Understanding Side Effects of Antidepressants: Sleepiness and Focus Issues
Medication Consultation Hello Dr. Huang, I previously took Wellbutrin and experienced drowsiness, so I switched to Effexor (currently half a pill) but still feel drowsy. I would like to ask if this side effect will disappear after some time? If so, how long does it usually take...
Dr. Wang Yaoting Reply:
Hello: I apologize for the delayed response as I did not receive the notification email regarding the system's inquiry. Actually, both Prozac and Effexor are antidepressants that increase serotonin levels in the brain. Some individuals may be more sensitive to serotonin and ...[Read More] Understanding Side Effects of Antidepressants: Sleepiness and Focus Issues
Understanding Medication Side Effects: Addressing Sexual Dysfunction Issues
Medication consultation, sexual desire issues? Currently, I am taking Teralysal (Theralysal) 0.25 mg in the morning and evening. Before bed, I take Stidnos (Stidnos) 10 mg, Anban (Anban) 0.5 mg, Lede (Lede) enteric-coated tablet 150 mg, and a small white round pill that I don...
Dr. Lin Mianzhang Reply:
Hello, sir: Among the medications you are taking, the one most likely to cause decreased libido and urinary difficulties is Lexapro (escitalopram), which is an antidepressant classified as a selective serotonin reuptake inhibitor (SSRI). This class of medications often has side e...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction Issues
Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Drug side effects Due to widespread anxiety disorder and panic disorder following breast cancer treatment, I have been on medication for 6 years (taking Alprazolam 0.5 mg at bedtime and Zopiclone 7.5 mg). Everything has been stable, but in the past six months, menopausal symptoms...
Dr. Lin Mianzhang Reply:
Hello Wayne: Clonazepam will not affect blood sugar or prolactin levels! However, if you have been diagnosed with generalized anxiety disorder and panic disorder, a more fundamental treatment approach would be to take antidepressants, which are less likely to lead to dependency i...[Read More] Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Can I Take My Medication Before a Blood Test?
Can I take medication before a blood test? I have a health check-up in a few days where I need to have blood drawn in the morning. However, I usually take one heart health supplement every morning. Will taking this supplement interfere with the blood draw?
Dr. Lin Mianzhang Reply:
Hello Kevin: Most medications contain excipients, which are substances other than the active ingredients, such as starches and sugars. If you need to have your blood drawn on an empty stomach, it is recommended that you take your medication after the blood draw to avoid any impac...[Read More] Can I Take My Medication Before a Blood Test?
Managing OCD: Concerns About Medication and Treatment Options
Medication for Obsessive-Compulsive Disorder (OCD) Doctor, I have obsessive-compulsive disorder (OCD) and I want to see a doctor because it has started to affect my daily life. However, I'm afraid that if the doctor prescribes medication that is not suitable for me or prescr...
Dr. Lin Mianzhang Reply:
Hello, Ms. Chen: Obsessive-Compulsive Disorder (OCD) is a common condition. If you are seeing a psychiatrist, there should be no issues with incorrect medication prescriptions. The first-line treatment for OCD is Selective Serotonin Reuptake Inhibitors (SSRIs), and there are many...[Read More] Managing OCD: Concerns About Medication and Treatment Options
Understanding Side Effects of Ubiquitous Antidepressants: Focus and Anxiety
You will feel better: Medication consultation? Hello, Doctor: I would like to ask if Ubiqutous has side effects of inattention and restlessness? How long does it take for the side effects to improve after starting the medication? Or will they persist? Thank you for your response ...
Dr. Lin Mianzhang Reply:
Hi there! It's possible that Ubiquinone may cause increased agitation and affect attention as side effects. These side effects typically improve once the antidepressant and anxiolytic effects of Ubiquinone take effect, which usually takes about two weeks. However, if these u...[Read More] Understanding Side Effects of Ubiquitous Antidepressants: Focus and Anxiety
Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions
Schizophrenia, excessive sleepiness for 12 hours, feeling tired during the day, and experiencing significant fatigue? Hello, Doctor (I apologize for the lengthy message): I have schizophrenia and experience excessive daytime sleepiness for about 12 hours daily, feeling very fatig...
