Medications, Psychiatry FAQ

Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety

Lerizole (Lerizine) for the treatment of bruising? Dear Dr. Chiu, I have been experiencing sleep issues, anxiety, and panic attacks recently. Before bed, I take one capsule of Yongkangxu and half a capsule of Le Li Jing. I've noticed that I have bruising on my calves and oc...

Dr. Qiu Junda Reply:
Hello. These two medications, along with fish oil and B vitamins, should not be related. If the bruising is severe, medical evaluation and treatment may be necessary.

Managing Medication and Mental Health: Preparing for Pregnancy After Recovery

Medication consultation: After taking Lofepramine and Duloxetine for treatment, it is expected to discontinue medication for pregnancy preparation after recovery? Hello Doctor, I am currently experiencing severe obsessive-compulsive behaviors, anxiety, and depression that I canno...

Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: It seems that you are responding well to the medication, and the tapering process is going smoothly, which is a good start. Here are the responses to your questions: 1) There is a possibility of discontinuing the medication, but it is recommended to continue wit...

Managing Weight Gain on Antipsychotics: Switching Medications Safely

Schizophrenia with acute thought disorder, treated with Lurasidone? Hello Dr. Tang: I have been taking Risperidone for a year since my onset of illness in July 2023. I originally took one and a half pills a day, but I have reduced it to one pill every two days. However, I have ga...

Dr. Tang Jiahong Reply:
Hello: According to the prescribing information for lurasidone, the average weight gain in the LATUDA treatment group was 0.43 kg, while the average weight loss in the placebo group was 0.02 kg. In short-term placebo-controlled trials for schizophrenia in adults, the incidence of...

Managing Anxiety and Sleep Issues: Insights on Medication Choices

Jing An Ning, Ke Qian Ping, You Jie? I would like to ask the doctor about my recent experience. In mid-August, I had difficulty breathing and anxiety, which led to insomnia, so I consulted a psychiatrist. I was prescribed a seven-day course of a serotonin medication. I took it oc...

Dr. Qiu Junda Reply:
Hello. You can switch to the other two medications. However, if your dizziness is related to Keppra (levetiracetam) or Buspirone, then it may not be suitable to make a change. It is important to discuss and evaluate your specific situation with your attending physician.

Understanding Autonomic Nervous System Disorders: Symptoms and Concerns

Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...

Dr. Li Zhengfeng Reply:
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...

Dealing with a Father's Mental Health Struggles: A Family's Dilemma

Dad is unwilling to believe the doctors and family? Hello, I believe my father's personality is influenced by his insecurities, making him more prone to suspicion and highly sensitive to his surroundings. He often struggles to sleep due to noise from neighbors, which frustra...

Dr. Wu Enliang Reply:
If possible, try to empathize with his discomfort, as physical illness can also affect one's mood. You can communicate in a more casual way, mentioning that conditions like neuroses or autonomic nervous system disorders can be treated with certain brain-supporting medication...

Managing Side Effects of Medications: Insights on Depression Treatment

Drug side effects I have been taking Bupropion for three weeks. My depression has improved somewhat, but I am experiencing mild headaches, dizziness, and difficulty relaxing. Will these side effects lessen over time?

Dr. Qiu Junda Reply:
Hello. Headaches and dizziness can be symptoms of depression or side effects of Betaserc. It's important to clarify this first. If it is a side effect, it may lessen over time as you adjust. However, it is advisable to follow up with your physician to discuss and clarify the...

Understanding Schizophrenia, Anxiety, and Dementia: A Caregiver's Guide

Schizophrenia / Anxiety Disorder / Dementia Hello, doctor. I apologize for the interruption. My mother exhibited symptoms of delusions, hallucinations, and illusions earlier this year. After seeking medical attention, the doctor diagnosed her with schizophrenia. After over a mont...

Dr. Tang Jiahong Reply:
After middle age, if hallucinations or delusions occur, it is advisable to check the brain. Visiting a neurologist is a good option to see if any reversible issues can be identified and addressed. Tremors and slow movements can also be discussed with the neurologist to determine ...

Do You Really Need to See a Doctor for Mental Health Issues?

Do I really need to see a doctor? Since I started high school, I have had issues with substance addiction. At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol. When my partner wasn't around, I would drink until I fell asleep ...

Dr. Qiu Junda Reply:
Hello. Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.

Struggling with Sleep: Is It Normal to Take Longer After Starting Medications?

Delayed sleep onset time Hello, doctor! I previously had difficulty falling asleep, so I visited a clinic where the physician prescribed one tablet of clonazepam to be taken before bedtime. After taking it, I could generally fall asleep in about half an hour, although occasionall...

Dr. Qiu Junda Reply:
Hello. You may continue to observe for now. During your next follow-up appointment, you can discuss with the physician whether to discontinue or adjust the medication.

Can You Take Anxiedin with Amoxicillin and Ibuprofen Safely?

Can Anxiedin be taken together with Amoxicillin and Ibuprofen? Hello Doctor, I have been prescribed Anxiedin for my sleep issues, and due to gingivitis, my dentist has prescribed Amoxicillin and Ibuprofen. I would like to know if these medications can be taken together. If not, h...

Dr. Wang Yixiang Reply:
Hello Ms. Amyli: It is advisable to take them simultaneously, but please discuss this with your attending physician. Director Wang Yihsiang, Department of Psychiatry, Nantou Hospital.

Overcoming Sexual Dysfunction Caused by Medication: A Guide

Sexual dysfunction Hello doctor, I am currently taking three capsules of Cymbalta (Duloxetine) a day. I am experiencing sexual dysfunction after taking the medication, including difficulty achieving an erection and difficulty with ejaculation. Can this be resolved? Additionally, ...

Dr. Wu Enliang Reply:
If it is indeed caused by medication and is intolerable, then switching medications is the only option. - Dr. Wu En-Liang

Do Anxiety Medications Affect Sexual Function? A Guide to Anban and Moxifene

The psychiatric medications Anban (also known as amisulpride) and Moxifene (also known as mirtazapine) are used to treat various mental health conditions. Anban is primarily used for schizophrenia and depressive episodes, while Moxifene is commonly prescribed for major depressive...

Dr. Qiu Junda Reply:
Hello. Generally, these two medications do not commonly have side effects related to sexual function. However, your psychosomatic symptoms may be affecting your sexual function. Please continue to follow up with your physician to discuss this matter for a timely improvement in yo...

Managing Intermittent Anger: Medication Insights and Emotional Balance

Medication Consultation Hello Doctor, I have been experiencing sudden outbursts of anger. I searched online and found information about intermittent explosive disorder, but I believe my situation varies depending on the circumstances. I often lose my temper with family members or...

Dr. Tang Jiahong Reply:
Hello, assuming that mood stabilizers are helpful for you. Lamotrigine has mood-stabilizing effects, and its side effects are relatively fewer compared to antipsychotic medications. You can discuss with your physician whether irritability/restlessness is a side effect of Lamotrig...

Overcoming Mental Struggles: Finding Purpose and Direction in Life

After careful consideration, I couldn't come up with a solution? Hello, doctor. I apologize for bothering the online consultation physicians at Taiwan e-Hospital again. This time, I have chosen you, Dr. Li, to be my mentor and to provide me with consultation advice. My relev...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress regarding your ability to continue working and contribute value, which is commendable. Here are some suggestions: 1. In the face of an uncertain future, psychosomatic disorders, such as depression,...

Understanding Anxiety: Managing Fatigue and Panic Attacks

Anxiety disorder, fatigue, panic? Hello Doctor, I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently w...

Dr. Wu Enliang Reply:
Hello, doctor. I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? A: It is possible. After feeling very tense, sometimes there is a sensation of weakness, and often I wake up still feeling tired, lacking e...

Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey

Medication issue: Withdrawal reactions from the discontinuation of methylphenidate? Hello, doctor. This issue has been troubling me for a long time. I am a patient with ADHD combined with depression, and the medications I am currently taking include Strattera, Ritalin, Vyvanse, a...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about potential interactions between lithium and antipsychotic medications may not be beneficial for your condition. As for the possibility of co-o...

Understanding Anxiety: Managing Fatigue and Panic Attacks

Anxiety disorder, fatigue, panic? Hello, doctor. I have experienced sudden fatigue and a feeling of weakness a few times at work. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently wa...

Managing Withdrawal Symptoms During Pregnancy: A Guide for Patients

Withdrawal from Wan You Ting (a medication) I have been taking psychiatric medications for three to four years, including medications like Venlafaxine, Quetiapine, and Lamotrigine. When I started preparing for pregnancy, I began to taper off the medications. Half a month into the...

Dr. Qiu Junda Reply:
Hello. Wan You Ting is an antidepressant that is theoretically non-addictive, so withdrawal symptoms should be minimal. Dizziness and vomiting may be partially related to pregnancy. If we consider the medication alone, you have been off it for six days, and you should see signifi...

Managing Anxiety with Medications: Concerns About Side Effects

Anxiolytic medication Hello doctor, my gastrointestinal health is poor and I easily get nervous and vomit. Initially, the doctor prescribed me Metoclopramide, which I took for about six months. However, I started experiencing panic attacks in the last two months. Recently, my doc...

Dr. Wu Enliang Reply:
It is advisable for users to continue taking the medication after meals or reduce the dosage to half a pill. If it is truly intolerable, then consider switching to a different medication. - Dr. Wu En-Liang

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