
Hello JJ: SSRIs do indeed increase the risk of bleeding, especially when combined with anticoagulants. However, their use is not an absolute contraindication for individuals with cardiovascular or cerebrovascular diseases. If a clinical assessment indicates the need for these med...[Read More] Choosing the Right OCD Treatment for Patients with Cardiovascular History
Struggling with Memory Loss After Taking Sleeping Pills: What to Do?
Taking sleeping pills can lead to temporary memory loss the next day? Hello doctor, I have been taking the sleeping medications prescribed by my doctor, Lepec and Ulotin, and I can't remember a single word the next day. What should I do? Also, I once took 4-5 tablets of Ulot...
Dr. Wu Enliang Reply:
Indeed, sleeping pills can cause short-term memory impairment while the medication is active, but memory typically returns to normal after the drug is metabolized. There are many causes of insomnia, so it is advisable to seek a professional medical diagnosis and treatment rather ...[Read More] Struggling with Memory Loss After Taking Sleeping Pills: What to Do?
Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
I'm not sure what to do~ I hope the doctor can help me? Your question: Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and developed insomnia, which I never experienc...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of stomach pain. Whether this is related to the medication Lorazepam requires a professional diagnosis by a physician. ...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Can long-term use of gastric medications cause frequent urination and insomnia? Hello Dr. Wu, I started taking PPIs (proton pump inhibitors), sympatholytics, and relaxants for my stomach issues in May. Since August, I've been experiencing urgency to urinate at night, waking ...
Dr. Wu Enliang Reply:
There is currently no clear scientific evidence to prove that long-term use of gastric medications causes insomnia. Initially, I believed that taking psychiatric medications would quickly resolve my insomnia, but the prescription for Apo-Paroxetine indicated that I must take it c...[Read More] Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Is rTMS an Effective Treatment for Insomnia?
Is rTMS effective for treating insomnia? Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and experienced insomnia, which I never had before. I deeply suspect that it is a ...
Dr. Qiu Junda Reply:
Hello. I don't have experience in this area and cannot share with you. However, rTMS (repetitive Transcranial Magnetic Stimulation) is primarily used to treat patients with treatment-resistant depression (currently out-of-pocket as it is not covered by insurance). It is rare...[Read More] Is rTMS an Effective Treatment for Insomnia?
Consultation on Medication Addiction and Tapering Strategies
Substance addiction counseling and medication tapering consultation? Hello, doctor. Over a year ago, I developed autonomic nervous system dysregulation due to anxiety disorder, and I am currently undergoing treatment. The medications I am taking include one tablet of Xyprexa in t...
Dr. Qiu Junda Reply:
Hello. Generally, sleeping medications do have the potential for addiction, and the sleep medication you are using falls into this category. Whether the dosage is too high varies depending on the condition, so please discuss this with your attending physician. If you wish to redu...[Read More] Consultation on Medication Addiction and Tapering Strategies
Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment
The side effects of 3 mg of Melatonin? Recently, I have been seeing a psychiatrist for my panic disorder, and my doctor has prescribed me 3 mg of Mirtazapine, one tablet in the morning and one in the evening. I found online that a potential side effect is a decrease in white bloo...
Dr. Yu Quanxun Reply:
Hello: It sounds like, in addition to the psychological phenomena you are experiencing, the medication is also causing you significant concern. However, it is uncertain whether you are feeling conflicted and struggling beyond just worry; perhaps you fear that a wrong choice will ...[Read More] Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment