Understanding Facial Heat and Burning Sensations: Possible Causes and Solutions
Facial flushing with a burning sensation all over the face? Facial flushing and a burning sensation across the entire face, including the eyelids, can have various causes. Since two dermatologists have confirmed that there are no skin issues, potential reasons could include: 1. ...
Dr. Huang Xiaoxian Reply:
Dear Lotices, regarding the facial flushing you mentioned, I'm not sure if it is persistent or occurs only in specific situations, and whether it is related to anxiety or stress. The information provided is a bit limited, making it difficult to assess. If it occurs persisten...[Read More] Understanding Facial Heat and Burning Sensations: Possible Causes and Solutions
Struggling to Sleep Despite Medication: Understanding Urinary Issues and Treatment
I took sleeping pills but still can't sleep? The doctor mentioned that my uroflowmetry and urodynamics tests showed abdominal voiding, poor bladder elasticity, reduced bladder capacity, and long-term retention has caused damage. I have a post-void residual of 50cc. Psychia...
Dr. Huang Xiaoxian Reply:
1. Doxepin and Seroquel may have some anticholinergic effects, which can be associated with urinary retention; it is advisable to discuss this with the prescribing physician. 2. Mirtazapine generally has some antihistaminic effects that can aid sleep, as well as antidepressant ef...[Read More] Struggling to Sleep Despite Medication: Understanding Urinary Issues and Treatment
Understanding Your Mental Health Diagnosis and Medication Dosage
Differential diagnosis and dosage? Hello, doctor. I recently visited a psychiatrist for the first time, and my doctor only mentioned that I have Generalized Anxiety Disorder. However, when I checked my health records using the National Health Insurance app, it showed the primary ...
Dr. Liang Sunyuan Reply:
Hello: Each physician has a different habit of writing medical records. These three diagnoses may be confirmed diagnoses or they may only be suspected diagnoses that need to be verified or ruled out during future follow-up treatment. If there are any concerns, you can discuss the...[Read More] Understanding Your Mental Health Diagnosis and Medication Dosage
Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: - Leeyo (Escitalopram) 10 mg * 2 tablets - Zolpidem 10 mg * 2 tablets - Flunitrazepam ...
Dr. Qiu Junda Reply:
Hello. 1. After stopping the medication, you should be able to resume taking doxepin without any conflicts. 2. 3. 4: Similar questions have been answered previously. Your attending physician (including those from other specialties) will adjust your medication based on your condit...[Read More] Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Managing Multiple Chronic Conditions: Safety of Medications and Sleep Issues
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: Leeyo (Escitalopram) 10mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 1 tablet Dermatology: Before bedtime: Lyrica (Pregabalin) 75mg * 1 tablet, Doxepin 25m...
Dr. Wang Yazhen Reply:
Hello: After inquiry, it has been found that the dermatological medication Doxepin and the antidepressant Escitalopram may have very rare interaction symptoms. Due to their rarity, it is recommended to discuss the possibility of changing medications or the necessity of their use ...[Read More] Managing Multiple Chronic Conditions: Safety of Medications and Sleep Issues
Understanding the Link Between Bipolar Disorder, Insomnia, and Medication
Bipolar disorder and insomnia issues? Hello, doctor. I have been struggling with insomnia for two years. No matter if I go to bed at 10 or 11 PM, I always wake up at 3 AM. Additionally, I keep dreaming, sometimes up to five dreams a day, all of which I can remember vividly, and I...
Dr. Yan Congyou Reply:
Hello, Zhihao: Are you currently still taking your medication? Have you discussed your situation with your doctor during your recent follow-up visits? It is recommended to have regular follow-up appointments to adjust your medication and discuss your recent lifestyle with your ph...[Read More] Understanding the Link Between Bipolar Disorder, Insomnia, and Medication
Is Long-Term Use of Multiple Medications Safe for Insomnia?
Severe insomnia? Psychiatry: Before bedtime: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * (1 tablet or half), Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 1 tablet. Dermatology: Lyrica (Pregabalin) 75 mg * 1 tablet, Xyzal 5 mg (for skin itching severe enough to...
Dr. Huang Xiaoxian Reply:
Dear Lotices, Currently, the number of medications you are taking is relatively high compared to the general population, particularly with regard to sleep medications such as Zolpidem and Flunitrazepam, which together should not exceed two pills. It is advisable to discuss any ...[Read More] Is Long-Term Use of Multiple Medications Safe for Insomnia?
