Medications, Psychiatry FAQ

Managing Side Effects of Psychiatric Medications: What to Expect

Drug side effects Hello, Doctor. I apologize for interrupting you during your busy schedule. Currently, I am taking Xinelon capsules (one capsule every morning) and Lexapro, and I have been on them for a week. However, I still feel drowsy during the day, lack motivation, and have...

Dr. Xue Gengming Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Alternatively, consider seeking treatment from other medical institutions. Thank you, and wishing...

Understanding Medication Effects on Menstrual Cycle and Weight Gain

Medication Consultation Hello Doctor: In July, I was diagnosed with Meniere's disease, and the doctor prescribed Secorin, Suzin, and a B-complex and C-complex vitamin supplement. However, since I started taking these medications, my menstrual period has been delayed for two ...

Dr. Xue Gengming Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to address the symptoms and determine if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wish you good health!

Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance

I don't know how to use the medication? I previously took Lorazepam for over three months, and stopping the medication has caused me to experience insomnia for over a year now (I stopped after three weeks, and I'm not sure if that was too fast). My symptoms of autonomic...

Dr. Cai Yunlin Reply:
Hello, if sleep aids are suddenly discontinued after being taken for a period of time, it may lead to a worsening of insomnia symptoms, a phenomenon known as rebound insomnia. Therefore, tapering off sleep medications is usually done gradually. It is advisable for you to return t...

Understanding Medications for Schizophrenia: A Guide for Families

I would like to inquire about medications for anosognosia? Hello Doctor, my sister has been on psychiatric medication for a long time (she started around the age of 19 and is now 42). Initially, we thought she had severe obsessive-compulsive disorder, but later my parents mention...

Dr. Lin Mianzhang Reply:
Hello: 1. The efficacy of Seroquel (Quetiapine) is generally stronger than that of Risperdal (Risperidone), with Seroquel being an active metabolite of Risperdal. Some studies suggest that its effects may be slightly better than those of Risperdal, but the difference is not sig...

Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance

I'm not sure how to use the medication? I previously took Lorazepam for over three months, and stopping the medication has led to insomnia that has lasted for over a year (I stopped after three weeks, and I wonder if that was too quick). My symptoms of autonomic nervous syst...

Dr. Wu Enliang Reply:
A: It is possible that the different medications prescribed by doctors are due to variations in how you describe your symptoms. It is advisable not to frequently switch doctors; instead, find a physician you trust and follow their treatment recommendations. Regarding which medica...

Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance

I'm not sure how to use the medication? I have been experiencing insomnia for over a year after discontinuing Lorazepam (Ativan) which I had taken for more than three months. I stopped the medication a year ago, and I am unsure if stopping too quickly after three weeks contr...

Dr. Qiu Junda Reply:
Hello. From the perspective of substance addiction issues, the first clinic (Dongjian) that prescribes Quetiapine and similar medications may be more suitable. Theoretically, Quetiapine has a lower potential for addiction compared to other medications like Lurasidone. However, ma...

Managing Nausea and Appetite Loss from Ritalin: What to Do?

Side effects of taking Ritalin? Hello, I would like to consult a doctor. My son is 25 years old and is taking 10 mg of short-acting Ritalin. However, he is experiencing significant side effects, particularly nausea and a lack of appetite. The appetite issue is manageable if he ta...

Dr. Qiu Junda Reply:
Hello. You may first consult a family physician or an internist regarding the treatment of side effects. It is advisable to inform the physician that you are using Atomoxetine. Generally, there should be no conflicts, and the physician should evaluate and prescribe appropriate me...

Struggling with Vivid Dreams: Tips for Better Sleep and Mental Health

Experiencing vivid dreams during sleep and being able to remember them clearly can be concerning. If this is affecting your sleep quality or daily life, it may be helpful to consult a healthcare professional or a sleep specialist. They can provide guidance on potential underlying...

Dr. Qiu Junda Reply:
Hello. Dreaming is a part of the sleep cycle that cannot be avoided. Everyone dreams, but most people do not remember or feel their dreams, which can lead to sleep disturbances. If you have a sleep disorder and are using psychiatric sleep medications, it may be related to your is...

Understanding Medication Side Effects: Anxiety Drugs and Urination Issues

Drug side effects I have been taking 20 mg of Sertraline and 1 mg of Diazepam for anxiety and autonomic nervous system dysregulation for four months. Since mid-August, my doctor added 10 mg of Bupropion. However, starting from August 19, I have been experiencing slower urination ...

Dr. Wu Enliang Reply:
It is indeed rare for buspirone to cause urinary difficulties. It is recommended to drink plenty of water and continue to monitor the situation. If the issue persists and becomes intolerable, consider discontinuing the medication and discuss it with your doctor during your next v...

Does Anxiolytic Medication Cause Weight Gain? Understanding the Risks

Is Anli Fu causing weight gain? Hello Doctor: I have been taking Prozac and 5mg of Lexapro daily for my obsessive-compulsive disorder for several years now, and I have gained quite a bit of weight during this time. I would like to ask you, how likely is it for Lexapro to cause we...

Dr. Liang Sunyuan Reply:
Hello, Ah Yue: Anliruf is indeed one of the medications in its class that is less likely to cause weight gain, but for some individuals, it can still lead to weight increase. Factors such as increased appetite or metabolic changes may contribute to this. The management strategies...

Understanding Mixed Anxiety-Depressive Adjustment Disorder: A Patient's Journey

Adjustment Disorder Hello, doctor. I have been seeing a psychiatrist for almost a year, and my diagnosis is mixed anxiety-depressive emotional adjustment disorder. Initially, I sought help due to relationship issues, and the doctor conducted interviews regarding this matter. Even...

