Understanding Hallucinations from Dongjian Coated Tablets 300mg
Medication Issue: Dongjian Enteric-Coated Tablets 300 mg I would like to ask why I experience auditory hallucinations, specifically hearing voices that insult me, after taking "Dongjian enteric-coated tablets 300 mg." The medications I am taking include: Lendormin® tabl...
Dr. Lin Mianzhang Reply:
Hello: Dongjian enteric-coated tablets are medications used to treat hallucinations. If you experience an increase in hallucinations after taking the medication, please discuss with your physician whether an adjustment in your medication is necessary. It could be due to insuffici...[Read More] Understanding Hallucinations from Dongjian Coated Tablets 300mg
Managing Anxiety-Induced Nausea: Tips for Relief and Recovery
Consultation for nausea due to anxiety? Hello Doctor, sometimes when I am under a lot of stress, like during finals when I have many things to do, I suddenly lose my appetite. My intake drops to less than a third of normal (or even less; I'm not quite sure, but it’s signific...
Dr. Qiu Junda Reply:
Hello. Your condition has caused you physical and mental distress. It is advisable to consult a psychiatrist. Following the treatment should lead to improvement. While medications from the field of psychiatry may have side effects, they do not necessarily occur. If they do, adjus...[Read More] Managing Anxiety-Induced Nausea: Tips for Relief and Recovery
Caring for Elderly Patients with Schizophrenia: Challenges and Solutions
Elderly Care for Schizophrenia Hello Doctor, my mother is 74 years old and has been suffering from paranoid schizophrenia since she was 17, which means she has been on medication for over 50 years. For the past decade, she has been consistently visiting the clinic and taking her ...
Dr. Lin Mianzhang Reply:
Hello May: It seems that your mother has been experiencing episodes of confusion more frequently over the past six months. In addition to the exacerbation of her psychiatric symptoms, it is important to consider whether there have been any changes in her physical health. I recomm...[Read More] Caring for Elderly Patients with Schizophrenia: Challenges and Solutions
Are My Mental Health Issues the Same Condition After 15 Years?
Do these two count as the same disease? In 2004, I sought treatment in the psychiatric department due to insomnia. At that time, I was using ecstasy and ketamine, but I didn't tell the doctor about it; I only mentioned my insomnia. My main goal was to obtain medication to he...
Dr. Qiu Junda Reply:
Hello. Insurance disputes are indeed outside the scope of a physician's professional expertise. You may need to consult a professional unit similar to a lawyer (such as a legal aid organization) for assistance. As for the distress caused by this issue, which may even lead to...[Read More] Are My Mental Health Issues the Same Condition After 15 Years?
Managing Schizophrenia Medication Changes: Signs and Concerns
My family recently discussed with the doctor and switched the medication for schizophrenia treatment? Hello Doctor, I would like to consult you about the following situation: **Main Situation:** My sister, who is being treated for schizophrenia, has elevated prolactin levels. T...
Dr. Qiu Junda Reply:
Hello. Since you have just changed your medication, we can continue to observe the situation. The symptoms described do not initially appear to indicate an acute change. Additionally, with the long-acting injection to help stabilize your condition, there is no need to worry too m...[Read More] Managing Schizophrenia Medication Changes: Signs and Concerns
Can Mirtazapine and Sulpride Be Taken Together Safely?
Medication consultation I would like to inquire whether mirtazapine can be used together with sulpiride. My psychiatrist prescribed mirtazapine for my long-term loss of appetite, which may be related to gastroparesis or gastrointestinal dysautonomia. However, I feel that it is no...
Dr. Li Zhengfeng Reply:
Hello: Mirtazapine can be used in conjunction with sulpiride, but please discuss this with your physician and do not adjust your medication on your own to ensure safe medication use. Wishing you a speedy recovery.[Read More] Can Mirtazapine and Sulpride Be Taken Together Safely?
Is 2mg Lorazepam Causing My Unsteady Walking?
Sedatives can cause unsteady gait? It is not uncommon to experience some degree of unsteadiness or dizziness after taking lorazepam, even at a dose of 2 mg. While this dosage is not considered very high, lorazepam is a benzodiazepine that can cause sedation and impair coordinatio...
Dr. Qiu Junda Reply:
Hello. This should be a side effect caused by the medication. Although 2 mg is not considered a high dose, it can still lead to this side effect. You might try reducing the dose by half to see if it improves.[Read More] Is 2mg Lorazepam Causing My Unsteady Walking?
Can You Safely Combine Venlafaxine, Alprazolam, and Clonazepam?
Medication Consultation Hello, doctor. I am currently taking the following medications due to social anxiety: Venlafaxine 75 mg twice daily and Alprazolam 0.5 mg once daily before bed. A few days ago, I was prescribed Clonazepam 0.5 mg to take once daily before bed for tinnitus, ...
Dr. Qiu Junda Reply:
Hello. 1. If it helps with the symptoms, it is fine to take them together. 2. Stopping Rifampicin after one month of use may carry a higher risk (there could be withdrawal symptoms). It may be better to first reduce the dosage by half and then gradually discontinue the medication...[Read More] Can You Safely Combine Venlafaxine, Alprazolam, and Clonazepam?
Managing Withdrawal Symptoms After Stopping Psychiatric Medications
Medication consultation Hello Doctor, I was diagnosed with depression, insomnia, and irritability earlier this year. I have been under treatment and taking medication for over three months. I recently had a follow-up appointment and was advised to stop the medication. It has been...
Dr. Lin Mianzhang Reply:
Hello: Your situation seems to be a withdrawal reaction from the medication. The duration of withdrawal varies for each individual depending on their condition, constitution, and the dosage of the medication, ranging from a few days to several weeks. You can choose to tough it ou...[Read More] Managing Withdrawal Symptoms After Stopping Psychiatric Medications
Understanding Sleep Issues and Paranoia in OCD Patients
Medical inquiry Hello, Doctor: I would like to ask two questions. 1. Recently, I have been waking up at 5 or 6 AM but feel very sleepy and cannot fall back asleep, even though I had enough sleep the night before. What should I do? 2. When I am outside, I often feel a sensation li...
Dr. Lin Mianzhang Reply:
Hello: 1. It seems that you are experiencing early awakening, which is considered a type of insomnia. However, there are many potential causes for this condition, including circadian rhythm disturbances, disruptions in the sleep environment, psychological stress, mental health di...[Read More] Understanding Sleep Issues and Paranoia in OCD Patients
Managing Sexual Desire Issues with Psychiatric Medications
Regarding libido and medication? Hello, Doctor: I have been diagnosed with obsessive-compulsive disorder and latent schizophrenia. Recently, due to issues with low libido/sexual impulses, my physician advised me to taper off the medication. I am currently taking 150 mg of Sertral...
Dr. Wu Kunhong Reply:
There are many factors that can affect sexual desire and sexual function. It is recommended that you consult with a specialist in psychiatry or urology. Please trust a qualified medical professional to evaluate your condition and determine the appropriate assessment and treatment...[Read More] Managing Sexual Desire Issues with Psychiatric Medications
Managing Anxiety and Medication Withdrawal: A Patient's Journey
Drug withdrawal Hello Doctor: I have been taking "Duloxetine 30 mg" for about 4 to 5 months due to long-term anxiety issues. This may stem from the six months I spent caring for my father, who had cancer, until his passing about six or seven years ago. I am unsure why I...
Dr. Wu Enliang Reply:
1. Should I continue taking the medication or reduce the dosage after some time? A: Given your current level of anxiety, it's best not to stop the medication for now. 2. If I want to reduce the dosage, how should I do it? One pill every two days, one every three days, or c...[Read More] Managing Anxiety and Medication Withdrawal: A Patient's Journey
Medications and Sexual Desire: Understanding the Impact on Mental Health
Medications and Libido Hello, Doctor: I have been diagnosed with obsessive-compulsive disorder and latent schizophrenia. Recently, due to decreased libido/sexual impulses, I have been permitted by my physician to reduce my medication. I am currently taking 10 mg of Sertraline (Zo...
