Managing Anxiety and Bipolar Disorder: Medication Alternatives and Strategies
Anxiety and bipolar disorder medication issues? 1. I have a personal history of bipolar disorder for two years. Initially, I was taking Seroquel, but later switched to two tablets of Vraylar and Lamictal to replace Seroquel, as it significantly affected my sex life. However, my c...
Dr. Huang Xiaoxian Reply:
Hello Mr. Zhou, First, to address your concerns, I would like to ask if your recent emotional symptoms are primarily related to depression, as the medications mentioned above are all used to treat depression. Among them, Vortioxetine is indeed less likely to cause sexual side e...[Read More] Managing Anxiety and Bipolar Disorder: Medication Alternatives and Strategies
Understanding Internet Addiction: Emotional Struggles and Treatment Options
Prolonged internet use Hello, doctor. Here is my situation. I clearly remember during my senior year of high school, due to a poor family atmosphere and the pressure of college entrance exams, I would sneak onto the computer to play games until one or two in the morning while my ...
Dr. Wang Yaoting Reply:
Hello Tina: Based on your description, it seems you are concerned about the possibility of internet addiction or depression. 1. Research indicates that individuals with internet addiction tend to have higher levels of depression. (1) Some people develop emotional issues after exp...[Read More] Understanding Internet Addiction: Emotional Struggles and Treatment Options
Is There a Risk of Serotonin Syndrome with My Current Medications?
Is there a possibility of developing a fatal serotonin syndrome? Psychiatry: Before bedtime, YOU-JET (SERTRALINE) 50mg * 1 tablet, Eurodin 2mg * 2 tablets, Zolpidem 10mg * 2 tablets. Dermatology: After dinner, Doxepin 25mg * 2 tablets; before bedtime, Doxepin 25mg * 2 tablets; ...
Dr. Liang Sunyuan Reply:
Hello: The combination of medications should take into account the individual patient's condition and their metabolic capacity for the drugs. This requires an in-person assessment along with a detailed review of the medication history and treatment history. If you have any d...[Read More] Is There a Risk of Serotonin Syndrome with My Current Medications?
Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
ADHD test results and health insurance medication issues? Hello, Doctor. I am Lin, the student who previously inquired. I went to review my ADHD report today. After the doctor reviewed it, he prescribed me Adderall, but since I had not been prescribed long-acting medications like...
Dr. Wang Yazhen Reply:
Dear Student Lin, Thank you for your trust. Regarding your questions: 1. Testing cannot replace a doctor's diagnosis; it serves as a reference for the physician's assessment. 2. There isn't a definitive reason for what medications are covered by health insurance....[Read More] Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
Navigating Mental Health: Is a Low Dose of Medication Enough?
The heart always feels heavy? I would like to ask the doctor if taking half a 10mg Escitalopram daily is considered a low dosage? I still feel conflicted about whether I will have to take medication for life or if I should gradually reduce it to a quarter daily and aim to stop al...
Dr. Lin Mianzhang Reply:
Hello, Soul: Your feelings are shared by many patients—wondering if they will have to take medication for a lifetime. Generally speaking, many psychiatric medications can be gradually reduced as one ages. On the other hand, with advancements in medical treatment, it is possible t...[Read More] Navigating Mental Health: Is a Low Dose of Medication Enough?
Understanding Drug Interactions: Mental Health and Dermatology Medications
Major Depressive Disorder Generalized Anxiety Disorder Psychiatry: At bedtime, YOU-JET (SERTRALINE) 50 mg * 1 tablet, Eurodin 2 mg * 2 tablets, Zolpidem 10 mg * 2 tablets. Dermatology: At dinner, Doxepin 25 mg * 2 tablets; at bedtime, Doxepin 25 mg * 2 tablets; LYRICA 75 mg * 2...
Dr. Wang Yazhen Reply:
Hello ERIC: After inquiry, it has been found that the dermatological medication Doxepin and the antidepressant You-Jet may have significant interactions, which could increase the concentration of Doxepin in the body, potentially leading to symptoms such as sedation, constipation,...[Read More] Understanding Drug Interactions: Mental Health and Dermatology Medications
Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Panic disorder prevents individuals from traveling far? Hello, I have been suffering from panic disorder for 19 years and have been seeing Dr. Zhao at the New Taipei City Hospital. I have taken medications including Lyrica and Xanax 0.5mg, but for the past several years, I have o...
Dr. Wang Yazhen Reply:
Hello, Mr. Lightning: The primary cause of panic disorder is actually anxiety issues. From physiological, psychological, and social perspectives, factors that may contribute to anxiety include inherent temperamental traits (such as perfectionism), accumulated experiences and feel...[Read More] Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Managing Multiple Medications: Safety and Interactions in Mental Health Treatment
Persistent Depressive Disorder (Dysthymia) and Generalized Anxiety Disorder? Psychiatry: Before bedtime, YOU-JET (SERTRALINE) 50 mg * 1 tablet, Eurodin 2 mg * 2 tablets, Zolpidem 10 mg * 2 tablets. Dermatology: At dinner, doxepin 25 mg * 2 tablets; before bedtime, doxepin 25 mg *...
Dr. Wang Yaoting Reply:
YOU-JET (sertraline) and doxepin are both classified as antidepressants. The combination of these two medications may slightly increase the risk of serotonin syndrome, but the likelihood remains low. If there are still concerns, it is advisable to consult a dermatologist to explo...[Read More] Managing Multiple Medications: Safety and Interactions in Mental Health Treatment
Understanding Drug Interactions: SSRIs, TCAs, and Safety Concerns
SSRIs (Selective Serotonin Reuptake Inhib Psychiatry: Leeyo (Escitalopram) 10mg, 1 tablet; Eurodin 2mg, 2 tablets; Zolpidem 10mg, 2 tablets. Dermatology: Doxepin 25mg, 2 tablets at dinner; Doxepin 25mg, 2 tablets at bedtime; Lyrica (Pregabalin) 75mg, 2 tablets (for skin itching...
Dr. Wu Enliang Reply:
Hello, internet user: Interactions between medications are inevitable, especially in the elderly who may experience side effects. Therefore, it is advisable to ask the physician to prescribe fewer medications to minimize these effects and to utilize non-pharmacological methods to...[Read More] Understanding Drug Interactions: SSRIs, TCAs, and Safety Concerns
Understanding Drug Interactions: Leeyo and Doxepin in Psychiatric Care
Leeyo and doxepin? Psychiatry: At bedtime, Leeyo (ESCITALOPRAM) 10mg*1 tablet, Eurodin 2mg*2 tablets, Zolpidem 10mg*2 tablets. Dermatology: At dinner, Doxepin 25mg*2 tablets; at bedtime, Doxepin 25mg*2 tablets; Lyrica 75mg*2 tablets (for severe pruritus). Metabolism: Metformi...
Dr. Qiu Junda Reply:
Hello. The psychiatric and dermatological medications you are using (Leeyo and doxepin) raise concerns about co-administration primarily due to both having sedative effects. Combining them may lead to excessive sedation and drowsiness, especially since you are also using medicati...[Read More] Understanding Drug Interactions: Leeyo and Doxepin in Psychiatric Care
Should You Take Antidepressants? Weighing the Pros and Cons
Should I take medication for depression? Hello, doctor. Due to the pressure of preparing for exams over the past few months, I visited a doctor on July 9th. Although the doctor did not explicitly diagnose me with depression, the prescription indicated persistent depressive disord...
Dr. Huang Xiaoxian Reply:
Dear lulala, thank you for your question. The medication you mentioned is generally considered to have mild properties and typically does not have significant side effects. A small number of individuals may experience headaches as a side effect, so it would be advisable to monito...[Read More] Should You Take Antidepressants? Weighing the Pros and Cons
Should You Take Antidepressants? Weighing Options and Concerns
Should I take medication for depression? Hello, Doctor. Due to the pressure of studying for exams over the past few months, I visited a doctor on July 9th. Although the doctor did not explicitly diagnose me with depression, the prescription indicated persistent depressive disorde...
Dr. Huang Xiaoxian Reply:
Dear lulala, thank you for your question. The medication you mentioned is generally considered to have mild effects and typically does not cause significant side effects. A small number of individuals may experience headaches as a side effect, so it would be advisable to monitor ...[Read More] Should You Take Antidepressants? Weighing Options and Concerns
Understanding Drug Interactions: Sertraline and Other Medications
Sertraline Psychiatry: At bedtime, YOU-JET (SERTRALINE) 50mg, Eurodin 2mg, Zolpidem 10mg*2. Dermatology: At dinner, Doxepin 25mg*2 capsules; at bedtime, Doxepin 25mg*2 capsules; LYRICA 75mg*2 (for skin itching). Metabolism: Metformin 500mg, Tamsulosin 0.2mg taken before breakfast...
Dr. Huang Xiaoxian Reply:
Dear Benlotices, the medications you are taking can indeed have interactions. Youjet and doxepin both have antidepressant effects, which may slightly increase the concentration of both drugs. However, both medications are generally considered quite safe. That said, they are rarel...[Read More] Understanding Drug Interactions: Sertraline and Other Medications
Choosing the Right Gastrointestinal Medication: Metoclopramide, Domperidone, or Mosapride?
Metoclopramide (Promethazine) Domperidone (Domperidone) Mosapride (Mosapride) Long-term medication for psychiatry: Leeyo 10mg*2 tablets (ESCITALOPRAM) Eurodin 2mg (for depression and anxiety). Dermatology: Doxepin 25mg*4 tablets, LYRICA 75mg*2 tablets (for skin itching). Metaboli...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your question. Generally speaking, Leeyo may slightly increase the concentration of other medications; however, the medications you mentioned are considered to have mild pharmacological effects. If there are no significant side effects and you have been takin...[Read More] Choosing the Right Gastrointestinal Medication: Metoclopramide, Domperidone, or Mosapride?
Understanding Tolerance to Mirtazapine: Can Your Body Adapt?
(One more question, sorry...) Concerns about drug resistance in anxiety disorder medications? Hello, doctor. I apologize for having another question that I forgot to ask. I would like to know if my body can develop tolerance to the medication mirtazapine. For example, I took this...
Dr. Wang Yazhen Reply:
Hello, Lin: From a theoretical standpoint, mirtazapine does not have issues with tolerance. However, medications such as barbiturates or benzodiazepines, including non-benzodiazepine drugs, are more likely to develop tolerance. Essentially, using the medication as prescribed and ...[Read More] Understanding Tolerance to Mirtazapine: Can Your Body Adapt?
Understanding Emotional Numbness in Generalized Anxiety Disorder
Want to cry but can't? I have moderate Generalized Anxiety Disorder (GAD), and since the day before yesterday, I've been feeling unusually low and wanting to cry, but I find that I can't. Is this normal? Also, I've started having thoughts about overdosing on m...
Dr. Huang Xiaoxian Reply:
Dear Az, thank you for your question. It sounds like you are not doing well. I recommend scheduling an earlier follow-up appointment to discuss your situation further with your physician, who can provide appropriate medication adjustments. Generally speaking, medications can help...[Read More] Understanding Emotional Numbness in Generalized Anxiety Disorder
Understanding the Challenges of Diagnosing Mental Health Issues
The doctor is unable to determine whether there is a genuine mental health issue? Hello doctor, I started experiencing auditory hallucinations and delusions at the age of 23, but at that time, I didn't believe I was ill. My family forced me to seek medical help, and the doct...
Dr. Wang Zhenyang Reply:
Hello, online user: It sounds like some of your symptoms are indeed troubling you, but it seems that the doctors have not yet been able to resolve your issues. I recommend that you find a physician to regularly follow up with, so that they can truly understand your problems and p...[Read More] Understanding the Challenges of Diagnosing Mental Health Issues
Understanding Insomnia and the Risks of Lendormin Use
Insomnia and Sleeping Pills I'm sorry, doctor, I would like to ask you some questions. I previously visited a doctor and was diagnosed with autonomic nervous system dysfunction. During this time, I feel that I don't have any particular stress, and I exercise regularly, ...
Dr. Qiu Junda Reply:
Hello. There are many causes of insomnia, and stress is one of the common reasons. However, sleep issues can also occur without any specific stress. Most sedative-hypnotic medications have the potential for addiction, and Lendormin 0.25 mg is no exception. Nevertheless, if treatm...[Read More] Understanding Insomnia and the Risks of Lendormin Use
Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Zanax for sleep assistance? Hello Doctor, I have previously been diagnosed with Generalized Anxiety Disorder due to my inability to attend school, severe hand tremors, and insomnia. Later, another doctor diagnosed me with Adjustment Disorder with anxiety and worry. I then consult...
Dr. Wu Enliang Reply:
Hello, user: Zolpidem itself should not cause insomnia and anxiety; it likely refers to the body's dependence that may develop from long-term daily use, which can lead to insomnia and anxiety. Your anxiety symptoms should not be managed solely with sedatives; it is advisable...[Read More] Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
"#157730 Adult Attention Deficit Disorder and Anxiety Disorder?" Follow-up? Hello, doctor. Thank you very much for your previous response. After reading your reply, I went to the pediatric psychiatry department at a regional hospital, but I encountered the following iss...
Dr. Wang Yazhen Reply:
Hello, Chen: Diagnosing adult ADHD is indeed challenging. 1. Even if someone had ADHD in childhood, most cases tend to improve with age. Therefore, it is difficult to retrospectively diagnose it in adulthood. 2. Regarding medication, there are specific regulations under the ...[Read More] Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care