Addressing Self-Talk: Insights for Mental Health Management
There are many questions? In the outpatient setting, it is only possible to determine which medications to prescribe. For someone like me, whose self-talk is not caused by auditory hallucinations, I am unsure how to address this. The content of my self-talk mostly revolves around...
Dr. Wu Enliang Reply:
Hello, online user: In outpatient consultations, it's not just about deciding which medications to prescribe; the physician will also provide additional recommendations, such as whether you need psychological therapy, occupational therapy, or referrals to other social resour...[Read More] Addressing Self-Talk: Insights for Mental Health Management
Managing Medication Side Effects in Teenagers with Anxiety and Depression
Medication Consultation Hello Dr. Sun, my child is 13 years old and in the first year of junior high school. In November of last year, he was evaluated and diagnosed with Asperger's syndrome combined with generalized anxiety and depressive symptoms. He has been continuously ...
Dr. Liang Sunyuan Reply:
Hello Ms. Chiu: A small number of children taking Abilify may experience drowsiness. You might try adjusting the daytime dosage to the evening. Additionally, encouraging the child to go to bed earlier could also be helpful; consider aiming for a bedtime before 10 PM. Ultimately, ...[Read More] Managing Medication Side Effects in Teenagers with Anxiety and Depression
Managing Medication Changes in Psychiatry: Addressing Serotonin Syndrome
How to change a dressing? Hello, doctor. I have been diagnosed with autonomic nervous system dysfunction, and I have been taking Doxepin 25 mg at bedtime and 0.75 tablets of Zolpidem (Lunesta) for the past two to three years. However, I have been experiencing persistent side effe...
Dr. Huang Jiabin Reply:
Hello: Your body is more sensitive to serotonin, so the addition of citalopram has resulted in serotonin syndrome. You may want to discuss with your physician whether it is possible to switch to a different medication or to reduce the dosage of one of the medications to a lower l...[Read More] Managing Medication Changes in Psychiatry: Addressing Serotonin Syndrome
Managing Anxiety Medications: Safety Tips for First-Time Users
Medication Consultation: It's a bit overwhelming to see so many medications for the first time in the field of psychosomatic medicine, and I'm hesitant to take them? Last month, I visited a psychiatrist who diagnosed me with anxiety, social phobia, and possibly other re...
Dr. Wu Enliang Reply:
Hello, netizen: These medications can be taken after lunch, even if you don't have high blood pressure. Personally, I believe there are indeed quite a few medications. Dr. Wu Enliang.[Read More] Managing Anxiety Medications: Safety Tips for First-Time Users
Potential Drug Interactions: Quetiapine, Escitalopram, and Doxepin
Drug interactions? I apologize for the inconvenience, but may I ask a question regarding medication interactions? Apo-Quetiapine (Seroquel) 25 mg, Lepax (Escitalopram) 10 mg, and Doxepin (Doxepin capsules) 25 mg—are there any adverse drug interactions that would prevent them from...
Dr. Tang Jiahong Reply:
Hello: Doxepin is a tricyclic antidepressant that affects serotonin and other neurotransmitters, while escitalopram is a selective serotonin reuptake inhibitor (SSRI) that primarily acts on serotonin. Therefore, taking doxepin and escitalopram together involves overlapping mechan...[Read More] Potential Drug Interactions: Quetiapine, Escitalopram, and Doxepin
Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Whether a medication causes weight gain as a side effect? Hello Doctor, I am a patient with obsessive-compulsive disorder (OCD) characterized by intrusive thoughts. The physician mentioned that I am on the verge of experiencing delusions of persecution, so I have been prescribed ...
Dr. Huang Xiaoxian Reply:
Dear Xiao You, I can see that you are quite anxious about the side effects of weight gain. However, generally speaking, Sulpiride is not an antipsychotic medication that typically causes weight gain. You are taking a low dosage of the medication (50 mg), while the standard dosa...[Read More] Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Navigating ADHD Diagnosis and Treatment Options for Adults
ADHD-related issues Hello Dr. Liu, I am currently 20 years old. Since childhood, my mother has mentioned that I might have mild symptoms of ADHD, but I have never been formally diagnosed. My general symptoms include significant mood swings, hitting walls, and being unable to con...
