Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Options
Autonomic nervous system dysfunction Hello Doctor, initially, my symptoms felt like a sensation of air rushing into my nasal cavity, similar to the feeling of having consumed a lot of carbonated drinks and then burping, which causes a sensation in the nose. This is accompanied by...
Dr. Lin Mianzhang Reply:
Hello, Jiang: 1. Jianfu enteric-coated tablets belong to the class of selective serotonin reuptake inhibitors (SSRIs). When you first start taking them, you may experience gastrointestinal side effects such as nausea, vomiting, and bloating. Therefore, the increased frequency o...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Options
Navigating Marriage and Parenthood Challenges with Mental Health Issues
Marital issues Hello Dr. Lin, thank you for taking the time to answer my questions. I am currently taking Betaloc, and one of the side effects is that I feel restless and unable to sit still. My relatives and friends are very concerned about my marriage, and the main issue I am w...
Dr. Lin Mianzhang Reply:
Hello, Xiao Jun: It sounds like you haven't told your boyfriend about your illness yet? I suggest you discuss it with him first to understand his thoughts on marriage and having children. If he wishes to get married or have kids, it would be best to inform him about your ill...[Read More] Navigating Marriage and Parenthood Challenges with Mental Health Issues
Alcohol and Anxiety Medications: What You Need to Know
Drug interactions Hello, doctor. I am currently taking an anti-anxiety and antidepressant medication (Yongkangxu) once a day. I feel pretty good at the moment. In a week or two, I have a special gathering where I might drink alcohol. Will this affect the medication? Should I stop...
Dr. Wu Enliang Reply:
There shouldn't be any significant effects from the medication. If you have concerns, you can temporarily stop taking it; taking less of this medication won't have any major consequences. Dr. Wu Enliang.[Read More] Alcohol and Anxiety Medications: What You Need to Know
Managing Sleep Aid Side Effects: Seeking Help for Sexual Dysfunction
Drug side effects Doctor, I apologize for the interruption, but I would like to inquire about the long-term medications I am using. I take a sleep aid called Jing An Ning and another medication for insomnia called Rou Bai. The side effects of these medications have been affecting...
Dr. Xue Gengming Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Sleep Aid Side Effects: Seeking Help for Sexual Dysfunction
Understanding Medication Effects and Concerns in ADHD Treatment
Medication Consultation Hello Doctor, I have some questions I would like to ask you. Q1: About a month ago, I sought treatment for attention deficit issues, and the doctor prescribed me Adderall (10mg). Initially, I felt a significant effect from the medication, but after a few...
Dr. Wu Menghuan Reply:
Hello: 1. There are many causes of attention problems, and it is important to clarify a wide range of possible differential diagnoses and comorbidities, as well as consider psychological, social, or environmental factors that may affect attention. Since I am not fully aware of yo...[Read More] Understanding Medication Effects and Concerns in ADHD Treatment
Understanding Conversion Disorder and Autonomic Nervous System Dysfunction in Chronic Pain
What is conversion disorder? Is it considered a type of autonomic nervous system dysfunction? Hello, doctor. I have been experiencing chronic pain for nearly two years, and the pain levels are quite high. I have consulted various specialties and undergone numerous tests, most of ...
Dr. Cai Qijin Reply:
Hello: Conversion disorder is often associated with deep-seated psychological trauma or stress, which may originate from childhood, and typically presents with more dramatic neurological symptoms such as hemiplegia or inability to speak, rather than pain. Autonomic dysregulation ...[Read More] Understanding Conversion Disorder and Autonomic Nervous System Dysfunction in Chronic Pain
Managing Bipolar Disorder While Planning for Pregnancy: Safety Concerns and Medication Adjustments
Bipolar disorder and pregnancy considerations? Hello Doctor: I have been diagnosed with bipolar disorder for 12 years and have been consistently taking medication. Recently, due to plans for pregnancy, I have been in continuous communication with my doctor about the treatment dir...
Dr. Qiu Junda Reply:
Hello. Indeed, epilepsy and pregnancy can have a significant impact on the fetus. It is advisable to discontinue certain medications. Lamotrigine is relatively safe. However, the specific adjustment methods should be discussed with your attending physician, as this will also aid ...[Read More] Managing Bipolar Disorder While Planning for Pregnancy: Safety Concerns and Medication Adjustments
Do Attention Medications Causing Rapid Heartbeat Pose Health Risks?
Does the increased heart rate caused by attention medications lead to health problems? I apologize, but I would like to ask if the increased heart rate (over 100 beats per minute) caused by attention medications can lead to health problems in the long term? Or is it acceptable as...
Dr. Peng Liyun Reply:
Hello, it is recommended that you continue to monitor your heart rate and blood pressure, and discuss with your physician whether further examination or medication adjustment is necessary. Thank you for your inquiry. Best regards, Dr. Peng Liyun, Department of Child and Adolescen...[Read More] Do Attention Medications Causing Rapid Heartbeat Pose Health Risks?
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why did I experience insomnia after stopping medication when I originally did not have any sleep issues? I previously took Lorazepam 0.5 mg for over three months, and after stopping the medication, I have been experiencing insomnia for more than nine months. I can fall asleep qui...
Dr. Lin Mianzhang Reply:
Hello, Xiao Cheng: Thank you for your hard work! It seems that your current insomnia may be a symptom of medication withdrawal. I recommend a gradual tapering approach to discontinue the medication, such as first reducing Lorazepam to half a tablet. If you can maintain stable sle...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and after stopping, I have been experiencing insomnia for more than nine months. I can fall asleep quickly, but I wake up after...
