Understanding Sleep Medications and Their Impact on Open-Angle Glaucoma
Sleeping pills and sleep? Dr. Lin, thank you for your response. I am the questioner from #180894 "Sleeping Pills and Sleep." My ophthalmologist has diagnosed me with open-angle glaucoma. I am unsure if this is the same as the narrow-angle glaucoma you mentioned. Can I t...
Dr. Lin Mianzhang Reply:
Hello: Open-angle glaucoma and angle-closure glaucoma are different; these medications will not affect the condition of open-angle glaucoma, so you can take them with peace of mind. Wishing you safety and good health![Read More] Understanding Sleep Medications and Their Impact on Open-Angle Glaucoma
Understanding the Risks of Combining Alcohol and Sleep Medications
Side effects of Sitagliptin? Hello Dr. Wu, I would like to inquire about my partner who has been suffering from autonomic nervous system dysfunction and insomnia. They have been taking sleeping pills and psychiatric medications for over 10 years and have developed a dependence an...
Dr. Wu Enliang Reply:
Hello everyone, I think it's quite serious. Please consult a psychiatrist (psychosomatic medicine). Dr. Wu En-Liang.[Read More] Understanding the Risks of Combining Alcohol and Sleep Medications
Sleep Medications and Their Impact on Glaucoma Patients
Sleeping pills and sleep Hello, I have high myopia, and my doctor has prescribed medication to lower my intraocular pressure. However, due to anxiety, I have been unable to sleep and consulted a psychiatrist. They prescribed the following three medications: 1. Urethane 1 mg 2. Am...
Dr. Lin Mianzhang Reply:
Hello, these medications may affect intraocular pressure (and Ambien and Anban contain the same active ingredient). Caution is advised for patients with narrow-angle glaucoma. However, if you have regular eye pressure checks and there are no significant changes in intraocular pre...[Read More] Sleep Medications and Their Impact on Glaucoma Patients
Managing Health Anxiety: Tips for Overcoming Worry and Fear
Health anxiety and anxiety can be very distressing? Hello Doctor, I am 22 years old and have been very concerned about my health for a long time, to the point where it has caused significant anxiety that affects my daily life. For example, two years ago, I was informed at the hos...
Dr. Wang Yaoting Reply:
Hello: Based on what you've written, it seems that you may be experiencing significant distress. Your condition could be related to anxiety disorder, hypochondriasis, obsessive-compulsive disorder, or other issues, and it may be advisable to seek evaluation from a psychiatri...[Read More] Managing Health Anxiety: Tips for Overcoming Worry and Fear
Exploring Medication Options and Brain Imaging for Mental Health Treatment
Medication issues Hello Dr. Wu, I would like to ask if Lian Da is ARIPIPRAZOLE-15mg. Are there any medications with a lower dosage of this ingredient available for treatment? Currently, I have been taking one pill every night for almost three months. If my condition remains simil...
Dr. Wu Enliang Reply:
Online users suggest that there are other medications with lower ingredient concentrations than Good Peach Therapy. Advanced imaging studies can confirm the presence of disease markers, but current medicine does not have the capability for further treatment. To make progress, con...[Read More] Exploring Medication Options and Brain Imaging for Mental Health Treatment
Managing Dizziness from ADHD Medication: Tips and Solutions
Drug side effects Hello, I have currently visited a clinic and have been diagnosed with ADHD. The doctor has prescribed me with Ritalin, and I have been taking it for 7 days. However, since this past Monday until today, I have been experiencing dizziness after taking the medicati...
Dr. Peng Liyun Reply:
Hello: Thank you for your hard work. In such situations, you can first confirm whether it is a side effect of the medication by trying to stop the medication temporarily. If the discomfort disappears after stopping the medication and reappears upon resuming, it can be confirmed a...[Read More] Managing Dizziness from ADHD Medication: Tips and Solutions
How to Support a Family Member with Schizophrenia During Crisis?
What should our family members do at this moment? Hello Dr. Wang, my sister has been suffering from schizophrenia for about 10 years. During this time, she has experienced episodes after stopping her medication. She was originally taking three 3 mg doses of Risperidone, but recen...
Dr. Wang Yaoting Reply:
Hello: Actually, experiencing auditory hallucinations at night and running out on your own can be a dangerous behavior. It is recommended that in such situations, you should go to the emergency department. Typically, if there are available beds in the emergency department, they w...[Read More] How to Support a Family Member with Schizophrenia During Crisis?
Understanding Unexplained Fatigue: Insights from Psychiatry
Unable to identify the cause of fatigue? Due to feelings of low mood and stress, I had seen a psychiatrist for several years in the past. For the past seven to eight years, I have been experiencing fatigue issues. When severe, I suffer from hypersomnia and weakness, feeling so fa...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it is possible that you are experiencing symptoms of autonomic nervous system dysregulation, with excessive activation of the parasympathetic nervous system during the day leading to fatigue and lack of energy. I would recommend making the follow...[Read More] Understanding Unexplained Fatigue: Insights from Psychiatry
Can Outpatient Referrals Lead to Admission at Rehabilitation Centers?
Can patients directly schedule an admission to the rehabilitation center at your hospital through outpatient services? I have been receiving treatment at the Tao Therapy Clinic for the past three months. Previously, I was hospitalized at Shin Kong, Chang Gung, and Songde for acut...
Dr. Wang Yaoting Reply:
Hello: Our rehabilitation center is primarily managed by the social work department. You can start with an initial consultation at the outpatient clinic, where a physician will assess your condition. It is best to bring along your past medical records. After that, a social worker...[Read More] Can Outpatient Referrals Lead to Admission at Rehabilitation Centers?
Managing Low Libido from Antidepressants: Solutions Beyond Switching Medications
Medications causing decreased libido? Hello, doctor: I would like to ask about the decreased libido caused by taking the antidepressant Escitalopram, which has even affected my romantic life. Besides switching medications, what other methods can help resolve this issue? (I have t...
Dr. Wang Yaoting Reply:
Hello: Antidepressants can indeed cause decreased libido or sexual dysfunction in some individuals. In addition to switching medications, considering psychotherapy or cognitive behavioral therapy may also be beneficial. This issue should typically be discussed with your psychiatr...[Read More] Managing Low Libido from Antidepressants: Solutions Beyond Switching Medications
Understanding SSRI Risks: Insights on Anxiety Treatment and Stroke
Questions related to SSRIs? Dear Dr. Lin, A few years ago, I sought treatment for anxiety and obsessive thoughts. Initially, I tried several medications, but eventually settled on taking Paroxetine HCl Hemihydrate 20mg, as prescribed, one tablet at bedtime. However, I often only...
Dr. Lin Mianzhang Reply:
Hi there! Regarding the article you mentioned that cites the study from JAMA Neurology, it can be found here: https://jamanetwork.com/journals/jamaneurology/fullarticle/2588683. Upon closer examination of that article, you will find that although SSRIs generally increase the risk...[Read More] Understanding SSRI Risks: Insights on Anxiety Treatment and Stroke
Understanding the Risks of SSRIs: A Guide for Patients with Liver Concerns
SSRI Issues Hello, Doctor. A few years ago, I sought treatment for anxiety and obsessive thinking issues. Initially, I tried several medications, and after finding a suitable one, I have been taking Paroxetine HCl Hemihydrate 20mg as prescribed, one tablet at bedtime. However, I ...
Dr. Wang Yaoting Reply:
Hello: I checked the research article mentioned in the news, and it studied individuals with a history of cerebral hemorrhage rather than generally healthy people. The average age of the participants was around 71 years, which is quite different from your situation, so there is n...[Read More] Understanding the Risks of SSRIs: A Guide for Patients with Liver Concerns
Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Drug withdrawal Hello, doctor. I am currently taking 0.75 mg of Clonazepam, half a tablet of Melatonin F1 (reduced from one tablet to half), and one tablet of Buspirone. I stopped taking the medication on April 1. Is this okay? I have been on medication for 4 to 5 months.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress; however, discontinuing your medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulat...[Read More] Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Understanding Medication Side Effects: Breast Discharge from Psychiatric Drugs
Medication consultation and medication-related issues? I have been taking Lepax 10mg and Sulmaty 50mg continuously for almost a month, and I noticed nipple discharge in the past couple of days. Could this be related to the medication?
