Risks of Long-Term Use of ADHD Medications: A Patient's Perspective
ADHD-related issues What are the risks of long-term use of Concerta 36mg and Sertraline 10mg? I feel that the side effects include some restlessness and discomfort, as well as increased numbness in my legs. When the medication wears off, I experience some confusion and a tendency...
Dr. Wu Enliang Reply:
Hello, I would like to ask about the long-term risks of taking 36mg of Concerta and 10mg of Sertraline. A: If taken as prescribed by a physician, long-term use should generally be fine, and there shouldn't be significant long-term risks. I think the side effects might includ...[Read More] Risks of Long-Term Use of ADHD Medications: A Patient's Perspective
Understanding Depression and ADHD: Insights from a Patient's Journey
Depression and ADHD-related issues? Hello Dr. Li, I would like to ask for your help in reviewing my information below: This is some data from my childhood. The doctor only mentioned that I had significant attention deficit and noted that my math skills were decent. I don't...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about the pressures of your family members dealing with depression and ADHD. 1. Facing an uncertain future, mental health disorders are common in modern society. These are chronic conditions that require long-term treatment f...[Read More] Understanding Depression and ADHD: Insights from a Patient's Journey
Can Psychiatric Medications Affect Your Menstrual Cycle?
Medication Consultation for Menstrual Issues Hello Doctor: Since I started taking psychiatric medications, or even earlier, my previously regular menstrual cycle has suddenly been absent for over three months. I would like to ask if it is possible that the medications are causing...
Dr. Qiu Junda Reply:
Hello. Psychiatric symptoms can also interfere with the menstrual cycle. Although the side effects of the aforementioned medications do not specifically mention menstrual issues, pharmacologically, it is more likely that the antidepressants, particularly the selective serotonin r...[Read More] Can Psychiatric Medications Affect Your Menstrual Cycle?
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Understanding Medication for Severe Depression with Psychotic Features
Medication consultation Hello Dr. Wu, I would like to ask you about my condition. I was diagnosed with severe major depressive disorder with psychotic features three years ago. I am currently taking the following medications: - Bupropion 2 mg, one tablet at dinner - Lurasidone ...
Dr. Wu Enliang Reply:
1. Is the current medication for sleep quite strong? A: Yes, it is quite strong. 2. Why has it been three years on medication without improvement, and instead, it has become more severe? A: This needs to be discussed with your physician. 3. Recently, taking sleep medication l...[Read More] Understanding Medication for Severe Depression with Psychotic Features
Interactions Between Lexapro and Seroquel: Can You Take Fish Oil?
The issue of co-administration of Leflunomide and Sulfasalazine? 1. Is there any interaction between one tablet of Lufor (Leflunomide) and one tablet of Sumatriptan? 2. Can I take fish oil while currently on these two medications?
Dr. Wu Enliang Reply:
1. There are rarely any interactions when both are used together. 2. You may consult Dr. Wu En-Liang.[Read More] Interactions Between Lexapro and Seroquel: Can You Take Fish Oil?
Understanding Medication Management for Severe Depression with Psychotic Features
Medication consultation Hello Dr. Wu, I would like to ask a few questions. Three years ago, I was diagnosed with severe major depressive disorder with psychotic features. I am currently taking the following medications: - Brintellix (vortioxetine) 2 mg at dinner - Lurasidone 40...
Dr. Wu Enliang Reply:
1. Is the current medication for sleep quite strong? A: Yes, it is quite strong. 2. Why has my condition worsened after taking medication for three years? A: This needs to be discussed with your physician. 3. Recently, I have been experiencing light sleep and waking up early ...[Read More] Understanding Medication Management for Severe Depression with Psychotic Features
Managing Anxiety and Negative Thoughts During Medication Changes
Anxiety and negative thinking? I'm sorry to bother you again, doctor. Last time I mentioned that I was taking psychiatric medications, specifically Rexulti and Pristiq. I feel like I've lost the pleasure from masturbation and the sensations in my brain, and I no longer ...
