Medications, Psychiatry FAQ

Can You Safely Combine Sleep Medications: Lepec and Ulotar?

Insomnia and Sleep Medications Hello, can I take 7.5 mg of Leplon (Zolpidem) and 2 mg of Ulotar (Lorazepam) together? Also, can I take 7.5 mg of Leplon (Zolpidem) and 4 mg of Ulotar (Lorazepam) together? Thank you.

Dr. Lin Mianzhang Reply:
Hello John: I apologize for the delayed response as I was abroad and unable to log in to the page. Levofloxacin and Urokinase can be taken together, regardless of whether Urokinase is 2mg or 4mg. However, it is important to monitor the dosage when combining with 4mg Urokinase to ...

Understanding Light Sensitivity and Mental Health: Solutions and Insights

Strangely bright? After being discharged from a psychiatric hospitalization, my friend experiences anxiety and fear whenever they see any light. Everything appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel tense and uneasy. Howev...

Dr. Wu Enliang Reply:
A netizen previously hospitalized for mental health issues experiences anxiety and fear whenever exposed to any light after discharge. Everything they see appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel anxious and fearful. How...

Long-Term Effects of Psychiatric Medications on Heart Health

The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...

Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues, rather than the side effects of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, r...

Long-Term Effects of Psychiatric Medications on Heart Health

Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues rather than a side effect of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, rathe...

Long-Term Effects of Psychiatric Medications on Heart Health

Dr. Wu Enliang Reply:
It seems that your depression, anxiety, and panic may have recurred, rather than being a side effect of the medication. Your medication is unlikely to increase the risk of sudden cardiac death. The issue may lie in the imbalance of brain elements that process stress, rather than ...

Can Peppermint Interfere with Escitalopram? A Guide for Patients

Will the oral liquid formulation of Yifule interfere with peppermint and cause any issues? Hello doctor, I have been experiencing long-term anxiety and depression issues. I am currently taking "Talopram oral solution" which contains Escitalopram. Due to chronic intestin...

Dr. Wu Enliang Reply:
1. Will there be any conflict with mint (fresh mint leaves that I grew myself, with no other additives)? A: No, the contraindications mentioned online are related to which specific issues? Will it worsen the condition, cause the medication to be ineffective, or have other side ef...

Managing Anxiety: Navigating Medication Withdrawal and Treatment Options

Anxiety Disorder Consultation I have anxiety disorder and, due to the lack of side effects from the medication, I gradually reduced my dosage. I changed my intake of Lexapro from two pills a day to one pill a day, but my mental state remained poor. So, I switched to taking one pi...

Dr. Qiu Junda Reply:
Hello. Treatment for anxiety disorders is a long-term process. Symptoms may fluctuate during this time. Adjustments to medication (including increasing or decreasing dosages) should be carefully evaluated. It is recommended that if you wish to reduce medication, you should discus...

Managing Anxiety and VPC: Safe SSRI Options for Patients

Medication Consultation Hello, doctor. I apologize for taking up your valuable time. I would like to ask you a question. Three years ago, I experienced some ventricular premature contractions (VPC) that led to anxiety and subsequently a panic disorder. I used sertraline (Zoloft) ...

Dr. Wu Menghuan Reply:
Hello: Traditional tricyclic antidepressants (TCAs) have anticholinergic effects, which can lead to side effects such as blurred vision, dry mouth, constipation, urinary retention, increased heart rate, and cardiac conduction disturbances. In the elderly, central anticholinergic ...

Do Antipsychotics Make You More Sensitive to Cold?

Antipsychotic medications and sensitivity to cold? Is it common to become more sensitive to cold when taking antipsychotic medication? I take Lurasidone 80mg, and I often feel very cold in winter, which I didn't experience before.

Dr. Qiu Junda Reply:
Hello: There is no correlation between taking antipsychotic medications and the phenomenon of feeling cold. Please feel free to use them and discuss with your attending physician. Thank you.

Understanding Medication Effects on Sexual Desire in Psychiatric Treatment

Medication Consultation Hello, Doctor: I would like to briefly introduce my background. I started receiving psychiatric treatment in Nagasaki during the 8th and 9th grades. My current diagnoses are Obsessive-Compulsive Disorder (OCD), Depersonalization/Derealization (DP/DR) sympt...

Dr. Wu Menghuan Reply:
Hello: Antidepressants can indeed have side effects related to sexual function, but abruptly discontinuing the medication may lead to instability in mental symptoms, dizziness, headaches, nausea, anxiety, mood swings, and sleep disturbances. Therefore, it is not advisable to adju...

Is It Safe to Use Sleep Aids for Afternoon Naps?