Dr. Qiu Junda Reply:
Hello. It is true that the use of benzodiazepines (BZD) can lead to dependence, resulting in insomnia after discontinuation. The duration for recovery varies from person to person and depends on the specific medication. However, the medication you are currently using, Silenor (do...[Read More] Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and after stopping the medication, I have been experiencing insomnia for over nine months. I can fall asleep quickly, but I wak...
Dr. Wu Enliang Reply:
It may be advisable for users to consider using longer-acting benzodiazepines such as Clonazepam or Diazepam instead of Lorazepam, as they may facilitate easier discontinuation (but this should still be discussed with your physician), and to enhance sleep hygiene. Dr. Wu En-Liang...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Managing Panic Disorder: Medication Challenges and Recovery Insights
Medications for Panic Disorder Relapse I reduced my medication dosage to half a pill before the New Year and felt better, so I stopped taking the medication. However, in April after the New Year, I started experiencing a relapse of autonomic nervous system symptoms, accompanied b...
Dr. Wang Yaoting Reply:
Hello: I'm not sure if the medication you mentioned, "reducing half a pill," refers to Escitalopram? Since you are taking two serotonin medications (Prozac and Escitalopram), if you experience any discomfort, it is advisable to keep only one of them and temporarily...[Read More] Managing Panic Disorder: Medication Challenges and Recovery Insights
Why Stopping Lorazepam Led to Persistent Insomnia: A Patient's Journey
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia. It has been over nine months since I stopped, and while I can fall asleep quic...
Dr. Yu Quanxun Reply:
Hello, based on your description in the letter, you are experiencing stomach pain and autonomic nervous system dysfunction. You have previously taken Lexapro but stopped the medication, and you are currently troubled by sleep issues, worrying that they may be a result of disconti...[Read More] Why Stopping Lorazepam Led to Persistent Insomnia: A Patient's Journey
Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
[Medication Consultation] Can I stop taking antidepressants due to side effects? I have been struggling with anxiety, panic, and depression for a long time and recently sought medical help to address these issues. I have been experiencing symptoms such as chest tightness, palpita...
Dr. Wu Enliang Reply:
The antidepressant should be the most important medication in this prescription. It is recommended to take it after meals to generally avoid side effects such as nausea and vomiting. If these side effects still occur, it is advisable to take half a tablet instead, but it is recom...[Read More] Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia for more than nine months. I can fall asleep quickly, but I wake up after 2 to ...
Dr. Yu Quanxun Reply:
Hello, based on your description in the letter, you are experiencing stomach pain and autonomic nervous system dysfunction. You have previously taken Lexapro but have since discontinued it, and you are currently troubled by sleep issues, worrying that they may be a result of stop...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
After taking medication for panic disorder, hypoglycemia occurred? Due to issues with panic disorder, I am currently taking the following medications: 1. Anxiolytic: half a tablet with breakfast and lunch, and one tablet with dinner. 2. Lyrica: half a tablet before bedtime. Since...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: Both Anbang and Liyou medications do not cause hypoglycemia. I wonder if you are taking any antidiabetic medications? If so, it may be necessary to discuss potential adjustments with your physician. Panic attacks generally do not improve with food intake, so if you...[Read More] Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia that has lasted for more than nine months. I can fall asleep quickly, but I wak...
Dr. Wang Yaoting Reply:
Hello: The dosage of Lorazepam 0.5 mg that you previously took is considered quite low. This dosage primarily provides anxiolytic effects and should not lead to significant or prolonged withdrawal symptoms. Insomnia may be related to your underlying condition or circadian rhythm ...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Overcoming Compulsive Masturbation: Mental Health Insights and Solutions
Inability to control excessive masturbation? Hello Dr. Wang, When I encounter setbacks, I tend to relieve stress through masturbation, often accompanied by watching adult films. During my sophomore year of high school, I engaged in this behavior at least three times a week, and ...
Dr. Wang Yaoting Reply:
Hello: Masturbation may be a habitual way for you to cope with stress, and it might carry some psychological significance for you. However, this excessive primal desire leads your rational mind (superego) to perceive it as an unacceptable behavior, resulting in inner conflict. Th...[Read More] Overcoming Compulsive Masturbation: Mental Health Insights and Solutions
Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
After taking medication for anxiety, the diastolic blood pressure is low? Three weeks ago, I experienced palpitations, shortness of breath, and irregular heartbeats, which led me to undergo an examination in the cardiology department, but no issues were found. Later, I visited a ...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: The medication you are taking, Liyou, may potentially cause orthostatic hypotension. I would like to know if you experience dizziness when changing positions. If you do feel unwell, it is advisable to discuss with your physician whether to adjust your medication. H...[Read More] Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
Understanding Mental Health Issues and Effective Smoking Cessation Strategies
Feeling worried about many things and having a consistently bad mood, as well as how to help someone quit smoking? Hello, doctor. Recently, I have been feeling very down, possibly due to a persistent lack of appetite and a diminished interest in things I used to enjoy. I would li...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems that you may be experiencing significant distress. However, the information provided is too brief to make an online assessment. Your condition could be depression, adjustment disorder, anxiety disorder, or another issue. It is advisable ...[Read More] Understanding Mental Health Issues and Effective Smoking Cessation Strategies