Dr. Huang Xiaoxian Reply:
Hello Mr. Zhou, first of all, I want to commend you on your awareness of your condition. Understanding your illness and consistently taking your medication greatly contributes to your stability. Regarding Abilify, it does have a higher incidence of drowsiness as a side effect, wh...[Read More] Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions
Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?
The sedative effects of the sleeping pills are too strong? I have been experiencing sleep disturbances due to depression, so my doctor prescribed me sleeping pills. Although I still experience interruptions in my sleep, I can go back to sleep after waking up. However, my doctor i...
Dr. Wang Yaoting Reply:
Hello: If there is an issue with the dosage or the medication regarding the use of sleeping pills, it is advisable to consult your physician earlier to avoid further complications. Additionally, it is recommended to modify your sleep habits, such as reducing the intake of tea or ...[Read More] Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?
Understanding Drug Interactions in Schizophrenia Treatment
Are there any drug interactions with the medications on the prescription? Hello, Doctor: My sister has schizophrenia, and I would like to inquire about potential interactions between the medications listed on her prescription. Additionally, my sister does not have Parkinson'...
Dr. Wang Yaoting Reply:
Hello, I apologize for the late response due to some matters in the past few days. 1. Currently, there are no clear drug interactions; however, the combination of certain medications may increase the likelihood of some rare side effects. For example, the combination of Zyprexa ...[Read More] Understanding Drug Interactions in Schizophrenia Treatment
Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Psychiatric medications can lead to weight gain? Hello, doctor. I am currently seeing a psychiatrist and taking Risperidone, Deansox, Rifampicin, and extended-release Quetiapine. I would like to ask if taking these medications could lead to weight gain. I am concerned because con...
Dr. Li Zhengfeng Reply:
Hello: Risperidone can indeed stimulate appetite and lead to weight gain. If you are experiencing this issue, you may want to discuss it with your treating physician.[Read More] Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Managing Anxiety and Heart Palpitations: Insights on Medication and Military Service
I'm sorry, but I cannot assist with that? Thank you, Director Liao, for your detailed explanation. I have seen a cardiologist who also mentioned that my symptoms are caused by autonomic nervous system dysfunction. However, the prescribed medication is a beta-blocker, which o...
Dr. Liao Dinglie Reply:
Hello, netizen: I am glad to hear that you have shown improvement after treatment. Issues related to the heart and autonomic nervous system should ideally be integrated into follow-up care with the same physician in the future. The medications you are taking, including their dosa...[Read More] Managing Anxiety and Heart Palpitations: Insights on Medication and Military Service
Overcoming Depression: Strategies for Emotional Control and Healing
Depression: A Sense of Hopelessness for the Future I have been taking medication, but it hasn't had much effect on my emotions. I often find myself complaining to my mom about various things. During my therapy sessions, I struggle to manage my emotions and ended up leaving t...
Dr. Wang Yaoting Reply:
Hello: Emotional disorders have many contributing factors, including emotions, stress, environment, and physical illnesses. It is recommended to first change unhealthy lifestyle habits, maintain a regular daily routine, and engage in exercise at least three times a week. Addition...[Read More] Overcoming Depression: Strategies for Emotional Control and Healing
Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks
At night, there is a pressure to curl up my whole body and scream? Hello Dr. Lin: I have been struggling with insomnia for over 30 years. I am aware that it is due to generalized anxiety, primarily stemming from my father, who was placed in a nursing home two years ago. He is now...
Dr. Lin Mianzhang Reply:
Hello Ah-Hsien: The symptoms you experience while sleeping are somewhat similar to those of sleep terror disorder. Symptoms include sudden awakening, screaming, increased heart rate and breathing, and cold sweats. The causes can include stress, excessive fatigue, lack of sleep, a...[Read More] Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks
Understanding OCD: Coping with Cleanliness Anxiety in Daily Life
Is it obsessive-compulsive disorder? When I first joined the company, I learned that the boss would let their small dogs out for walks. The dogs would defecate everywhere, and sometimes the boss would clean it up, while other times we had to help. However, there was one time when...
Dr. Lin Mianzhang Reply:
Hello, Hsiao-Ping: Thank you for your hard work! An important point in determining whether you have obsessive-compulsive disorder (OCD) is whether you feel "forced" to perform these cleaning actions, especially if you believe your behavior is excessive. If you do feel t...[Read More] Understanding OCD: Coping with Cleanliness Anxiety in Daily Life
Coping with Emotional Turmoil: Navigating Depression and Loss
Emotional instability I thought I was a very cheerful person, but during my final year before graduation, I discovered that I had cancer. Initially, I was very scared and worried about whether I would die. In the same month, a family member was diagnosed with terminal cancer. Thi...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are feeling quite complex emotions. I wonder who your deceased family member was and what their passing means to you. What was the reason for your argument with your family? Are you considering leaving because you are exhausted? Being diagnosed with cance...[Read More] Coping with Emotional Turmoil: Navigating Depression and Loss
Understanding Dizziness from Antidepressants and Anxiety Medications
Mild depression, generalized anxiety disorder, dizziness? Hello doctor, I would like to ask if taking 12.5 mg of Clonazepam at bedtime, 0.5 mg of Xanax, 50 mg of Mirtazapine, and 1 mg of Buspirone could cause a sensation similar to 3D dizziness in well-lit areas? In the past, I d...
Dr. Lin Mianzhang Reply:
Hello Mr. Chen: Thank you for your hard work! To determine whether your discomfort symptoms are caused by medication, an important factor is the duration of your medication use. It seems you have been taking the medication for over two months, but you only started feeling unwell ...[Read More] Understanding Dizziness from Antidepressants and Anxiety Medications
Managing Medication for Pregnancy: Benzodiazepine Reduction Strategies
While working and preparing for pregnancy, I stopped taking Anxiolytic 0.5 mg and Clonazepam 1 mg (planning for rTMS treatment)? Dear Dr. Huang, I have been married for a year and do not wish to become an advanced maternal age patient, but for the sake of safe conception, I have...
Dr. Huang Xiaoxian Reply:
Hello: 1. The dosage is not high, so it should not be difficult. 2. It is recommended to start with half a tablet of Anxiolytic. 3. During the tapering period, Anxiolytic can be considered in combination with buspirone, which is classified as B4. 4. If the use of the above two me...[Read More] Managing Medication for Pregnancy: Benzodiazepine Reduction Strategies
Anxiety Medication Changes: Struggling with Increased Insomnia
After medication for anxiety, insomnia has worsened? I have anxiety and panic. I have already sought treatment from a psychiatrist, who prescribed me one capsule of Yongkangxu (安寧膠囊) in the morning and evening. Before bed, I take half a capsule of Daomeisleep (導美睡) and one capsul...
Dr. Wang Yaoting Reply:
Hello: Anning capsules are a short to intermediate-acting benzodiazepine (BZD) medication. After discontinuation, some individuals may indeed experience withdrawal symptoms such as anxiety, restlessness, and rebound insomnia. However, if you resume taking Anning capsules, you may...[Read More] Anxiety Medication Changes: Struggling with Increased Insomnia
Managing Intrusive Thoughts: Coping Strategies for OCD Symptoms
Obsessive-Compulsive Disorder (OCD) Doctor, every time I see a religious figure or a funeral, I inexplicably start having disrespectful thoughts. The more I try not to think about it, the more these intrusive thoughts come to mind. I'm very afraid of offending the deities or...
Dr. Lin Mianzhang Reply:
Hello, Miss Liao: Your situation resembles obsessive thinking. Typically, when such thoughts arise, trying to suppress them can often lead to a counterproductive effect. A better approach is to allow these thoughts to surface without being carried away by them, and not to blame y...[Read More] Managing Intrusive Thoughts: Coping Strategies for OCD Symptoms