If you are unable to fall asleep during a nap and feel fatigued, is it appropriate to take sleeping pills? Hello, Doctor. I work in education and have always had a habit of taking a nap. However, since September of last year, after having lunch, I feel empty for about 15 minutes ...

Dr. Lin Mianzhang Reply:
Dear Ms. Li, The concerns you have raised are indeed valid. Generally, it is not recommended to take sleeping pills just for the purpose of napping, as the effects of these medications do not last only half an hour. If you take sleeping pills to nap, it will certainly affect you...

Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity

Medication Consultation Dr. Lin, thank you for your selfless dedication in helping everyone with professional questions. I would like to ask about the four medications: Paxil (Paroxetine), Lexapro (Escitalopram), Zoloft (Sertraline), and Prozac (Fluoxetine). I understand that the...

Dr. Lin Mianzhang Reply:
Hello, little lamb: The likelihood of these medications affecting the heart is very low, and occurrences of palpitations are not common. However, some individuals may experience increased anxiety during the initial phase of taking Prozac, which could lead to a faster heartbeat; t...

Understanding Bowel Noises: Are They Linked to Anxiety?

Borborygmi Hello, doctor. Recently, I have been preparing for the national exam and I go to a tutoring center almost every day. The classes are conducted with each student using their own computer to watch recorded lectures, and the environment is very closed and quiet. Initially...

Dr. Lin Mianzhang Reply:
Hello Ting, If you have undergone a gastrointestinal examination and everything is normal, there should be no major concerns. The intestines are constantly in motion, but most people do not pay attention to the sounds of intestinal peristalsis. Unless you experience symptoms su...

Managing Medication Adjustments in Psychiatry: What to Expect

Medication consultation I was previously taking two tablets of Escitalopram 75 mg and one tablet of Sulpiride 50 mg. I felt some improvement in my symptoms, but I was very fatigued and somewhat drowsy throughout the day. After my follow-up appointment, the doctor reduced my Escit...

Dr. Qiu Junda Reply:
Hello. 1. After reducing the medication dosage, the amount will naturally decrease. However, the impact on efficacy needs to be evaluated. Typically, a balance must be struck between the medication dosage and side effects, so it is essential to discuss this with the attending phy...

Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights

Which medications can help control and reduce positive symptoms? Hello Doctor: One of my children, who was 20 years old and in their first year of college, became ill and had to drop out to help at home. After nearly 5 years of treatment, the doctor diagnosed them with undifferen...

Dr. Cai Qijin Reply:
Hello: There are many types of medications for schizophrenia, each with different side effects and effects. Long-acting injectable formulations of second-generation antipsychotics have shown good efficacy for both positive and negative symptoms, and they can provide more stable b...

Concerns About Sleep Apnea and Psychiatric Medication Use

Issues with the use of psychotropic medications in obstructive sleep apnea? Hello, doctor. I have been experiencing generalized anxiety issues, so I started taking Lexapro and Buspirone. However, sometimes I wake up gasping for air while sleeping. I previously went to the hospita...

Dr. Wu Enliang Reply:
1. Will these medications suppress sleep breathing or inhibit the brain's alertness to hypoxia? A: No, they will not. 2. I am very afraid of taking these psychotropic medications; I worry that long-term use will harm my body. Can the doctor alleviate my concerns? A: They w...

Understanding Diagnosis and Medication Guidance for Delusional Disorder

Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...

Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...

Managing Withdrawal from Antipsychotics and Antidepressants: A Guide

Schizophrenia, antidepressant withdrawal? Hello Doctor: Recently, I received treatment for schizophrenia and depression at a psychosomatic clinic. My primary physician prescribed half a tablet of Olanzapine, one tablet of Rifapentine, and one tablet of Ambien. It has been about a...

Dr. Qiu Junda Reply:
Hello: It is best to discuss the issue of tapering or discontinuing medication with your attending physician. The process of tapering Rifampicin and Ambenonium varies from person to person and does not follow a fixed order. The dependence on Rifampicin is not necessarily stronger...

Understanding Side Effects of Long-Acting Antipsychotic Injections

Drug side effects Hello Dr. Lin, I have a question again! Regarding the long-acting injection of Sustenna that I am currently receiving, I have discovered that it has the side effect of hyperprolactinemia (sexual dysfunction). Today, during my follow-up appointment with the physi...

Dr. Lin Mianzhang Reply:
Hello: The physician may be concerned that if the medication is changed, the new drug may not effectively improve your psychiatric symptoms, which could increase the risk of relapse. Therefore, if a medication change is necessary, it is advisable to proceed in a gradual manner. D...

Effective Communication with Your Doctor About Panic and Depression Medications

Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...

Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...

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