Medications, Psychiatry FAQ - Page 39

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Is Brain Relaxant a Sleep Aid? Risks of Mixing with Alcohol Explained

Could you please provide more context or specify which medication you are referring to? Is the medication Clonazepam considered a sleeping pill? What mechanism does it use to assist with sleep? Is it dangerous to take it with alcohol?


Dr. Lin Mianzhang Reply:
Hello, Raya: Lurasidone is classified as a second-generation antipsychotic medication. It acts on various neurotransmitter receptors in the human body, including dopamine, serotonin, and histamine receptors. Due to its antagonistic effect on histamine receptors, it can cause seda...

[Read More] Is Brain Relaxant a Sleep Aid? Risks of Mixing with Alcohol Explained


Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment

Regarding the use of propranolol? Hello Dr. Huang, My mother recently underwent a right hemithyroidectomy. Prior to the surgery, she had been regularly visiting a psychiatrist to treat her insomnia, which has been ongoing for about 6 to 7 years. Previously, at a hospital sleep c...


Dr. Huang Xiaoxian Reply:
Dear Angela, Thank you for your question. First point: As you mentioned, propranolol can inhibit certain liver enzymes that are responsible for metabolizing antidepressants, particularly serotonin-enhancing medications, which may lead to increased concentrations of these anti...

[Read More] Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment


Understanding Drug Interactions: Managing Medications for Mental Health

Autonomic Nervous System Dysregulation - Medication Consultation Hello, I would like to ask about my current medications. I am taking the following psychiatric medications: Surin Tab 200mg (Sulpiride 200mg), Alprazolam 0.5mg (Alprazolam), and Leeyo Tab 10mg (Escitalopram). Yester...


Dr. Wu Enliang Reply:
Hello, user: Your medication does not contain the aforementioned ingredients, so you can take it with confidence. Dr. Wu En-Liang

[Read More] Understanding Drug Interactions: Managing Medications for Mental Health


Can You Drink Alcohol While Taking Duloxetine? Important Considerations

Can you drink alcohol while taking DULOXETINE? Hello, I am currently taking Bupropion 30mg (Duloxetine HCL) regularly, with a dosage of one tablet in the morning and one in the evening. Since the Spring Festival is approaching and there will be some unavoidable gatherings, I woul...


Dr. Huang Xiaoxian Reply:
Dear Mr. Half-Hour, Thank you for your question. Generally speaking, it is advised not to use psychotropic medications in conjunction with alcoholic beverages, particularly sedative-hypnotic drugs such as barbiturates, benzodiazepines, and zolpidem. Examples include oxazepam (S...

[Read More] Can You Drink Alcohol While Taking Duloxetine? Important Considerations


Should I Take Medication for Anxiety and Depression?

Should I take medication? Due to family discord and my father's constant verbal abuse, I experienced significant weight loss of 5.6 kilograms for a period of time. The added pressure of upcoming exams made me feel like crying at any moment; just thinking about it brings me t...


Dr. Wu Enliang Reply:
Hello, I understand that you are experiencing multiple stressors and emotional instability. I recommend seeking someone to talk to, such as a school teacher or a counselor, as they can be valuable resources. You may also consider asking your physician for a referral to a mental h...

[Read More] Should I Take Medication for Anxiety and Depression?


Understanding Medication Side Effects: Hunger and Psychiatric Drugs

Medication consultation Hello Doctor: The doctor I consulted previously prescribed me the following medications: JEXIT S.C. Tablets 0.5 mg and U-chi Aprazo 0.5 mg. Last week, I mentioned to the doctor that I was still having trouble sleeping, so the medication was adjusted to: JE...


Dr. Huang Xiaoxian Reply:
DEAR Leo: Thank you for your question! The medication your doctor adjusted, KINAX Tab. 1mg "kingdom Alprazolam," differs from the original U-chi Aprazo 0.5mg only in dosage, which has been doubled; however, it remains within a reasonable dosage range and is essentially ...

[Read More] Understanding Medication Side Effects: Hunger and Psychiatric Drugs


Understanding Antidepressants: What Symptoms Do They Address?

Antidepressant medications Hello, I have been troubled by relationship issues for over six months. Recently, I was in so much pain that I sought help from a psychiatrist. I talked a lot with the doctor at the clinic, and later he said he would prescribe some medications to help m...


Dr. Huang Xiaoxian Reply:
Dear Miss, Thank you for your question. It seems that this relationship has deeply affected you, and the impact has lasted for over six months, causing fluctuations in your mood. The two medications prescribed by your doctor appear to be related to your mood. Fluoxetine general...

[Read More] Understanding Antidepressants: What Symptoms Do They Address?


Understanding Medication Changes for Autonomic Nervous System Disorders

Issues with Medications for Treating Autonomic Nervous System Disorders I was diagnosed with autonomic nervous system dysfunction in early December. Initially, I was prescribed Escitalopram, but during my recent follow-up appointment, I informed the doctor about my condition, and...


Dr. Huang Xiaoxian Reply:
Dear Una, thank you for your question. The two medications you mentioned have the same generic name and are manufactured by different companies, but they may have different dosages. You can check the numbers on the prescription; if it changes from 10 mg to 15 mg, the physician&#x...

[Read More] Understanding Medication Changes for Autonomic Nervous System Disorders


Understanding Sleep Jerks: Causes and Solutions for Nighttime Disruptions

Experiencing involuntary muscle twitching or jerking movements while falling asleep at night? Hello doctor, this year I started experiencing a phenomenon where, when I feel sleepy and try to fall asleep, I notice that one part of my body (such as my hand or foot) will involuntari...


Dr. Wu Enliang Reply:
Hello, Huang. In this situation, the conditions to consider are Periodic Limb Movement Disorder (PLMD) or Restless Legs Syndrome (RLS), which are commonly seen in individuals with anemia or renal dysfunction. Improvement can often be achieved after treating the underlying medical...

[Read More] Understanding Sleep Jerks: Causes and Solutions for Nighttime Disruptions


Managing Side Effects of Depakote: Seeking Solutions for Better Health

Side effects of Depakote? Hello, doctor. After continuously taking the medication Depakote, I have been experiencing many side effects, such as easy bruising and bleeding from minor bumps, intermittent hand tremors, a strong urge to sleep right after taking the medication (making...


Dr. Qiu Junda Reply:
Hello. Since side effects have occurred and caused significant distress, the physician should assist in the process of discontinuing or switching medications. You can further communicate with the physician. Additionally, you may request the physician to order tests related to the...

[Read More] Managing Side Effects of Depakote: Seeking Solutions for Better Health


Can Schizophrenia Patients Safely Stop Medication?

Can antipsychotic medication be discontinued for schizophrenia? Hello, doctor. During acute episodes, after using medication to suppress the symptoms, I have been maintaining a low dose of Aripiprazole. However, as long as I am on medication, I am unable to work and return to my ...


Dr. Huang Xiaoxian Reply:
Hello, thank you for your question. Schizophrenia is generally a chronic condition, and the illness itself can lead to functional decline. On the other hand, certain medications may also contribute to a perception of diminished functioning. It is advisable to seek a medical evalu...

[Read More] Can Schizophrenia Patients Safely Stop Medication?


Exploring Side Effects of Donepezil and Lexapro in Dementia Patients

Drug side effects Dear Doctor: My mother started taking Donepezil 5mg for dementia a few months ago and began taking Lexapro a month ago. However, she has experienced blurred vision, making it difficult for her to read. She has glaucoma, but her ophthalmologist found no significa...


Dr. Wu Enliang Reply:
Hello Ms. Zhao, For elderly patients, it is generally recommended to start antidepressants at a low dose to minimize the risk of side effects, such as the blurred vision issue your mother is experiencing. If such side effects occur, it is advisable to reduce the dosage, as they...

[Read More] Exploring Side Effects of Donepezil and Lexapro in Dementia Patients


Managing Depression Medications for Patients with Glaucoma

Antidepressant medications for patients with glaucoma? Hello, doctor. I am currently working, and earlier this year, I visited a physician who diagnosed me with depression and prescribed a tetracyclic antidepressant. However, after researching online, I found that it can cause mi...


Dr. Wu Enliang Reply:
Hello, tricyclic and tetracyclic antidepressants are rarely used as first-line medications in clinical practice due to their numerous side effects. Newer generation medications such as SSRIs, SNRIs, NDRIs, and NaSSAs have no evidence linking them to glaucoma. Recently, an outstan...

[Read More] Managing Depression Medications for Patients with Glaucoma


Medication and Food Interactions for Panic Disorder Treatment

Medication and Food Consultation Hello doctor, I started experiencing panic disorder in May of last year and only began treatment at the psychosomatic clinic in March of this year. The doctor prescribed me one tablet of Anxiol and half a tablet of Muxin in the morning. Can I eat ...


