Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Erectile dysfunction, ejaculation difficulties? I have been taking sleeping pills for a while, and I have noticed that erectile dysfunction and difficulty with ejaculation are becoming more pronounced. I would like to know which of these medications might be causing it: Anbaining...
Dr. Qiu Junda Reply:
Hello. Some psychiatric medications do indeed have side effects related to sexual function. The medication mentioned in your letter, such as escitalopram, may have such side effects (you can find this information through a quick Google search). However, issues with sexual functio...[Read More] Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Mirtazapine, also known as Remeron? Previously, I visited a family medicine clinic for insomnia, where the doctor prescribed "Suvorexant." Later, during a consultation with a psychiatrist, the doctor suggested that Suvorexant was not very effective and switched the pres...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I apologize for the delay in my response, as your question was forwarded to me by the supervising unit on April 19 due to the previous physician's departure. Regarding the medication "Zolpidem" (known as "導美睡"...[Read More] Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Anxiety and autonomic nervous system dysregulation? Hello, doctor. I previously experienced anxiety during the summer vacation, but it improved later. However, it relapsed during this winter vacation, and I feel very frustrated. The reason for the relapse was due to gastritis, wh...
Dr. Liang Sunyuan Reply:
Hello, Xiao Lan: The medications for anxiety require patience. If the current treatment is effective, it is advisable to maintain stability for a period before discussing the possibility of gradually tapering off the medication with your physician. Getting enough sleep, exercisin...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Understanding Insomnia: Exploring Alternatives to Sleep Medications
Insomnia issues I have been taking sleeping pills for a long time, but my doctor can only suggest exercise. I used to fall asleep by 10 PM, but now I can only sleep with medication. I'm considering switching doctors to understand why I can't fall asleep without medicati...
Dr. Huang Huiqun Reply:
Hello Mr. U, if you have been taking sleeping pills for a long time to help with sleep and wish to reduce your medication, it is important to first identify the reasons for initially starting the medication. If it was due to depression or other emotional disturbances, it is cruci...[Read More] Understanding Insomnia: Exploring Alternatives to Sleep Medications
Can Epram and Inderal Be Taken Together? Caffeine and Emotional Effects Explained
Can antidepressants and sympatholytics be used together? Can Epram (Lexapro) 10mg and Inderal 10mg be used together? Is it advisable to avoid caffeinated beverages during the medication period? Why do I feel emotionally numb after taking the antidepressant? I have been on medicat...
Dr. Xiao Minghong Reply:
Hello, Xi: Regarding your questions, I will address them one by one: 1. The classification of medications, such as antidepressants and sympatholytics, may be systematic, but it does not necessarily indicate that the effects of the medications are the same. 2. Epram (Lexapro) 10...[Read More] Can Epram and Inderal Be Taken Together? Caffeine and Emotional Effects Explained
Are These Medications Sleep Aids? Expert Insights on Usage and Safety
Is this a sleep aid? Dear Dr. Huang, I recently visited the Shijian Mental Health Clinic in Banqiao for sleep disorders, specifically difficulty falling asleep. The doctor prescribed two medications: Jingdeke (Clonazepam) and Swiss Esitan (Eszopiclone), which are to be taken on...
Dr. Huang Xiaoxian Reply:
Jingdeke Xianping and Swiss Esitan are both classified as sedative-hypnotic medications. Their effects are more sedative rather than strongly hypnotic, primarily aiding in relaxation, which can improve sleep. When taken at normal doses, they have a low potential for addiction. Al...[Read More] Are These Medications Sleep Aids? Expert Insights on Usage and Safety
Understanding Mental Health: Navigating Feelings of Worthlessness and Despair
I'm not sure what's wrong? Hello Doctor: Since middle school, I have often imagined why someone like me, who feels incapable of anything, should continue to live. I constantly feel that I do not belong in this world and that I only cause trouble for others. As a result,...
Dr. Qiu Junda Reply:
Hello. The text expresses long-term negative emotional behaviors and the hope to cherish oneself. You have received treatment in the field of mental health (psychiatry). Please continue with your medical follow-ups and consult with your physician to discuss whether this is a pers...[Read More] Understanding Mental Health: Navigating Feelings of Worthlessness and Despair
Understanding ADHD Medications: Efficacy, Duration, and Side Effects
Medication issues related to Attention Deficit Hyperactivity Disorder (ADHD)? Dear Dr. Song, I am engaged in academic research. Although my educational background appears impressive, my academic journey has been fraught with challenges, and I have had my share of struggles. It w...
Dr. Song Chengxian Reply:
Hello, in response to your question, the current scientific research has not yet determined whether there is a permanent therapeutic effect. However, since each individual's attention span is influenced by personal neurological development, life requirements, and adaptation ...[Read More] Understanding ADHD Medications: Efficacy, Duration, and Side Effects
Struggling with Addiction: A Journey from K-Hole to Recovery
I want to quit ketamine and "bath salts." Hello, doctor. I'm really sorry; it's all my fault. When I was young, I entered society early at 17 and got involved with the wrong crowd. Back then, I was young and had no connections, so my friends were mostly those ...
Dr. Zhan Jiaxiang Reply:
Hello, based on your description, you have previously used ketamine and, in an attempt to quit it, started using caffeine, which has led to greater difficulties. Since drugs can cause various levels of damage to the brain, using a second substance to quit the first often does not...[Read More] Struggling with Addiction: A Journey from K-Hole to Recovery
Can I Take Sertraline with SNRI? Understanding Drug Interactions
Medication consultation Can I take Zoloft (sertraline) while I am on an SNRI? Are there any interactions?