Dr. Liu Shikai Reply:
Hello, A-Tian. Attention Deficit Hyperactivity Disorder (ADHD) in adults can indeed be diagnosed. This involves evaluating the individual's history from childhood along with current symptoms, and there are computerized attention tests that can be administered. In addition to...[Read More] Navigating ADHD Diagnosis and Treatment Options for Adults
Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Medication issues Hello, doctor. I visited a psychiatric clinic last Saturday. Although I found the consultation somewhat strange, I chose to trust the physician's diagnosis. The doctor mentioned that I seem to have depression and prescribed Xanax 0.25 mg (alprazolam) and Es...
Dr. Huang Xiaoxian Reply:
Hello Ms. Li: Regarding the situation you mentioned, it seems there may be some concerns about the diagnosis? Since I am not familiar with your actual condition, I recommend discussing it further with your physician to obtain more information. As for the medications prescribed, t...[Read More] Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Understanding ADHD in Adults: Diagnosis, Treatment, and Alternatives
Attention Deficit Hello Dr. Liang, I am currently 20 years old. Since childhood, my mother has mentioned that I might have mild symptoms of ADHD, but I have never been formally diagnosed. Generally, I experience significant mood swings, and I sometimes hit walls or lose control ...
Dr. Liang Sunyuan Reply:
Hello, A-Tian: If an adult continues to experience attention difficulties that significantly impact daily functioning, they may still be diagnosed with Adult Attention Deficit Hyperactivity Disorder (ADHD). Health insurance regulations require that several long-acting ADHD medica...[Read More] Understanding ADHD in Adults: Diagnosis, Treatment, and Alternatives
Managing SNRI Side Effects: Urinary Discomfort and Solutions
Side effects of SNRIs (Serotonin-Norepinephrine Re Hello, doctor. I have been taking Cymbalta for a long time, but during the treatment, I experienced a burning sensation in my urethra, and the burning sensation intensified after ejaculation. I then switched to another SNRI, Pris...
Dr. Huang Xiaoxian Reply:
Hello, the symptoms you mentioned of a warm and acidic sensation in the urethra are considered rare side effects of SNRIs. It may be that the medication is causing some degree of urinary difficulty, as there are many types of antidepressants. If you continue to experience these s...[Read More] Managing SNRI Side Effects: Urinary Discomfort and Solutions
Managing Menopausal Symptoms: Concerns About Medication Side Effects
Fear of side effects or addiction? From the age of 52 to 59, due to menopause, I have been experiencing head pressure and pain, particularly in the forehead area, often accompanied by neuralgia. I also hear sounds while sleeping, have photophobia, and experience a grinding noise ...
Dr. Wu Enliang Reply:
Hello, the dosage of the medication is quite low, so it should not cause side effects. These two medications are also not addictive. However, the previous medication, Stinose, has a high potential for addiction. Dr. Wu Enliang.[Read More] Managing Menopausal Symptoms: Concerns About Medication Side Effects
Understanding Mirtazapine Dosage for Anxiety: Concerns and Guidelines
Dosage issues of mirtazapine for anxiety disorders? Hello, Doctor. I previously reached out to you with some questions, and I greatly appreciate your kindness. I have been taking half a 30mg tablet of mirtazapine for a month due to my anxiety symptoms. During my follow-up appoint...
Dr. Huang Xiaoxian Reply:
Hello Mr. Wang, regarding your question, generally speaking, for anxiety or depression, it is advisable to adjust to an adequate dosage (typically considered to be one pill or more). However, when prescribing, we aim to minimize the likelihood of temporary side effects, so a grad...[Read More] Understanding Mirtazapine Dosage for Anxiety: Concerns and Guidelines
Understanding Psychiatric Medication: Your Questions Answered
Medication consultation Hello Doctor: I am the patient from <a href="https://adoctor.tw/article/143609">#143609</a>. I later visited a large hospital near my school and no longer went to the small clinic. After explaining my condition, the doctor diagnosed m...
Dr. Huang Xiaoxian Reply:
Dear Leo, Kinax and Xanax are the same type of medication, just produced by different manufacturers. In terms of dosage, 0.5 mg of Xanax is equivalent to 1 mg of Kinax. Both are considered broad-spectrum benzodiazepines, which have sedative and hypnotic effects. Comparatively, ...[Read More] Understanding Psychiatric Medication: Your Questions Answered
Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Anxiety Panic Disorder Hello Dr. Huang, I am a medical student preparing for the national exam, but I have been experiencing various health issues. Every time I see a doctor, I feel very anxious, and after researching my conditions, I become even more pessimistic. My anxiety ofte...