Dr. Qiu Junda Reply:
Hello. Eating grapefruit is generally associated with antihypertensive and lipid-lowering medications. Taking one tablet of Anxiolytic and half a tablet of Mucilaginous should not pose any issues with grapefruit consumption. Drinking black tea is also fine. However, if there are ...

[Read More] Medication and Food Interactions for Panic Disorder Treatment


Sudden Insomnia: Causes and Solutions for Sleep Disturbances

Sudden insomnia? A few days ago, after catching a cold, I started experiencing severe insomnia and a strong heartbeat. I thought that after taking cold medicine, my symptoms would improve, but it has been three to four days since I stopped the medication, and my condition has not...


Dr. Huang Jiabin Reply:
Hello: I hope your cold has improved a bit. Sometimes, a cold with fever or the use of cold medications can disrupt your routine, and it may take some time to get back to normal. The blue light emitted by electronic devices can interfere with the secretion of melatonin, thereby a...

[Read More] Sudden Insomnia: Causes and Solutions for Sleep Disturbances


Managing Withdrawal Symptoms After Stopping Rifampin and Antidepressants

Rifampicin Drug Issues Doctor!! I have been taking Rifuxin and Prozac, two pills each daily, for 11 months due to anxiety. After that, I stopped taking the medication on my own. Since stopping, I have experienced confusion, memory decline, decreased concentration, comprehension i...


Dr. Huang Jiabin Reply:
Hello: After abruptly stopping the medication, the aforementioned conditions could be attributed to two possible scenarios: 1. Withdrawal symptoms; however, these should gradually diminish over the course of several weeks, especially considering that both Rifampicin and Fluoxetin...

[Read More] Managing Withdrawal Symptoms After Stopping Rifampin and Antidepressants


Understanding the Side Effects and Precautions of Jing An Ning for Anxiety

Medication Consultation I would like to ask about the side effects of Jing An Ning. Currently, my doctor advised me to take one when anxiety occurs. I am also taking St. John's Wort, and during the first few days of taking it, I experienced full-body weakness and even stomac...


Dr. Huang Jiabin Reply:
Hello: Because St. John's Wort is a selective serotonin reuptake inhibitor, some individuals may experience abdominal discomfort as a side effect. On the other hand, Xanax, which is a benzodiazepine, may cause sedation, drowsiness, and dizziness in some individuals, and its ...

[Read More] Understanding the Side Effects and Precautions of Jing An Ning for Anxiety


Why Your Medication for Autonomic Dysfunction Suddenly Stopped Working

Long-term medication use can sometimes lead to a sudden loss of efficacy? Hello Doctor, I was diagnosed with autonomic nervous system dysfunction ten months ago. The main symptoms I experienced were diarrhea every day after breakfast, discharge of an unknown fluid from my genital...


Dr. Qiu Junda Reply:
Hello. Since you have received treatment from the psychiatry department for your condition, it is recommended that you continue to attend follow-up appointments and discuss any changes in your symptoms with your physician to facilitate your recovery. Thank you.

[Read More] Why Your Medication for Autonomic Dysfunction Suddenly Stopped Working


Understanding Treatment Challenges in Refractory Insomnia and Anxiety

Refractory Insomnia Hello Dr. Hsueh, I am 23 years old and currently experiencing symptoms of daytime anxiety and nighttime depression. My physical symptoms include shortness of breath, chest tightness, and bloating. For the past six months, I have been suffering from insomnia, ...


Dr. Xue Gengming Reply:
Hello~ It is advisable not to repeatedly use the same medication dosage and type. I recommend discussing this further with your attending physician. Proper exposure to sunlight can help regulate the levels of melatonin in your body, promoting lower levels during the day and highe...

[Read More] Understanding Treatment Challenges in Refractory Insomnia and Anxiety


Understanding Paroxetine and Metformin: Safety, Side Effects, and Interactions

Drug Information Previously, I experienced shortness of breath, weakness, and felt faint, so I visited a nearby clinic where the doctor diagnosed me with hyperventilation syndrome. Recently, the symptoms have become more frequent, and I consulted a psychiatrist at a large hospita...


Dr. Huang Jiabin Reply:
Hello, I would like to ask if Paroxetine and Metformin can be taken together? (Metformin is taken at bedtime) -> There is no conflict in their treatment. May I ask if Paroxetine causes weight gain? (My obstetrician has advised me to lose weight, and I am concerned it may affec...

[Read More] Understanding Paroxetine and Metformin: Safety, Side Effects, and Interactions


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