Dr. Li Zhengfeng Reply:
Hello: Both Dexedrine and Strattera can have side effects that affect sexual function and libido. However, these effects can vary from person to person due to individual factors. It is advisable to consider your personal medical condition and discuss with your treating physician ...[Read More] Medications and Sexual Desire: Understanding the Impact on Mental Health
Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Withdrawal from Clonazepam 1 mg and Escitalopram 0.25 mg? I work alternating day and night shifts. After receiving the booster dose of the COVID-19 vaccine in February 2022, I experienced insomnia symptoms. I was prescribed Eszopiclone 5 mg and Lorazepam 1 mg to take before bed a...
Dr. Wu Enliang Reply:
How long should one wait to discontinue Keppra? A: There is no specific duration, but maintaining good sleep hygiene (such as engaging in moderate exercise and avoiding the bed before sleep) can allow for a gradual reduction or discontinuation of the medication. Will withdrawal s...[Read More] Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Finding the Right Medication for Mental Health: A Patient's Journey
Hello, could you please tell me what medication I should take? Hello, I have been taking Anxiolytic 5mg in the morning and Risperidone 1mg in the evening for almost two years. However, I feel that over the past year, the effectiveness of these medications has diminished. Due to w...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of taking medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for recov...[Read More] Finding the Right Medication for Mental Health: A Patient's Journey
Managing Chest Pain While Starting Anxiety Medications: What to Know
Medication consultation, chest pain? Hello, this is my first time starting anxiety medication. I am currently on the fifth day of the following medications: YOU-JET F.C (Sertraline), Alprazolam, Lorazepam, and Sulpiride. I take these medications consistently every day, but now I ...
Dr. Wu Enliang Reply:
Hello, these medications should not cause chest pain. Chest pain is also a common psychosomatic symptom, often manifesting during episodes of anxiety. I'm not sure if that is related. Dr. Wu Enliang.[Read More] Managing Chest Pain While Starting Anxiety Medications: What to Know
Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...
Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...[Read More] Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Should I Change My Serotonin Medication for Better Mental Health?
Is a change in medication necessary? Hello, I have been experiencing autonomic nervous system dysfunction for over ten years. I have been taking Lexapro 50mg for two and a half years (I started taking it due to panic attacks during the pandemic, which caused me to faint and be un...
Dr. Wu Enliang Reply:
User: Based on your expertise in psychosomatic medicine, do I need to switch my serotonin medication to pursue better treatment? A: It may not be necessary to switch to a different medication, as the current one has at least prevented me from experiencing sudden collapses, whic...[Read More] Should I Change My Serotonin Medication for Better Mental Health?
Managing Emotional Instability in Rare Disease Patients During Pandemic
Emotional instability I have been a patient with a rare disease for a long time and have been taking medication to control my epilepsy. Before the pandemic, I had only mild delays in job opportunities, which occurred once every six months. Currently, I can only complete half of m...
Dr. Tang Jiahong Reply:
Hello: Your condition should first be evaluated and managed by a neurologist for epilepsy. Once the epilepsy is under stable control, an assessment of emotional and cognitive functions can be conducted to determine if treatment improvements are possible. It may be necessary to ad...[Read More] Managing Emotional Instability in Rare Disease Patients During Pandemic
Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues
Side effects of medication (Jinpusu) Hello Dr. Lee, since I started taking 5 mg of Olanzapine (Zyprexa) daily in 2021, I have noticed that for over three years, my stools have been soft, loose, moist, and unformed, making it very difficult to clean up (I cannot simply use a few p...
Dr. Li Zhengfeng Reply:
Hello Ms. Chen: Generally, there have been no reports of soft stools as a side effect of Jinsupus. However, there are occasional cases of specific individuals with unique sensitivities to medications. To determine whether Jinsupus is causing soft stools, it would be necessary to ...[Read More] Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues