Medications, Psychiatry FAQ - Page 40

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Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication

Anxiety-related insomnia Hello Dr. Kong, I am 23 years old and currently experiencing symptoms of daytime anxiety and nighttime depression with suicidal thoughts. My physical symptoms mainly include shortness of breath, chest tightness, and bloating. For the past six months, I h...


Dr. Kong Fanjin Reply:
1. Doxepin, rifampicin, and temazepam are all sedative-hypnotics that exhibit cross-tolerance, meaning that as the dosage increases, the side effects become more pronounced, the effectiveness diminishes, and withdrawal becomes increasingly difficult. 2. Medications address the ...

[Read More] Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication


Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns

Psychiatric medications Hello, doctor. A few years ago, I visited a hospital for depression, and the doctor prescribed me one tablet of Prozac and a sedative to take before bed. The first time I took the medication, I finished it around 11 PM, and by the next evening, around 7 PM...


Dr. Huang Jiabin Reply:
Hello: In all things, moderation is key. Serotonin is an important neurotransmitter that maintains physiological processes in the brain; however, other parts of the body, such as the gastrointestinal tract, also rely on serotonin for daily bodily functions. When levels are excess...

[Read More] Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns


Is My Throat Pain a Side Effect of SMILON Medication?

Is it a side effect of the medication? Hello Doctor, I have been taking one SMILON (Sumeining) 15 mg film-coated tablet every night before bed for nearly two months. Initially, the only side effect I experienced was an increased appetite and some weight gain, but I did not feel a...


Dr. Huang Jiabin Reply:
Hello: Similar to other antidepressants, a very small percentage of patients may experience bone marrow suppression due to individual constitution after taking Suvenil, leading to reversible agranulocytosis. Severe agranulocytosis can result in opportunistic infections. Although ...

[Read More] Is My Throat Pain a Side Effect of SMILON Medication?


Understanding Withdrawal Symptoms from Sleep Medications: A Guide

The issue of withdrawal from sleeping pills? Hello doctor, I have been taking Lurasidone 10 mg and Escitalopram 2 mg for over four years. My sleep issues have improved during this time. There have been 2 to 3 instances where I felt better and discussed tapering off the medication...


Dr. Huang Xiaoxian Reply:
Hello, the sleeping medication you are taking is not considered a strong sedative, and the dosage is within a reasonable range. By gradually tapering the dosage and incorporating other supportive therapies, there is a possibility to gradually reduce its use. It is advisable to di...

[Read More] Understanding Withdrawal Symptoms from Sleep Medications: A Guide


Managing Anxiety and Insomnia: Insights on Escitalopram and Alprazolam Use

5MG Escitalopram I am currently struggling to adapt to a new job, which has led to a lack of self-confidence and anxiety due to long-term unemployment. I also experience insomnia, particularly on special occasions, and during work periods, I completely lose sleep at night. Howeve...


Dr. Huang Jiabin Reply:
Hello, here are the answers to your questions: 1. Escitalopram is an antidepressant with a lower risk of addiction. However, alprazolam is a sedative-hypnotic medication, which does carry a risk of addiction; it is recommended to use it only short-term and when necessary. Once s...

[Read More] Managing Anxiety and Insomnia: Insights on Escitalopram and Alprazolam Use


Understanding Medication Side Effects and Consultation for OCD Treatment

Drug side effects Drug consultation Hello, doctor! 1. I previously took Inderal (propranolol), Sinzac (fluoxetine), and Rivotril (clonazepam) for my obsessive-compulsive disorder, with each medication at a dosage of two pills daily for nine months. After that, I stopped taking ...


Dr. Huang Jiabin Reply:
Hello: It's great that you have done your homework on your treatment options; keep it up and continue discussing with your outpatient physician. Here are my attempts to answer your questions: 1. After discontinuing medication for a period, the serotonin receptors in your bod...

[Read More] Understanding Medication Side Effects and Consultation for OCD Treatment


Understanding Withdrawal Symptoms and Cognitive Effects of Rivotril®

Medication Issues: Side Effects of Medications Doctor!! I have been taking Rivotril® (clonazepam) due to anxiety for 11 months, at a dosage of 2 pills daily. After stopping the medication, I experienced confusion, memory decline, decreased concentration, and issues with comprehen...


Dr. Huang Jiabin Reply:
Hello: Librium belongs to the benzodiazepine class of medications, which act on the inhibitory neurotransmitter GABA receptors, resulting in a sedative effect. Withdrawal refers to the body's inability to adapt to the sudden absence of the medication, leading to an imbalance...

[Read More] Understanding Withdrawal Symptoms and Cognitive Effects of Rivotril®


Can OCD Symptoms Improve Without Professional Help?

Is it possible for obsessive-compulsive disorder (OCD) to improve on its own? During high school, I often felt anxious and worried about unreasonable things, such as: 1. If I lightly bumped into someone, I would be extremely worried and sneak back to check if they were okay, alwa...


Dr. Lin Mianzhang Reply:
Hello. The symptoms you mentioned from elementary school to high school do resemble obsessive thoughts. However, many psychiatric disorders, other medical conditions, or certain medications and substances can also cause similar symptoms. Therefore, it is necessary to discuss this...

[Read More] Can OCD Symptoms Improve Without Professional Help?


Struggling with Medication Side Effects: Insomnia and Anxiety Issues

Troubled by the side effects of medication? Dear Doctor, Can taking Olanzapine lead to insomnia? I have been on it for six months, and my sleep issues have been worsening. I have difficulty falling asleep and experience unexplained tremors. Even with sleeping pills, I can only ...


Dr. Cai Qijin Reply:
Hello: A small number of individuals may experience insomnia when taking Anxiolytics before bedtime, so it may be advisable to consider taking it in the morning instead. Sleep issues could also be a result of an underlying mental health condition, so it is recommended to discuss ...

[Read More] Struggling with Medication Side Effects: Insomnia and Anxiety Issues


Managing Insomnia, Depression, Bipolar Disorder, and Anxiety: A Patient's Guide

Insomnia, depression, bipolar disorder, anxiety? Hello Dr. Huang: I have recently been diagnosed with insomnia, depression, bipolar disorder, and anxiety. My doctor prescribed three medications: 1. Wellbutrin XL 150 mg once daily in the morning, 2. AlepaN 15 mg tablet three times...


Dr. Huang Jiabin Reply:
Hello: Here are my responses to your questions. 1. You mentioned that the side effects may be caused by Wellbutrin XL. The incidence of the aforementioned side effects is approximately 1-10%. If the symptoms disappear after discontinuing Wellbutrin XL and reappear upon resuming...

[Read More] Managing Insomnia, Depression, Bipolar Disorder, and Anxiety: A Patient's Guide


Managing Schizophrenia Relapse: Concerns After Medication Discontinuation

Issues of Psychiatric Relapse Hello, doctor. Two years ago, I was diagnosed with the prodromal phase of schizophrenia by a physician at Chang Gung Memorial Hospital. I was told that I have delusional thoughts, and psychological tests indicated that I have dependent and paranoid p...


Dr. Dai Wanxiang Reply:
Xiao Yu: Because your question involves a complete understanding of your personal medical history, it is advisable to discuss it with your attending physician. Even if you stop taking medication, you should still monitor any changes in your thoughts, emotions, and behaviors. Regu...

[Read More] Managing Schizophrenia Relapse: Concerns After Medication Discontinuation


Understanding Neurotransmitter Levels and Their Impact on Mental Health

Regarding neurotransmitters? Doctors and hospitals determine the levels of neurotransmitters in the serum, such as dopamine, epinephrine, norepinephrine, serotonin, and melatonin, through various laboratory tests. These tests often involve blood samples that are analyzed using te...


Dr. Huang Jiabin Reply:
Hello: Currently, the influence of neurotransmitters on psychiatric symptoms is referred to as the "monoamine hypothesis." This hypothesis is based on experimental methods that reduce the activity of neurotransmitters in the brain, combined with observations of external...

[Read More] Understanding Neurotransmitter Levels and Their Impact on Mental Health


Navigating Medication Challenges in Psychiatric Care: A Personal Journey

Is it a problem with the medication? I have forgotten why I initially sought psychiatric care at a regional hospital. At that time, the prescription was as follows: on June 19, 2017, I was prescribed "Xindong" Ambien 0.5 mg and Ulotin 2 mg (aluminum foil/plastic foil). ...


Dr. Huang Jiabin Reply:
Hello: Based on the medication you provided, it mainly consists of antidepressants and various sedative-hypnotics. I recommend that for your central nervous system medications, if possible, you should have a single physician prescribe them. This is because most of the medications...

[Read More] Navigating Medication Challenges in Psychiatric Care: A Personal Journey


Is Your Loved One Showing Early Signs of Dementia? Key Symptoms to Watch

I would like to ask if these symptoms are precursors to dementia? Hello, doctor. My grandmother is 74 years old and has high blood pressure. Two years ago, we noticed that her lips and hands would tremble involuntarily, but she seemed unaware of it. Later, she visited a general c...


Dr. Huang Jiabin Reply:
Hello, sir: Based on what you have described, your grandmother is currently experiencing significant decline in her cognitive abilities, particularly in language and memory. It is advisable to take her to a psychiatrist or neurologist for an evaluation as soon as possible. The se...

[Read More] Is Your Loved One Showing Early Signs of Dementia? Key Symptoms to Watch


Concerns About Increasing Dosage of Cymbalta: Safety and Side Effects

Regarding Qianyoujie (a medication for depression) Hello Dr. Huang: I was originally taking 60mg of Cymbalta daily, but after being hospitalized, my doctor increased the dosage to 120mg. However, I found online that this dosage is generally not recommended due to uncertainty abou...


Dr. Huang Jiabin Reply:
Hello: I believe you have already reviewed the medication's package insert. Before a drug is officially launched, pharmaceutical companies conduct large-scale human trials to determine the appropriate dosage and efficacy. Research indeed shows that the benefits of using 60 m...

[Read More] Concerns About Increasing Dosage of Cymbalta: Safety and Side Effects


Understanding My Mental and Physical Health Struggles: A Personal Journey

I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...


Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...

[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey


Understanding Depression: Symptoms, Treatment, and Family Support

Could you please provide more details or specify what you would like to know about depression? Hello Doctor: My father suddenly lost control of his emotions one day a year ago and had an argument with my mother. The argument was about unpleasant experiences from the past. My fath...


Dr. Wu Enliang Reply:
1. Does my father have depression? To determine if he has depression, it is best to consult his psychiatrist, as a diagnosis requires a detailed interview, physical examination, and psychological testing. I have attached an educational article about depression for your reference....

[Read More] Understanding Depression: Symptoms, Treatment, and Family Support


Understanding Withdrawal Symptoms from Psychiatric Medications

Medication withdrawal side effects? For the past 2 to 3 months, I have been struggling with anxiety disorder, which has led to insomnia. I often lie in bed until dawn without being able to sleep, or I have very short sleep durations. Initially, I consulted a psychiatrist, but I w...


Dr. Liang Sunyuan Reply:
Hello: The side effects of medication usually disappear within two to three days after discontinuation. If symptoms persist, it is more likely that the underlying anxiety or depression has not improved. It is recommended to take a multifaceted approach, including maintaining a re...

[Read More] Understanding Withdrawal Symptoms from Psychiatric Medications


Understanding Stilnox Use: Addiction and Tolerance in Sleep Disorders

Use of Sitagliptin Is it common for individuals using Stilnox (zolpidem) to develop drug dependence and tolerance, leading to the need for increasing doses to achieve sleep? What percentage of the overall users does this represent? Thank you.


Dr. Qiu Junda Reply:
Hello. Stilnox (zolpidem) does have the potential for drug dependence and increased drug tolerance. However, I apologize that I couldn't find strong statistics regarding the rates. This is also related to the patient's medication habits and surrounding environmental fac...

[Read More] Understanding Stilnox Use: Addiction and Tolerance in Sleep Disorders


Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained

Use of sleeping pills 1. The article states that medications containing Zolpidem, Zopiclone, or Zaleplon may indicate underlying issues if increasing doses are needed to achieve sleep. The most common underlying condition is depression, while physiological issues often include fo...


Dr. Qiu Junda Reply:
Hello. It is true that sleeping pills can lead to addiction and drug tolerance, resulting in the need for increasing doses to achieve sleep. However, not everyone experiences this, and it is not limited to individuals with specific body types. Importantly, as you mentioned, (coll...

[Read More] Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained


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