Dr. Zhan Jiaxiang Reply:
Hello, the two medications you mentioned do not have any significant pharmacological interactions, so they can be used together in clinical practice as needed based on the patient's condition. If you have any concerns about the medications, it is advisable to consult the pre...[Read More] Can I Take Sertraline with SNRI? Understanding Drug Interactions
Understanding ADD: Coping with Compulsive Thoughts and Sleep Issues
Mental health issues In January of this year, I was diagnosed with Attention Deficit Disorder (ADD) and am currently taking Ritalin. The issue is that I often experience a feeling of "compulsion to do something." I frequently check at home to ensure that the faucet is t...
Dr. Xiao Minghong Reply:
Hello Mr. I, Ritalin can be very effective for attention deficit and hyperactivity disorder (ADHD). Due to its ability to enhance attention, using it in the evening may affect your sleep quality. Additionally, it seems you are experiencing some repetitive thoughts, which you hav...[Read More] Understanding ADD: Coping with Compulsive Thoughts and Sleep Issues
Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Panic disorder caused by autonomic nervous system dysregulation? About a year ago, I was diagnosed with autonomic nervous system dysfunction. However, after taking the first dose of medication the next day, I experienced hand tremors and an accelerated heartbeat, which caused me ...
Dr. Tang Jiahong Reply:
Hello, sir: Among your current medications, bromazin (generic name bromazepam) belongs to the benzodiazepine class of anxiolytics, which provides an immediate sense of relaxation upon ingestion. Sertraline is a medication that enhances serotonin levels and improves anxiety over t...[Read More] Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Understanding Memory Loss and Mental Fog in Young Adults
Forgetfulness and absent-mindedness? Doctor, I am asking on behalf of my girlfriend. She is 23 years old and has recently been experiencing forgetfulness. For example, when she wakes up and sees me, her mind feels blank, and it takes her a while to remember who I am. The day befo...
Dr. Qiu Junda Reply:
Hello. The information provided makes it difficult to clearly assess your girlfriend's situation. However, it is indeed important to consider whether the psychiatric medication (side effects) you mentioned is related to her symptoms (such as forgetfulness and feeling spaced ...[Read More] Understanding Memory Loss and Mental Fog in Young Adults
Managing Performance Anxiety: Should You Combine Xanax and Propranolol?
Medication consultation I am a piano student, but I get particularly nervous every time I perform on stage, my heart races, and my hands feel cold. I have an exam coming up, so I consulted a psychiatrist who prescribed me "ALPRAZOLAM" (Xanax 0.5mg) and "PROPRANOLOL...
Dr. Liang Sunyuan Reply:
Hello Mr. Chen: If Xanax is ineffective, you may switch to propranolol, which has better control over heart rate. If issues persist, it is recommended to return for a follow-up consultation with your physician. Best wishes to you.[Read More] Managing Performance Anxiety: Should You Combine Xanax and Propranolol?
Switching from Zyprexa to Generic: Will It Affect My Mental Health?
If someone has been taking Zanaflex (tizanidine) for several years and suddenly switches to Klonopin (clonazepam), could there be any effects? Hello Doctor: I have autonomic nervous system dysfunction, which later developed into panic disorder. My panic disorder has stabilized si...
Dr. Xiao Minghong Reply:
Hello Ms. Ying; both Xanax and Klonopin contain alprazolam, and theoretically, they are classified the same with similar efficacy. However, in clinical practice, there are indeed cases where patients report different effects (either improved or worsened) after switching to a diff...[Read More] Switching from Zyprexa to Generic: Will It Affect My Mental Health?
Understanding Throat Foreign Body Sensation and Its Systemic Symptoms
Systemic symptoms following the sensation of a foreign body in the throat? Hello Doctor: Since the beginning of last year, I have had a sensation of a foreign body in my throat after choking while swallowing and speaking. My throat muscles always feel tight, my jaw feels retracte...
Dr. Wu Enliang Reply:
It seems that your life is indeed troubled by these physical sensations, and it can be very frustrating to have seen many doctors and undergone various treatments without resolution. Our brain's response to stress can lead to increased sensitivity in the body. It is recommen...[Read More] Understanding Throat Foreign Body Sensation and Its Systemic Symptoms
Navigating Family Conflicts and Mental Health Challenges
When talking to family members? I have always been busy with my career development and have a habit of engaging in outdoor sports. Let me clarify that my following statements are not fictional and should not be distorted. I just returned from abroad, and since both my mother and ...
Dr. Xiao Minghong Reply:
Dear Miss A, I am sorry to hear about the many painful experiences you have encountered, and I understand that the difficulties you face are multifaceted. Based on the information provided, I can offer the following responses: 1. Communication Issues with Family: It seems that ...[Read More] Navigating Family Conflicts and Mental Health Challenges
Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Lower esophageal sphincter relaxation gastroesophageal reflux disease (GERD) Hello Doctor: I experienced a panic attack at the end of December two years ago, which led to a diagnosis of anxiety disorder, and I have been continuously using psychiatric medication since then. Later,...
Dr. Qiu Junda Reply:
Hello. Patients with anxiety disorders often experience various physiological symptoms, which can occur in different parts of the body. Gastrointestinal issues, including gastroesophageal reflux disease (GERD), are also commonly observed. It is advisable for you to seek consultat...[Read More] Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Recently, I have been tossing and turning in my sleep and talking in my sleep? Since I started college, my roommates often tell me that I toss and turn a lot during the night, and that I move quite vigorously. I usually go to bed around midnight to 1 AM, but my roommates say they...
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Some individuals may have a predisposition to sleep talking or sleepwalking, especially when they have a lot going on during the day or are under significant stress. Certain medications can indeed cause sleep disturbances; however, if these issues were present ...[Read More] Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep