Medications, Psychiatry FAQ

Chronic Fatigue and Sleepiness: When to Seek Psychiatric Help?

Feeling fatigued and wanting to sleep all day? Hello, Doctor. I would like to ask you some questions. Currently, these symptoms are bothering me a lot, scoring a 10 out of 10. I feel tired and want to sleep all day long. I previously took some medications for mental health issues...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for re...

Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections

Issues related to schizophrenia? Hello, doctor. From the moment I discovered this issue at the Chinese Medicine Hospital in Hsinchu, I have been prescribed over 20 different medications for the past three years, but none have been effective. I am very certain that this is not cau...

Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex emotions you are experiencing, as well as the detailed experiences and various painful feelings you've expressed. I recommend that you continue to seek treatment from a psychosomatic specialist and arrange for regula...

Struggling with Insomnia After Starting Medications for ADHD and Anxiety

Does taking Panadol Extra make it hard to sleep? I visited the doctor due to ADHD, Asperger's syndrome, and insomnia. Last month, the doctor prescribed me Xanax as an anti-anxiety medication. Currently, I take one Xanax before bed, and if I can't sleep, I take Zolpidem....

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery...

Understanding Side Effects of Panic Disorder Medications

Side effects of panic disorder medications? Hello, Dr. Hsueh. In mid-January of this year, I experienced a recurrence of panic disorder that I had 20 years ago. I am currently seeing a doctor regularly at the hospital, and the doctor has prescribed medications: Ulotar, Anpan, and...

Dr. Xue Gengming Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you!

Understanding Deep-Seated Schizophrenia Symptoms and Treatment Options

Schizophrenia It seems that the doctor previously addressed the issue of obsessive-compulsive disorder (OCD). I share similar symptoms with that person, but I have progressed to a deeply entrenched level. I have been receiving injections at a large hospital. Initially, my conditi...

Dr. Liang Sunyuan Reply:
Hello: The cognitive and affective symptoms of schizophrenia typically improve with ongoing treatment. It is recommended to collaborate patiently with your physician and adhere to the treatment plan, whether it involves oral medications or long-acting injectables, both of which a...

Traveling with Psychiatric Medications: What You Need to Know

Medication Consultation Hello, Doctor. I would like to inquire about my situation. I have issues with autonomic nervous system dysfunction and panic disorder, and I am currently taking 15 mg of Olanzapine and 10 mg of Propranolol. I plan to travel to Thailand in April and would l...

Dr. Wu Enliang Reply:
The online user An Li Ping mentioned that Anxiolytics are classified as Schedule IV controlled substances, while Propranolol is not a controlled drug. Generally speaking, these medications should be permissible to bring out of the country, but I am not a travel expert, so I recom...

Understanding Sexual Side Effects of Antidepressants and Antipsychotics

Regarding the impact of antidepressant dosage and antipsychotic medications on decreased libido? Hello Doctor, I would like to ask if the side effects of low libido and difficulty achieving orgasm caused by taking antidepressants and antipsychotic medications will resolve if I st...

Dr. Cai Yunlin Reply:
Hello, in general, sexual dysfunction related to antidepressants and antipsychotic medications is usually reversible. However, there are several factors (such as physiological diseases, mental disorders, substance abuse, and other prescribed medications) that may be associated wi...

Understanding the Efficacy and Side Effects of Anxiety Medications

The efficacy and side effects of medications for anxiety disorders? Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I have previously taken Lexapro 75mg (two tablets), Suboxone 50mg (two tablets), and Heart Care 10mg (tw...

Dr. Wu Enliang Reply:
A: No, the effects of the medication do not remain in the body. Since the symptoms are still present, if you return for treatment, will the duration of the treatment be shortened? A: The treatment duration will not be shortened. It is recommended to take the medication "Lexa...

Understanding the Efficacy and Side Effects of Anxiety Medications

Efficacy and Side Effects of Anxiety Medications Hello, doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I have previously taken Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The do...

Dr. Wu Enliang Reply:
Netizens are curious about whether the therapeutic effects of medications remain in the body. A: No, they do not. Since the symptoms still persist, if treatment is resumed, will the duration of the treatment be shortened? A: The duration of treatment will not be shortened. It is ...

Long-Term Use of Medications for Autonomic Nervous System Disorders

Pharmacological Treatment for Autonomic Nervous System Dysregulation Hello, doctor. I have been suffering from autonomic nervous system dysregulation for three years. During my visits, the doctor prescribed me Xinjie (Mirtazapine), and I feel better when I stop taking it, but my ...

Dr. Qiu Junda Reply:
Hello. Xin Jie can be taken long-term. If you wish to discontinue it, you should discuss it with your physician first.

Understanding Autonomic Nervous System Disorders and Depression: Key Insights

Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...

Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...

Understanding the Use of 1mg of Quetiapine for Sleep and Anxiety

Regarding Jing An Ning 1 mg? Hello, doctor. I have severe sleep disorders, as well as anxiety and depression, but I still can't sleep. Currently, I am taking medications: 2 tablets of Tinos, 2 tablets of Clonazepam, 2 tablets of Quetiapine, 1 tablet of Mirtazapine 50 mg, and...

Dr. Wu Enliang Reply:
There isn't much that can be done, and it's not advisable to rely heavily on medications. For insomnia, it's important to identify the underlying causes and address them accordingly, rather than continuously increasing the dosage of sedatives. Dr. Wu Enliang.

Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges

Insomnia and anxiety? Hello, doctor. I have been visiting the psychosomatic clinic since 2014 for several years. Initially, I was prescribed Lexapro, but the side effects were too strong; I felt fatigued and sleepy all day after taking it. After a while, I couldn't tolerate ...

Dr. Li Zhengfeng Reply:
Hello: According to the letter, you may be suffering from depression. Whether you need to take a leave of absence should be determined by your attending physician's professional assessment. If necessary, rest can indeed improve your condition. In addition to medication, trea...

Understanding Schizophrenia: A Patient's Journey Through Medication and Symptoms

Continuation #205880 issue? Dr. Lin, I apologize for the lengthy message, as I have a lot to say and may have omitted some details. Let me first report the medications I have taken, which are about ten types. - Ziprasidone 5 mg, 4 tablets at bedtime (I switched this due to exce...

Dr. Lin Mianzhang Reply:
Hello: Regarding the hallucinations, I can only determine if they are indeed hallucinations if I am certain that the experiences you describe are not perceived by those around you. However, if you have tried multiple medications without effective symptom relief, it may be worth c...

Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help

Bipolar disorder issues Hello, my father is in his 60s, and after observing his behavior for several months, we suspect he may have bipolar disorder. Below is a detailed description of his condition, and I would appreciate your response. Thank you. Around August of last year, h...

Dr. Lin Mianzhang Reply:
Hello: 1. The medication your father took, Meishuyu tablets, is typically used as a sleep aid, and the dosage is generally low, making it unlikely to trigger manic episodes. Additionally, since your father has not taken this medication since March or April of last year, and the...

Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration

Medication consultation Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I was previously taking Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The doctor mentioned a six-mont...

Dr. Qiu Junda Reply:
Hello. 1. Lexapro 75mg (also known as Escitalopram) has antidepressant, anxiolytic, and anti-panic properties. Sucralfate 50mg can be used as a gastric medication, while Atenolol 10mg can reduce heart rate and has anxiolytic effects. 2. Medications are metabolized daily and do no...

Understanding Schizophrenia: A Personal Journey Through Voices and Treatment

Schizophrenia Hello Dr. Lin, I would like to explain my condition. I started hearing three voices around August 2011, one male and one female, and occasionally a child's voice. At first, I couldn't understand what they were saying, but by April 2012, I began to recogniz...

Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! It seems that you have a good understanding of your situation, but you are also quite troubled. Based on your description, you indeed exhibit symptoms of schizophrenia, including auditory hallucinations, delusions of reference (believing that ...

Understanding Auditory Hallucinations: A Guide to Schizophrenia Symptoms

Please provide the content you would like me to translate into English? Hello, Dr. Lin! Regarding the auditory hallucinations I mentioned in my previous question, they occur during conversations between people. While one person is talking to another, I only hear hallucinations. A...

Dr. Lin Mianzhang Reply:
Hello: Currently, there is generally no distinction made between the types of schizophrenia, as the treatment medications are the same. Your symptoms are quite common, and the severity depends on their impact on your daily life and functioning. If these symptoms prevent you from ...

Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained

Questions about medications for treating anxiety? Hello, doctor. Due to diarrhea-predominant irritable bowel syndrome causing chronic anxiety symptoms, I visited National Taiwan University Hospital, where the physician prescribed Bromazepam (Lexotan). The dosage instructed was ha...

Dr. Qiu Junda Reply:
Hello. Your letter indeed reflects your anxiety and concerns. 1. You have researched BZD medications, which do carry a risk of withdrawal and addiction. However, why do doctors still prescribe them? Because they have anxiolytic effects that can help alleviate your symptoms. It&...

Safe Medication for Pregnant Women: Managing Anxiety and Depression

Medications during pregnancy Due to depression, anxiety, and panic attacks, I previously took Xanax during sudden emergencies, but I can no longer take Xanax during my pregnancy. My doctor prescribed me 2 tablets of Cymbalta (duloxetine) to take every night, stating that it is sa...

Dr. Qiu Junda Reply:
Hello. 1. Pregnant women can use antidepressants. 2. The itching may be related to nutritional factors and emotional psychological factors. 3. Theoretically, the emergency use of antidepressants may not be very effective; medications like anxiolytics would be more effective.

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