Dr. Huang Xiaoxian Reply:
Dear Wemin, Thank you for your question. From your description, it sounds like the anxiety symptoms have been quite distressing for you, and I empathize with your situation. Additionally, the multiple physical symptoms you mentioned seem to resemble common manifestations of anx...[Read More] Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Is it a delusion? Hello, doctor. I have been suffering from generalized anxiety disorder for a long time, and for the past two years, my biggest worry has been whether I might develop schizophrenia. I constantly worry about this, so I often search online for information about the...
Dr. Lin Mianzhang Reply:
Hello, based on your description, it seems possible that you are experiencing symptoms of obsessive thinking. However, whether it is obsessive-compulsive disorder (OCD) requires a comprehensive evaluation of other factors, such as any underlying physiological issues or effects fr...[Read More] Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Potential Side Effects of 250mg/ml Pentobarbital with Alcohol
Could you please specify which medication you are inquiring about? Taking 25 ml of pentobarbital sodium at a concentration of 250 mg/ml would result in a total dose of 6250 mg, which is a very high dose and can lead to severe side effects, including respiratory depression, sedati...
Dr. Huang Xiaoxian Reply:
Dear Butter, thank you for your question. Sedative-hypnotic medications are generally divided into two main categories: benzodiazepines and barbiturates. The latter carries a higher risk and is rarely used in outpatient settings. The sodium pentobarbital you mentioned belongs to ...[Read More] Potential Side Effects of 250mg/ml Pentobarbital with Alcohol
Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications
Medication issues SSRIs (Selective Serotonin Reuptake Inhibitors) are generally considered safe. However, when serotonin levels in the brain become excessively elevated, a rare side effect known as serotonin syndrome can occur. This is most commonly seen when two or more medicati...
Dr. Huang Xiaoxian Reply:
Dear Jie, thank you for your question! The sudden palpitations you mentioned are quite different from the symptoms of serotonin syndrome; they don't seem to be related at first glance, so there is likely no need for concern. Your description of symptoms does sound quite anxi...[Read More] Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications
Do I Really Need Medication for Anxiety? Understanding Your Diagnosis
Is it really necessary to take medication? Hello, doctor. I recently visited a psychiatrist because I often worry excessively about small things. The doctor diagnosed me with anxiety disorder and prescribed Mirtazapine (30mg), instructing me to take 15mg before bed. On the first ...
Dr. Huang Xiaoxian Reply:
Dear King, thank you for your question. You mentioned that many things make you feel worried. Based on the physician's assessment, you have been diagnosed with anxiety disorder, and the medication prescribed to you is related to the serotonin reuptake mechanism. In simple te...[Read More] Do I Really Need Medication for Anxiety? Understanding Your Diagnosis
Understanding the Connection Between Depression and ADHD in Young Adults
The eldest daughter exhibits signs of depression, such as a gloomy expression, slow movements, and a lack of a cheerful personality. Seeking advice from a physician? Dr. Huang: My eldest daughter has faced challenges in her career since graduating from the National University wit...
Dr. Huang Xiaoxian Reply:
Dear Ms. Li, It sounds like your daughter’s behavior is causing you some concern, and her interactions with others may not be appropriate. Generally, it’s important to distinguish whether these behaviors align with her original personality or if they are a result of her conditio...[Read More] Understanding the Connection Between Depression and ADHD in Young Adults
Understanding Medication Side Effects: Increased Thirst and Dry Mouth
Continuation of inquiry #143183? Thank you for your previous response, Doctor. I have another question: Before changing my medication, I didn't feel very thirsty, but after the change, I've noticed that I get quite thirsty and often experience dry mouth. Could this be a...
Dr. Huang Xiaoxian Reply:
Dear Leo, Due to the change in medication, the total dosage has increased, which may indeed lead to an increase in side effects. Common side effects of Alprazolam include drowsiness, dizziness, fatigue, weakness, dry mouth, diarrhea, gastrointestinal discomfort, and changes in ...[Read More] Understanding Medication Side Effects: Increased Thirst and Dry Mouth