Managing Anxiety and Sleep Issues: Tips for Students Facing Exams
Anxiety disorder with panic concerns? Hello, Doctor. Ever since I received my midterm exam results last month, which were very disappointing, I have been worried about failing. Additionally, there is an upcoming exam in a subject I am not good at, making it hard for me to concent...
Dr. Wu Enliang Reply:
If your anxiety is this severe, it is advisable to seek help from a nearby mental health facility. Short-term use of some anxiolytic medications may help you get through this difficult time, allowing you to have the energy to manage your current stress. - Dr. Wu En-Liang[Read More] Managing Anxiety and Sleep Issues: Tips for Students Facing Exams
Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Side effects of Jinfusu? Hello Dr. Lee: I have been taking Risperidone for 16 years, but after a miscarriage in 2020, my menstrual cycle has been irregular. Blood tests at the obstetrics and gynecology department showed elevated prolactin levels. Could this be caused by taking Ri...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to irregular menstruation and elevated prolactin levels. Whether this is related to the medication Cabergoline requires a professional diagnosis. 1. Facing an uncertain future, s...[Read More] Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Are the Side Effects of Sleep Medications Reversible?
Are the side effects of sleeping pills reversible? I have been having trouble sleeping lately, and I need to wake up early in the morning. The doctor prescribed me Ulotaront and Lurasidone, but I feel like they affect my cognitive abilities and memory. Are these side effects reve...
Dr. Yu Quanxun Reply:
Hello: It sounds like the situation you are experiencing is affecting your life and may be causing you concern and distress. There are many factors that could lead to limitations in memory and cognitive function (such as sleep disorders, mood disorders, anxiety disorders, psychot...[Read More] Are the Side Effects of Sleep Medications Reversible?
Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Am I really not suitable for taking SSRIs? The doctor would like to ask you: I have panic disorder and recently I was taking ERA long-acting sleeping pills and antiarrhythmic medication before bed. However, I informed my doctor that I felt unusually fatigued and heavy in the body...
Dr. Liang Sunyuan Reply:
Hello Xiao An: If you experience discomfort after changing your medication, it is advisable to discuss it with your physician during your follow-up appointment. Your feelings and discomfort are clearly expressed in your message, and I believe the doctor will understand and make a...[Read More] Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Understanding Bipolar Disorder: Managing Medication Side Effects
Bipolar disorder medication side effects Hello, doctor. I have been diagnosed with bipolar disorder and have been taking apo-divalproex 500 mg, three times a day, for about six months. Recently, I have experienced symptoms such as dizziness, vomiting, and loss of appetite. I am c...
Dr. Qiu Junda Reply:
Hello. Side effects of medications are usually noticed shortly after taking them and are less likely to occur after six months of use. However, it is important to monitor liver function while on this medication. It is recommended that you return to your physician for an evaluatio...[Read More] Understanding Bipolar Disorder: Managing Medication Side Effects
Understanding the Differences Between Qian You Jie and Wan You Ting in Psychiatry
"Qian You Jie" and "Wan You Ting" are two different traditional Chinese herbal formulas used for managing anxiety and stress. "Qian You Jie" is typically formulated to alleviate various forms of anxiety and emotional distress, focusing on calming t...
Dr. Wu Enliang Reply:
Netizens often discuss medications with the same active ingredients produced by different pharmaceutical companies. Dr. Wu En-Liang.[Read More] Understanding the Differences Between Qian You Jie and Wan You Ting in Psychiatry
Switching Medications for Schizophrenia: Feasibility and Hospitalization Needs
The issue of switching medications for schizophrenia? Hello, doctor. I have a problem with schizophrenia and have been taking Clozaril for several years. I do not want to continue taking clozapine. I would like to know how feasible it is to switch to other medications. Would chan...