Dr. Lin Mianzhang Reply:
Hello, Yue: Your willingness to write such a lengthy article to express your situation suggests that you have been accumulating a lot of pressure for a long time. I'm sorry to hear that! Your situation includes fear and distrust of others, a loss of direction and meaning in ...

Struggling with Sleepiness and Work Challenges: A Psychiatric Perspective

Hypersomnia and related issues? Hello, Doctor. I previously left my job at Company A after three years due to difficulties in my relationship with my supervisor, my strong personal opinions, and other factors related to my work performance. This month, I started working at Compan...

Dr. Lin Mianzhang Reply:
Hello A-Jie: Regarding your first question, you may need to determine how long you need to sleep to feel rested. For instance, on days when you don't have to work, how long do you typically sleep until you wake up naturally? Based on the amount of sleep you require, you can ...

Understanding Tolerance and Dosage Issues with Sleep Medications

The issue of tolerance and dosage in sleeping medications? I would like to ask a hypothetical question. I have been taking sleeping pills for a long time, starting with estazolam at 2mg and increasing to 4mg, but it became less effective. Then I switched to flurazepam at 15mg, an...

Dr. Qiu Junda Reply:
Hello. The recovery time for tolerance to sleep medications varies from person to person. It can be as short as one to two weeks. Generally, the larger the dosage and the longer the duration of use, the more difficult it may be to recover, and the required time may be longer. A d...

Sleep Issues and Attention Problems After BNT Vaccine: What to Know

After receiving the third dose of the BNT vaccine, there are concerns regarding mild insomnia and issues with concentration? Hello, doctor. After receiving my third dose of the BNT vaccine on June 14, I experienced pain at the injection site and insomnia that night (I felt very e...

Dr. Yan Congyou Reply:
Hello, Xiao Chen: Based on your situation, it is very likely that you are experiencing anxiety and depression. There can be many underlying causes, including stress, physical factors, and medications. You mentioned your concern about not being able to leave a medical record while...

Managing Panic Disorder During Pregnancy: Seeking Help and Medication Adjustments

Pregnancy anxiety Hello Doctor, I am currently 18 weeks pregnant. Before pregnancy, I was taking medication for panic disorder, but I stopped for a while after becoming pregnant, which led to a severe relapse of my condition. I have been experiencing panic and anxiety, even havin...

Dr. Lin Mianzhang Reply:
Hello, Happy: It usually takes 2 to 4 weeks for Ebilin to show significant effects. If there is no noticeable improvement after 4 weeks, it is recommended to increase the dosage. This medication does not have as pronounced effects as other antidepressants, but it has minimal impa...

Understanding Anxiety Medications: Effects of Serotonin and Heart Rate Pills

Medications for Anxiety Disorders I have been suffering from anxiety for many years. My psychiatrist has prescribed me serotonin medications and anxiolytics (to be taken before bed), as well as antiarrhythmic medications (to be taken as needed). However, in the past few months, m...

Dr. Qiu Junda Reply:
Hello. Heart rhythm medications are generally used to help treat symptoms of rapid heartbeat caused by anxiety. By calming the heart rate, they can also improve feelings of anxiety. Essentially, these medications are not addictive. If heart rhythm medications are helpful, they ca...

Can You Start ADHD Medication After Turning 18 Without Prior Treatment?

Having been diagnosed with ADHD in the past but not having taken medication, is it true that I can no longer take medication after turning 18? When I was in middle school, I was taken by my parents for an evaluation due to a requirement from my school teachers. At that time, the ...

Dr. Liang Sunyuan Reply:
Hello: If you continue to experience ADD symptoms in adulthood that cause difficulties in your daily life, you can still consult a physician for discussion and evaluation. There are several medications for attention deficit disorder, some of which have restrictions under health i...

Managing Depression Relapse: Exploring Medication and Alternative Treatments

Recurrence of Depression I have been taking medication for depression for 10 years, consistently attending follow-up appointments and adhering to my medication regimen (without any dosage reductions or discontinuations). However, in the past two years, I have experienced three re...

Dr. Qiu Junda Reply:
Hello. In addition to medication, it is best to incorporate non-pharmacological support in the treatment of depression. Simply put, engaging in leisure activities regularly can help prevent excessive boredom and distress in daily life. It is commendable that you have been consist...

Can Divalproex Sodium, Paroxetine, and Risperidone Be Taken Together?

Medication consultation Hello Dr. Lin: May I ask if Divalproex sodium, paroxetine, and risperidone can be taken together? I found online that there are interactions between the latter two medications; what about the first two?

Dr. Lin Mianzhang Reply:
Hello! The first two medications do not have significant interactions. Although the latter two do have interactions, they can still be used together; just be mindful of any noticeable side effects that may occur. If you have any concerns, it is advisable to discuss the use of the...

Managing Emotional Side Effects of Antiepileptic Medications in Children

Medication Consultation Dear Dr. Wu, After my child started taking the antiepileptic medication (Divalproate sodium 250mg & 500mg), he has been experiencing low mood, depression, and often bites and peels the skin on his fingers until they bleed. We consulted a doctor who su...

Dr. Wu Enliang Reply:
Hello everyone: Feelings of low mood and depression, along with frequently biting and peeling the skin on your fingers until they bleed, may not necessarily be caused by Divalproate. In my clinical experience, I have not encountered this, and it is not mentioned in textbooks. Cur...

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