Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
Mild Depression Generalized Anxiety Disorder Currently, the health insurance app shows a diagnosis of mild depression and generalized anxiety disorder. From what I've seen online, mild depression doesn't necessarily require medication, and some people can recover on the...
Dr. Wu Enliang Reply:
Hello, netizen: Question 1: Can I reduce the dosage of my antidepressants? The first doctor has prescribed: morning and evening, 12.5 mg of Clomipramine (克憂果) 1 tablet; at bedtime: 0.5 mg of Zolpidem (讚安諾) 1 tablet, 50 mg of Mirtazapine (美舒鬱) 1 tablet, and 1 mg of Buspirone (悠然...[Read More] Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
Understanding Drug Interactions: Impact on Anxiety Treatment and Symptoms
Drug interactions Hello Dr. Lin, I have been taking Sertraline 75mg for anxiety and panic for over six months. My symptoms only occasionally flare up when I am too tired or busy. Recently, I experienced the following situation: since my family runs a small eatery, we allow custom...
Dr. Lin Mianzhang Reply:
Hello, little chef: Amphetamine is a central nervous system stimulant, and inhaling it can indeed trigger symptoms such as anxiety, panic, and increased heart rate. However, the amount you inhaled should not be significant, and your body will metabolize the amphetamine quickly. T...[Read More] Understanding Drug Interactions: Impact on Anxiety Treatment and Symptoms
Managing Medication Side Effects: From Agitation to Excessive Sleepiness
The patient previously hospitalized for treatment exhibited restlessness after taking medication, which changed to drowsiness after the medication was switched? Hello, doctor! I am a family member of the patient. The patient was previously hospitalized and experienced restlessnes...
Dr. Wu Enliang Reply:
Hello, internet user: Please discuss this immediately with your attending physician. Dr. Wu En-Liang.[Read More] Managing Medication Side Effects: From Agitation to Excessive Sleepiness
Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns
Medication consultation: On the first day of taking antipsychotic medication, I have been feeling very sleepy? Hello, Doctor! I am a family member of the patient. The patient was previously hospitalized for schizophrenia and was discharged on Risperidone 2 mg (4 mg daily, taken a...
Dr. Wu Enliang Reply:
Hello, user: 1. Could this condition be caused by medication? Since it is a situation where the person cannot get out of bed at all? A: It is possible that the condition is caused by medication. 2. Is Ativan (Lorazepam) 0.5 mg a medication for insomnia? If there is no insomni...[Read More] Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns
Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
I'm not sure if it's mitral valve prolapse or panic disorder? I often feel short of breath and have the sensation that I'm not getting enough oxygen when I breathe. I constantly want to take deep breaths, but I can't. Sometimes, this leads me to feel the urge ...
Dr. Wang Yaoting Reply:
Hello, Xiaoxian: When experiencing discomfort in the body, it is important to first examine the symptoms that have arisen. For instance, regarding your concerns about shortness of breath and suspected mitral valve prolapse, you should first seek medical attention from a cardiolog...[Read More] Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
Understanding Side Effects of Psychiatric Medications: A Focus on Sexual Health
Drug side effects Hello Doctor: I have been taking "Yongkang Sugar-Coated Tablets," and recently I've experienced difficulty falling asleep, so I've also been taking "Health Sleep Film-Coated Tablets 7.5 mg." Besides the known side effect of dry mout...
Dr. Wang Yaoting Reply:
Mocalm (Flupentixol and Melitracen) and Imovane (Zopiclone) have a very low incidence of sexual dysfunction reported in adverse drug reaction reports, but it is difficult to rule out individual-specific reactions. If you are considering discontinuing the medication, it is advisab...[Read More] Understanding Side Effects of Psychiatric Medications: A Focus on Sexual Health
Concerns About Prozac: Memory Issues and Cognitive Effects for Students
Medication Issues: Prozac Hello, Doctor: Thank you very much for taking the time to respond. I am a repeat examinee with obsessive-compulsive disorder. Today, I visited the hospital, and the doctor prescribed Prozac for me. I have read online that Prozac can cause cognitive dulln...
Dr. Lin Mianzhang Reply:
Hello Ms. Liu: Each individual may have different reactions to medications due to variations in their physiology. Therefore, taking Paxil (Paroxetine) does not necessarily mean you will experience the symptoms that others have reported. Generally speaking, Paxil is less likely to...[Read More] Concerns About Prozac: Memory Issues and Cognitive Effects for Students
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is it autonomic nervous system dysfunction? Hello, doctor. About a month ago, I experienced muscle twitching for the first time around my eye socket and left calf, which made me very anxious and I frantically searched for information online, fearing it might be a motor neuron dis...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems that your body is experiencing many atypical discomforts. It is recommended to first visit a family medicine or general internal medicine clinic. If the basic examination results are normal, then anxiety-related autonomic nervous system ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Concerns About Diet: Can My Eating Habits Lead to Cancer or Diabetes?
I am very concerned that my eating habits may lead to cancer or diabetes? Hello, Dr. Lin. I have the following question. I have been eating braised pork rice, instant noodles for all three meals, and I drink two large cups of iced milk tea every day (although it is labeled as sug...
Dr. Lin Mianzhang Reply:
Hello, Mimy. It sounds like you are quite concerned about your health, but feel powerless to change your current eating habits. I'm not sure what specific mental health issues you are facing. If the effects of psychiatric medications are limited, have you considered trying o...[Read More] Concerns About Diet: Can My Eating Habits Lead to Cancer or Diabetes?
Understanding Relapses in Depression and Anxiety: A Personal Journey
Feeling depressed and anxious has relapsed again? A few months ago, I started experiencing emotional decline due to interpersonal and family issues, as well as academic problems, which led to self-harm. I sought help from a mental health specialist and was diagnosed with depressi...
Dr. Yan Congyou Reply:
Dear Lili, Based on your description, it appears to be a complex situation that requires a definitive diagnosis and a discussion of treatment options such as medication, psychotherapy, or family therapy. I would recommend that you establish a regular and stable follow-up with a ...[Read More] Understanding Relapses in Depression and Anxiety: A Personal Journey
Understanding Urinary Retention and Steven-Johnson Syndrome in Psychiatry
Urinary retention in Stephen Johnson syndrome? Psychiatry prescription: At bedtime: 30mg of Cymbalta (duloxetine) 1 capsule, 50mg of Mirtazapine 2 capsules, 50mg of Sertraline 1 capsule, 75mg of Lyrica (pregabalin) 2 capsules, 10mg of Zolpidem 2 capsules, 2mg of Flunitrazepam 2 c...
Dr. Yan Congyou Reply:
Hello: Based on the situation you described, this is not Stevens-Johnson syndrome (which involves a severe systemic allergic reaction). Regarding urinary retention, medications can indeed be a contributing factor, but they are not the only cause. Your condition also includes a ps...[Read More] Understanding Urinary Retention and Steven-Johnson Syndrome in Psychiatry
How to Alleviate Daytime Sleepiness in Children with Depression
How to alleviate drowsiness? Hello, doctor. My child is suffering from depression and is currently taking Otsuka's Anri-fu (for anxiety) and Daomei Sleep at night, while during the day, she is on Buprion (recently switching to Wellbutrin, one tablet in the morning and one at...
Dr. Liang Sunyuan Reply:
Hello Ms. Wang: First, it may be necessary to ask about the child's sleep status at night—whether they are sleeping well and if there are any interruptions in their sleep. If their sleep is poor, reducing medication may lead to even worse sleep, resulting in more fatigue dur...[Read More] How to Alleviate Daytime Sleepiness in Children with Depression
Overcoming Depression and Work Fatigue: A Personal Journey
Depressive tendencies, work fatigue? I have been somewhat introverted and shy since childhood, even feeling inferior and not liking to answer questions. I dislike going out to buy things or paying for them. However, due to my family's situation, I have to work. I have previo...
Dr. Li Zhengfeng Reply:
Hello: Based on your letter, it seems you may be experiencing symptoms of depression. Treatment for depression can include both pharmacological and non-pharmacological approaches, such as antidepressant medications or psychotherapy, as well as activity therapy. It is advisable to...[Read More] Overcoming Depression and Work Fatigue: A Personal Journey
Long-Term Use of Rifampin: Risks of Sleep Issues and Cognitive Decline
Is rifampicin used for depression? Doctor, I have trouble sleeping and take 0.5 mg of Risperidone every night. Will long-term use harm my brain or lead to dementia? Thank you.
Dr. Wu Enliang Reply:
Hello, netizen: There is currently no significant scientific evidence linking long-term use of sedative-hypnotic medications such as Rifampicin to dementia or brain damage. However, due to the potential for dependence with long-term use, it is recommended that after improvement o...[Read More] Long-Term Use of Rifampin: Risks of Sleep Issues and Cognitive Decline
Understanding Bipolar Disorder Medications and Family Support Strategies
Bipolar disorder medication issues and consultation information? Hello, doctor. Thank you very much for your patient reading and professional response. My family member has bipolar disorder and has been visiting a clinic for about one to two years. However, a little over a month ...
Dr. Huang Xiaoxian Reply:
Hello! At first glance, the symptoms of your family member do resemble those of mania or hypomania, and indeed, there are no mood stabilizers specifically for the treatment of mania included in the medication regimen. Regarding counseling, our institution does provide services on...[Read More] Understanding Bipolar Disorder Medications and Family Support Strategies
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Understanding Long-Term Disruptive Symptoms of Life and Learning
Long-term disruptive symptoms of living and learning? Hello Doctor, I am a 22-year-old woman. Since elementary school, I have experienced intrusive thoughts, such as believing that if my right foot is not placed on the top step of the stairs, I will lose my friends (which has l...
Dr. Huang Xiaoxian Reply:
Hello, Yan Yan. I understand that this fear makes your life quite difficult. However, these symptoms are treatable. I recommend that you seek an evaluation from a mental health professional for early intervention. You can also communicate with healthcare providers and your family...[Read More] Understanding Long-Term Disruptive Symptoms of Life and Learning
Managing Dry Eye Syndrome and Psychiatric Medications: Key Considerations
(H04122) Dry Eye Syndrome of the Left Lacrimal Gland Ophthalmology Diagnosis: (H04122) Dry Eye Syndrome of Left Lacrimal Gland Question 1: The cornea of one eye is thinner than normal. Is it possible for it to continue thinning? If it continues to thin, could it potentially lead...
Dr. Huang Xiaoxian Reply:
Hello Coollo, regarding your mention that there is no clear evidence of a causal relationship between psychiatric medications and glaucoma, it is advisable to consult with an ophthalmologist for further insights. Wishing you the best! Here is the reference: https://pubmed.ncbi.nl...[Read More] Managing Dry Eye Syndrome and Psychiatric Medications: Key Considerations
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Managing Tinnitus: Antidepressants and Anxiety Relief Options
Antidepressant medications and tinnitus symptoms issues? Hello! I am currently experiencing significant anxiety due to tinnitus, which is affecting my daily life and causing sleep difficulties. I am considering using antidepressants along with sedatives, but I have read articles ...
Dr. Wang Yaoting Reply:
Hello: Chronic tinnitus is often accompanied by symptoms such as depression, anxiety, stress, or insomnia. Antidepressant medications are more likely to help improve these accompanying emotional symptoms, and typically, when mood improves, tolerance for tinnitus also increases. H...[Read More] Managing Tinnitus: Antidepressants and Anxiety Relief Options