Dr. Wu Enliang Reply:
Why do netizens not want to take it? Are there side effects? It is not easy to switch to another medication, and it is generally recommended not to change. If a change is necessary, consider hospitalization or weekly follow-up visits. Dr. Wu Enliang.[Read More] Switching Medications for Schizophrenia: Feasibility and Hospitalization Needs
Understanding Medication Withdrawal in Bipolar Disorder Treatment
Drug withdrawal Hello Doctor, 1. I was diagnosed with bipolar disorder six months ago, which I believe was triggered by my habitual alcohol abuse. During a drinking episode, I had a disagreement with my family and broke a glass in the house, which led to me being forcibly hospi...
Dr. Qiu Junda Reply:
Hello. I also hope you do not stop your medication on your own. However, the three medications you mentioned theoretically do not have addictive properties. The one that is more likely to help with sleep is: Quetiapine extended-release film-coated tablets 200 mg. You may try taki...[Read More] Understanding Medication Withdrawal in Bipolar Disorder Treatment
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Autonomic Nervous System Dysfunction Hello Doctor, I recently experienced what I suspect was a panic attack, which led to a sensation of heart palpitations (normal rate) while sitting or lying down throughout the day, affecting my sleep. I underwent an echocardiogram, a 24-hour H...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your panic disorder and sleep-related issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chron...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Understanding Erectile Dysfunction Linked to Anxiety Medication
Panic-induced erection A few months ago, I visited a psychiatrist and learned that I have anxiety and panic disorder. After starting medication, I have experienced very few episodes. However, I have now noticed that I am unable to achieve a full erection; it has become partially ...
Dr. Qiu Junda Reply:
Hello. Erectile dysfunction and other sexual function issues need further evaluation to clarify whether they are caused by a mental disorder or are side effects of psychiatric medications. Please discuss with your attending physician (and you may also consult a urologist) about h...[Read More] Understanding Erectile Dysfunction Linked to Anxiety Medication
Understanding the Interaction Between Inderal and Midodrine in Mental Health Care
Inderal (propranolol) and Midodrine are medications used Hello, Doctor: My father has suffered from brain injury due to a car accident for 20 years and holds a severe mental disability certificate. He has been taking Inderal for about ten years. Since the end of 2020 to 2021, he ...
Dr. Wu Enliang Reply:
Why do people take Inderal? If it's not absolutely necessary, it should definitely be discontinued. Dr. Wu En-Liang[Read More] Understanding the Interaction Between Inderal and Midodrine in Mental Health Care
Can Mild Hyperthyroidism Cause Delusional Disorders?
Can mild hyperthyroidism cause delusional disorder? Hello, Doctor. I would like to ask about my wife. Her T3 and T4 levels are normal, but her TSH is low. An endocrinologist mentioned that this is subacute hyperthyroidism, but she also exhibits symptoms of delusional disorder. Sh...
Dr. Liang Sunyuan Reply:
Hello: If the hyperthyroidism is mild and being treated, it should not cause symptoms of delusion. When psychiatric symptoms are caused by thyroid abnormalities, the thyroid dysfunction is usually significant, and the psychiatric symptoms will improve after the thyroid condition ...[Read More] Can Mild Hyperthyroidism Cause Delusional Disorders?
Overcoming Lorazepam Withdrawal: A Guide for Long-Term Users
Withdrawal from Lorazepam (Evergreen You-Ran Tablets) Hello Dr. Wu, I have been taking Lorazepam for several years. I take one 1mg tablet every night before bed, and while I have intermittently used it for the past 10 years, I have been taking it every night for the last 4 years...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Withdrawal symptoms can be quite uncomfortable. If one relies on willpower without medication, how long will it take for the symptoms to alleviate? A: It varies from person to person. 2. Besides taking one pill every two days, are there better ways to manage wi...[Read More] Overcoming Lorazepam Withdrawal: A Guide for Long-Term Users
Should You Consider Medication for Lack of Purpose in Life?
Pharmacotherapy Hello, Doctor: I would like to ask, if someone lacks goals or focus in life and spends all day sleeping, watching videos, and playing games, would taking medication help make life feel more purposeful, such as at least encouraging exercise or creating a more struc...
Dr. Wu Enliang Reply:
Hello, netizens: If the issue is not caused by depression, anxiety, or mental illness, there are no medications that can make such individuals become more proactive. Dr. Wu Enliang.[Read More] Should You Consider Medication for Lack of Purpose in Life?
Managing Anxiety: Coping with Loss, Stress, and Emotional Turmoil
Easily anxious, afraid of loss, and fatigued? I am currently taking Easy Relax tablets regularly in the morning and evening. After taking them, I feel more relaxed, but sometimes after the effect wears off, I become inexplicably irritable or experience a sense of palpitations eve...
Dr. Qiu Junda Reply:
Hello. Since you have been using psychiatric medications such as Yi Shu tablets, you should have a medical history. You can inform your physician about your situation and concerns during your follow-up appointment to facilitate improvement. In the meantime, for issues such as anx...[Read More] Managing Anxiety: Coping with Loss, Stress, and Emotional Turmoil
Understanding the Differences Between Mucins and Promethazine in Psychiatry
Questions about Muxing Tablets and Pulmaning? Hello, my daughter is taking two medications: Mu-Jing tablets and Pumaning. I noticed that these two medications seem quite similar, and I'm unsure about their differences. Recently, I've observed that my daughter has only b...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding the Differences Between Mucins and Promethazine in Psychiatry
Understanding Medication Resistance in Delusional Disorder Treatment
#188155 Inquiry on the Course of Delusional Disorder (Continued) Hello Dr. Chiu, thank you very much for taking the time to answer my questions. I apologize for previously misreading the medication Qianyoujie. Currently, my wife is taking half a tablet of Abilify and half a table...
Dr. Qiu Junda Reply:
Hello. The medications mentioned in the text are theoretically non-addictive and do not lead to tolerance. Additionally, the treatment for psychiatric disorders (including delusional disorder) typically involves higher doses of medication during the acute phase. Once stabilized, ...[Read More] Understanding Medication Resistance in Delusional Disorder Treatment
Can Patients with Delusional Disorder Safely Discontinue Medication?
Inquiry about the course of delusional disorder? I would like to ask the doctor, in clinical practice, do patients with delusional disorder who actively cooperate with treatment and take their medication on time have a chance to discontinue medication for observation? If there is...
Dr. Qiu Junda Reply:
Hello. The issue is quite complex. Chuanxiong and Kexin fruit are primarily used for antidepressant purposes, but they can also help improve delusional symptoms. A proper assessment of your wife's condition is necessary, and it is best to discuss this with her attending phys...[Read More] Can Patients with Delusional Disorder Safely Discontinue Medication?
Understanding OCD: Coping Strategies and Treatment Options for Relief
I have some concerns? I would like to share my experience with obsessive-compulsive disorder (OCD) with my doctor: During the Mid-Autumn Festival barbecue in the year I just entered junior high, I saw a suicide prevention advertisement on the charcoal grill. At that moment, I fel...
Dr. Cai Qijin Reply:
Hello: It sounds like your condition may involve obsessive thoughts, combined with depression and psychosomatic symptoms. 1. Obsessive-compulsive disorder (OCD) is typically treated with a combination of medication and cognitive-behavioral therapy (CBT), which has shown good ef...[Read More] Understanding OCD: Coping Strategies and Treatment Options for Relief
Managing Psychological Dependence on Medications: Expert Advice
Drug dependence Hello, doctor: Currently, I only take a sedative before bed. Today, when I learned about a temporary job opportunity, I wondered if I should start taking an antidepressant. What recommendations do you have regarding psychological dependence on medication?
Dr. Wu Enliang Reply:
It's common for individuals to develop a psychological dependence on medication, leading to such thoughts. It's important to remind oneself to be grateful for the opportunities at work and to appreciate not needing to take medication. Dr. Wu Enliang.[Read More] Managing Psychological Dependence on Medications: Expert Advice