Dr. Wang Yaoting Reply:
Hello: A small number of individuals taking certain psychiatric medications may experience an increase in prolactin levels, leading to milk secretion. It is recommended to first undergo a blood test at the hospital to check for elevated prolactin levels, and then discuss with you...[Read More] Understanding Medication Side Effects: Breast Discharge from Psychiatric Drugs
Understanding Buspirone and Its Relation to Extrapyramidal Symptoms
Epidural Steroid Injection Syndrome Hello, Doctor: The doctor prescribed a medication called Buspirone, to be taken once in the morning and once at night. I found out that it is a selective 5-HT1A receptor agonist with mild dopamine antagonist properties. I'm not very famili...
Dr. Wang Yaoting Reply:
Hello: Typically, only antipsychotic medications are more likely to cause extrapyramidal symptoms (EPS). Buspirone primarily functions as an anxiolytic and generally does not induce EPS. Research reports have only indicated that Buspirone, when used in conjunction with other psyc...[Read More] Understanding Buspirone and Its Relation to Extrapyramidal Symptoms
Medication Consultation for Sleep Issues During Pandemic
Medication consultation for sleep issues? Hello, doctor. Due to the recent surge in the pandemic, there are some confirmed cases near my home, making it inconvenient to visit the hospital to consult my attending physician. I would like to ask about taking Mirtazapine 3 mg, Olanza...
Dr. Wu Enliang Reply:
The medication "Good Silence" is an anxiolytic that can indeed help some individuals reduce their anxiety levels and improve their sleep. However, the required dosage varies from person to person. Antidepressant medications cannot be used to infer the severity of depres...[Read More] Medication Consultation for Sleep Issues During Pandemic
Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Autonomic nervous system dysfunction related to muscle issues? Hello Doctor, I have recently experienced symptoms such as involuntary trembling of my fingers when raised and a rapid heartbeat. I had my thyroid function tested, which came back normal. I then consulted a neurologis...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Can CBD Help with Anxiety? Safety and Interactions with Medications
Can cannabidiol (CBD) be consumed? Hello, I have generalized anxiety disorder and have been taking serotonin medications for a long time, occasionally adding Anxiolytics. Recently, I heard that people with anxiety around the world are increasingly using cannabidiol (CBD), which i...
Dr. Wu Enliang Reply:
Hello, if you do not have serious internal medical conditions such as liver, kidney, or immune system issues, there should not be any conflicts with the medications you are currently taking. However, the appropriate dosage and whether there is any therapeutic effect still lack sc...[Read More] Can CBD Help with Anxiety? Safety and Interactions with Medications
Uncontrollable Sleepiness: Understanding the Causes and Seeking Help
Uncontrollable drowsiness? Hello Dr. Hsueh, I have a troublesome issue where I easily fall asleep when I am focused on a fixed point or concentrating on a task, and I wake up shortly after. This happens whether I am standing, sitting, or lying down. In the past, I didn't thi...
Dr. Xue Gengming Reply:
It is recommended that you consult with a psychiatrist to see if any relevant examinations are necessary. Thank you, and wish you good health![Read More] Uncontrollable Sleepiness: Understanding the Causes and Seeking Help
Understanding Sinzac: Managing Sleep Disorders and Side Effects
Inquiry about circadian rhythm disruption and side effects of Sinzac? Hello, Doctor. Due to the heavy pressure from my coursework, my circadian rhythm has been disrupted over the past year. I often find it difficult to fall asleep until 5 AM and need to sleep until 2 PM to feel r...
Dr. Xue Gengming Reply:
It is recommended that you consult with a mental health specialist to see if any relevant examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Sinzac: Managing Sleep Disorders and Side Effects