Understanding Extrapyramidal Symptoms: Lifelong Medication or Alternatives?
Extrapyramidal syndrome Is lifelong medication the only option? Are there any other methods? Generally, psychiatric medications need to be taken for a certain period and cannot be stopped abruptly, as doing so may lead to withdrawal symptoms. What is the physician's opinion ...
Dr. Huang Xiaoxian Reply:
Hello, sorry for the late reply: Extrapyramidal Symptoms (EPS) are classified into four types: Dystonia, Akathisia, Parkinsonian syndrome, and Tardive Dyskinesia. Typically, only the third and fourth types tend to occur and have a longer duration. EPS can be a side effect of anti...[Read More] Understanding Extrapyramidal Symptoms: Lifelong Medication or Alternatives?
Managing Excessive Sleep Due to Mirtazapine: A Patient's Dilemma
Mirtazapine causing excessive sleep duration issues? Hello Doctor, this is Lin, a student who wrote to you recently. Fortunately, the issue regarding my ADHD medication has been resolved (the doctor is willing to prescribe Strattera for me to try). However, as I continue to take ...
Dr. Wang Yazhen Reply:
Hello, Lin: I see that you are very meticulous in addressing medication consultation opinions, which shows you are a diligent researcher. Mirtazapine generally allows the body to adapt to its effects and maintain stable results after administration. It is less common, as you ment...[Read More] Managing Excessive Sleep Due to Mirtazapine: A Patient's Dilemma
Can Patients with Thalassemia Safely Use Latest Psychiatric Medications?
Is it safe to take Keterolac? I would like to know if I, having Mediterranean anemia, can take this medication. Is the latest drug Luspatercept? However, I experience leg tremors after taking it. Please advise, doctor!
Dr. Wang Yaoting Reply:
Hello: Patients with Mediterranean anemia can take Clozaril without any contraindications, meaning it does not have a significant impact on red blood cells. However, it is still necessary to regularly monitor white blood cell counts while on Clozaril, as there are a few cases whe...[Read More] Can Patients with Thalassemia Safely Use Latest Psychiatric Medications?
Am I Just Overthinking My Mental Health Issues?
I don't know if I'm just complaining without any real illness? Hello, doctor. Since middle school, I have felt that my study efficiency is very poor; it takes me a long time to read an article. However, due to my competitive nature, I am willing to spend a lot of time i...
Dr. Huang Xiaoxian Reply:
Dear lulala, it sounds like your emotional state has a significant impact on you, and I hope you don't feel like you're just complaining without reason. Generally speaking, foundational medications like bupropion can help improve mood fluctuations, so I recommend discus...[Read More] Am I Just Overthinking My Mental Health Issues?
Understanding Hyperventilation: Treatment Options and Medication Insights
Hyperventilation Hello Dr. Hsiao, I have been experiencing excessive hyperventilation every day, which is quite distressing. The doctor prescribed me Lonazep (Lorazepam) to take one tablet a day. I would like to know if Lorazepam has a therapeutic effect or if it is merely suppre...
Dr. Xiao Minghong Reply:
Hello, Jiaxiang. From the text, it seems that your hyperventilation has been affecting you for quite some time, and the symptoms may be quite distressing, which is why the doctor prescribed two medications. Deanxit is generally considered an effective treatment; however, since th...[Read More] Understanding Hyperventilation: Treatment Options and Medication Insights
Understanding Chronic Dizziness: Is It Related to Anxiety Disorders?
Feeling dizzy all day... Could this also be due to autonomic nervous system dysfunction? Anxiety medication: Anban 1 tablet daily (half a tablet before napping at noon), Mirtazapine half a tablet before bed. Duration of medication: Started around November last year, nearly a year...
Dr. Huang Xiaoxian Reply:
Dear ruderchi, thank you for your question. Many of the physical discomfort symptoms you mentioned seem to align with those of anxiety disorders. Anxiety can generally affect the autonomic nervous system and various aspects of the body, which may explain the dizziness, stiffness,...[Read More] Understanding Chronic Dizziness: Is It Related to Anxiety Disorders?
Understanding Breathing Issues: When to Consult a Psychosomatic Specialist
Respiratory issues Hello Doctor: My symptoms started at the end of February this year. I have a constant urge to take deep breaths, inhaling and exhaling deeply; if I don't do this, I feel a tightness in my chest. At that time, my heart rate was very fast (140 bpm during the...
Dr. Huang Xiaoxian Reply:
Dear Jason, based on your description, it seems to align with the symptoms of psychosomatic disorder. Most people who become overly focused on their breathing tend to experience an increase in their breathing rate, which can lead to discomfort. This excessive focus often stems fr...[Read More] Understanding Breathing Issues: When to Consult a Psychosomatic Specialist
Recent Medication Adjustments in Psychiatry and Dermatology: A Patient's Journey
Recently, I visited a psychiatrist and had my medication regimen adjusted? Recently, I consulted with both a psychiatrist and a dermatologist, and my medications have been adjusted. I would like to thank the doctors. Psychiatry: - At bedtime: - Leeyo (Escitalopram) 10 mg, 2 ...
Dr. Qiu Junda Reply:
Hello. These psychiatric prescriptions are still within the normal acceptable range. They should be adjustments made by your attending physician based on your condition. We hope you can cooperate with the treatment. If you have any concerns, you can also discuss them with your ph...[Read More] Recent Medication Adjustments in Psychiatry and Dermatology: A Patient's Journey
Understanding Depression and Anorexia: A Personal Struggle
Depression-related anorexia Hello, doctor. Because I am working abroad and there is a language barrier, I am unable to see a doctor. My mother has depression and bipolar disorder, and I was diagnosed with depression and bipolar disorder in the ninth grade as well. Recently, I hav...
Dr. Huang Xiaoxian Reply:
Hello, Xiang Xiang. I can tell that you are struggling with the symptoms of depression, but it seems that accessing medical care abroad can be challenging. Perhaps you could ask a friend who speaks the same language to accompany you to your appointment? Depression can respond wel...[Read More] Understanding Depression and Anorexia: A Personal Struggle
Is the Combination of Lendormin, Ulotar, and Liyou Safe in Psychiatry?
Is the prescription of two tablets of Lendormin and two tablets of Ulotar safe? Is the prescription of two tablets of Lendormin, two tablets of Ulotar, and one tablet of Liyou 10mg safe?
Dr. Huang Xiaoxian Reply:
Hello, sorry for the late reply. The half-lives of these two medications are not long, and they are safe to use. You shouldn't have to worry too much about taking them together, but avoid using them with alcohol. Best wishes to you.[Read More] Is the Combination of Lendormin, Ulotar, and Liyou Safe in Psychiatry?
Should You Consider Therapy for Anxiety After Medication Treatment?
Should I see a therapist for anxiety disorder? Hello, doctor. I used to work for a Japanese company where I had no freedom and little sleep, and my supervisor was very neurotic. I was overworked every day, and due to excessive effort and lack of sleep, I developed anxiety disorde...
Dr. Huang Xiaoxian Reply:
Dear yorusora, it sounds like interpersonal interactions and work stress are some challenges you're facing. In fact, psychotherapy is a process that helps you gain a better understanding of yourself. Many times, we are aware of our conscious thoughts, but we may not notice o...[Read More] Should You Consider Therapy for Anxiety After Medication Treatment?
Understanding Emotional Ups and Downs: When to Seek Help for Mood Swings
Constant intermittent lows, and usually when there is no issue, my mood suddenly shifts with any stimulation? Hello Doctor, I previously asked questions #142143 and #157705. During the time of #157705, I often felt inexplicably sad and even cried suddenly once. After a few days, ...
Dr. Huang Xiaoxian Reply:
Dear abc, Based on the above description, it seems that it does not align closely with typical mania. However, it is evident that there are some psychological issues that have not been well processed. I recommend consulting a psychiatrist to determine if psychological therapy w...[Read More] Understanding Emotional Ups and Downs: When to Seek Help for Mood Swings
Managing Sleep Issues and Mental Health: Strategies for Stress Relief
Sleep issues, bipolar disorder, stress-related problems? Hello Doctor, I am currently studying at a university in Japan, but I am stuck in Taiwan and unable to return to my studies. I am taking online courses, and the daily stress is overwhelming due to the large number of report...
Dr. Huang Xiaoxian Reply:
Dear Sammi, Thank you for your question regarding insomnia. It can indeed be challenging to address when faced with life stressors, and it's common for dreams to increase during such times (dreams are a physiological mechanism by which our brain attempts to process emotion...[Read More] Managing Sleep Issues and Mental Health: Strategies for Stress Relief