Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Stevens-Johnson Syndrome Risks with Medications
Stevens-Johnson Syndrome Before bedtime, I take 30mg of Cymbalta, 50mg of Seroquel, and two tablets of Effexor. I would like to ask the doctor about the Cymbalta leaflet, which mentions the risk of causing fatal Stevens-Johnson syndrome. After reading the leaflet, I am hesitant t...
Dr. Huang Xiaoxian Reply:
Hello, the medication you are taking is relatively safe, and the likelihood of any issues is very low, so you can take it with peace of mind. You may discuss it with your prescribing physician. Wishing you well.[Read More] Understanding Stevens-Johnson Syndrome Risks with Medications
Understanding Urinary Retention and Stevens-Johnson Syndrome Risks with Medications
Qianyoujie, urinary retention, Stephen-Johnson syndrome? Since elementary school, through middle school and into college, I have been unable to urinate in public if there are others around. I have had a pathological fear of urinating and need to ensure that no one is in the restr...
Dr. Wang Zhenyang Reply:
Hello, The package insert for Cymbalta does indeed mention these two side effects: 5.6 Severe Skin Reactions: The use of Cymbalta may lead to severe skin reactions, including Erythema Multiforme and Stevens-Johnson Syndrome (SJS). The reported incidence of SJS associated with...[Read More] Understanding Urinary Retention and Stevens-Johnson Syndrome Risks with Medications
Managing Urinary Issues: Concerns About Medications and Bladder Function
Qianyoujie 30mg, Mirtazapine 50mg (2 tablets), Siloxetine 50mg (1 tablet) Since elementary school through high school and into college, I have been unable to urinate in public restrooms if there are others around. I have had a pathological urge to hold my urine since childhood, n...
Dr. Wang Zhenyang Reply:
Hello, The package insert for Cymbalta does indeed mention these two side effects: 5.6 Severe Skin Reactions: The use of Cymbalta may lead to severe skin reactions, including Erythema Multiforme and Stevens-Johnson Syndrome (SJS). The reported incidence of SJS associated with...[Read More] Managing Urinary Issues: Concerns About Medications and Bladder Function
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda Reply:
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Understanding the Risks of Serotonin Syndrome with Multiple Medications
Severe insomnia, anxiety, and depression? Psychiatry before bed: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, ALPRAZOLAM 0.5mg * 1 tablet in the morning and evening. ENT...
Dr. Huang Xiaoxian Reply:
Dear benlotices, I apologize for the late response. Regarding the current medications related to serotonin, the primary one is Lyrica (Pregabalin). This medication is commonly prescribed at this dosage, and since you have been taking it for a while, the likelihood of developing s...[Read More] Understanding the Risks of Serotonin Syndrome with Multiple Medications
Managing Depression, Anxiety, and Severe Insomnia: Medication Insights
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia - unable to sleep for 2 months? 1. Is it possible for the medications I am currently taking to cause serotonin syndrome? 2. The urologist mentioned that my urinary flow rate test and urodynamics showe...
Dr. Wang Zhenyang Reply:
Hello, sir: You are on multiple medications, and I recommend discussing this thoroughly with your physician to find the most suitable medication for you. Thank you. WANG Zhen-Yang, Attending Physician and Director Department of Psychiatry Community Mental Health Center Taoyuan Ge...[Read More] Managing Depression, Anxiety, and Severe Insomnia: Medication Insights
Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding Body Pain: The Link Between Mental Health and Medication
Generalized bone pain? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Meishuyu (Mirtazapine) 50mg * 2 tablets, Silvacon (Sertraline) 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, Alprazolam 0.5mg * ...
Dr. Wang Yaoting Reply:
Hello: Based on your description, you are still experiencing anxiety regarding your condition and medication, and excessive anxiety may also be contributing to your physical discomfort. Anxiety is a prospective emotional response to perceived threats in the future, a fear imagine...[Read More] Understanding Body Pain: The Link Between Mental Health and Medication
Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Severe insomnia The doctor said that my uroflowmetry and urodynamics tests indicate abdominal voiding, bladder weakness, poor bladder contractility, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood, which has caused damage. I have a p...
Dr. Wang Yaoting Reply:
Hello: 1. In your medication regimen, "Zoloft (Sertraline) 50mg * 2 tablets and Meishuyu (Mirtazapine) 50mg * 2 tablets" will act on the serotonin system, but the risk of developing serotonin syndrome is extremely low, especially since you have been taking them for a wh...[Read More] Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Understanding Serotonin Syndrome Risks with Multiple Medications
Three months of sleeplessness with complete inability to sleep indicates severe insomnia? Psychiatry before bed: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, ALPRAZOLAM 0...
Dr. Qiu Junda Reply:
Hello. As long as you follow the prescribed usage and dosage, it should not lead to serotonin syndrome, unless you increase the dosage on your own. Thank you.[Read More] Understanding Serotonin Syndrome Risks with Multiple Medications
Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Weakness in all four limbs? The doctor said that my urinary flow rate test and urodynamics showed abdominal voiding, bladder weakness, poor bladder contraction elasticity, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood and not darin...
Dr. Wang Yaoting Reply:
Hello: Sedative medications may have muscle relaxant effects and can lead to a sensation of limb weakness; however, individual responses may vary, and the dosage can also make a difference. Panic and anxiety can also cause somatic symptoms, including feelings of limb weakness. It...[Read More] Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Struggling with Insomnia: Understanding Anxiety and Depression Treatments
I haven't been able to sleep for three months; I haven't slept at all? Psychiatry before bed: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * 2 tablets, Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 2 tablets. Metabolism department: Metformin HCL 850 mg...
Dr. Huang Xiaoxian Reply:
Hello Coollo, it is generally unlikely for a person to go without any sleep for more than two weeks. Sleep is typically divided into deep sleep, light sleep, and rapid eye movement (REM) sleep. You may be experiencing predominantly light sleep, which could lead to the subjective ...[Read More] Struggling with Insomnia: Understanding Anxiety and Depression Treatments
Understanding Drug Interactions: Bupropion, Zolpidem, and Birth Control
Drug interactions Is it safe to take the antidepressant Bupropion in the morning, along with the sleep aid Zolpidem and the contraceptive pill Yaz at night? My overall condition has improved, but could there be any drug interactions that might affect the contraceptive effectivene...
Dr. Qiu Junda Reply:
Hello. These medications should not affect the contraceptive effectiveness of the birth control pill Yaz. You may also consult the obstetrician-gynecologist who prescribed Yaz for you. The doctor will be happy to answer your questions. Thank you.[Read More] Understanding Drug Interactions: Bupropion, Zolpidem, and Birth Control
Understanding Medication Side Effects in Pediatric Psychiatry
Drug side effect issues? My child is currently taking Strattera 25mg. Recently, I've noticed that he has been easily prone to explosive anger, crying, and shouting. Afterwards, he collapses and presents with stiff limbs and a vacant stare, and it takes a long time to get his...
Dr. Liu Shikai Reply:
Dear Ms. Fish, Thank you for your inquiry. Based on your description, it seems that your child may be experiencing a state of epilepsy. As for the causes, current medical knowledge indicates that most cases remain idiopathic, while other potential causes are numerous and varied,...[Read More] Understanding Medication Side Effects in Pediatric Psychiatry
Understanding Anxiety Medications: Effects on Urinary Function and Treatment
Anti-anxiety? The doctor said that my urinary flow rate test and urodynamics indicate abdominal voiding, bladder weakness, poor bladder elasticity, and reduced bladder capacity. I have long-term habits of holding my urine since childhood and am afraid to use public restrooms, whi...
Dr. Wang Yaoting Reply:
Hello: 1. Psychiatric medications that have antihistamine or anticholinergic effects may cause urinary retention and difficulty urinating, but it is uncertain whether this is related to your bladder weakness. It is advisable to discuss this with your prescribing physician, as the...[Read More] Understanding Anxiety Medications: Effects on Urinary Function and Treatment
Navigating Life with Emotional Disorders: A Personal Journey
I'm not sure how to move forward? Hello, I have been diagnosed with affective psychosis by a psychiatrist since I was 20 years old, and I have been receiving psychiatric treatment ever since. My condition has worsened significantly due to various reasons. From the age of 20 ...
Dr. Huang Xiaoxian Reply:
Hello Mr. Kuo, it sounds like you have many sources of stress in your life, and the impact of interpersonal relationships often affects your mood. In addition to medication, I recommend discussing the possibility of arranging psychological therapy with your physician. It's g...[Read More] Navigating Life with Emotional Disorders: A Personal Journey