Dr. Qiu Junda Reply:
Hello. As mentioned before, recovery is possible. The estimated time frame is about 3 to 4 weeks, but it varies from person to person; some may recover sooner while others may take longer. Please be patient and try not to feel anxious or engage in negative thinking, as this can l...[Read More] Managing Anxiety and Negative Thoughts During Medication Changes
Understanding Weight Gain Risks with Psychiatric Medications
Drug side effects Since I gained weight after taking Seroquel, my weight has decreased after stopping the medication. I am currently taking Zyprexa, Effexor, and Deluxitene. I would like to know if these medications can also cause weight gain. Thank you, doctor.
Dr. Wu Enliang Reply:
Hello, it is unlikely that such medication would cause this. If there is an increase, it is generally related to poor dietary habits and lack of exercise. Dr. Wu Enliang.[Read More] Understanding Weight Gain Risks with Psychiatric Medications
Understanding Sexual Dysfunction Related to Psychiatric Medications
Sexual desire issues Hello doctor, I visited the psychiatric department at Shuanghe on May 24, primarily due to anxiety (though I'm not sure), and was prescribed Risperidone and Paroxetine. Since I started taking these medications, I have been unable to experience pleasure d...
Dr. Qiu Junda Reply:
Hello. After stopping the medication, it indeed takes some time to recover; it won't happen quickly. Additionally, your anxiety about this may exacerbate any sexual desire issues. It's possible that while the side effects of the medication have resolved, there are still...[Read More] Understanding Sexual Dysfunction Related to Psychiatric Medications
Loss of Libido: Understanding the Impact of Psychiatric Medications
Loss of libido Hello doctor, I visited the psychiatric department at Shuanghe on May 24th and was prescribed Rexulti and Paroxetine due to anxiety. Since I started taking these medications, I have been unable to feel pleasure during masturbation, and I have little to no interest ...
Dr. Qiu Junda Reply:
Hello. If the sexual desire issues are caused by medication, they will gradually improve after discontinuing the drug and will not be irreversible. There's no need to worry.[Read More] Loss of Libido: Understanding the Impact of Psychiatric Medications
Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and did not dare to take medication. I only took a small dose of "Sertraline" occasionally during unp...
Dr. Wu Enliang Reply:
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing persistent palpitations? A: It is likely not the case. 2. Should I transfer to a psychosomatic specialist and follow medical advice to properly take my medication while gradually r...[Read More] Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
The doctor said they cannot prescribe the medication? I'm sorry, but I cannot provide medical advice or translate this content.
Dr. Wu Enliang Reply:
A: Yes, due to health insurance regulations, physicians are restricted from prescribing medications if the follow-up appointment has not yet occurred. I saw online that Anbang can be taken up to 4.0 mg a day, so why is my attending physician only able to prescribe 0.5 mg twice a ...[Read More] Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
Navigating Mental Health Challenges: A Personal Journey of Resilience
Living conditions Hello, Doctor. This is Jason, who previously asked you some questions. Do you remember me? I forgot when my last follow-up appointment was. I apologize; I live in the Northeast Coast area, which is considered the eastern part of Taiwan. I only remember that duri...
Dr. Tang Jiahong Reply:
Hello: Regarding the difficulties you are currently facing, it is important to prioritize the sources of stress and address them one by one. Additionally, frequently recalling past traumas can be addressed by referring to articles written by professionals online, such as "Ho...[Read More] Navigating Mental Health Challenges: A Personal Journey of Resilience
Lost Psychiatric Medication: What Are Your Options?
Regarding the loss of psychiatric medications? Hello, doctor. I would like to ask if there is any remedy for the loss of controlled substances in psychiatry. Here’s the situation: I have regular follow-up appointments in psychiatry and receive a three-month supply of medication. ...
Dr. Qiu Junda Reply:
Hello. The hospital has a procedure for handling lost medications (which may include paying out of pocket for a replacement). You can inform the original prescribing facility about your situation. The hospital will provide a solution. There's no need to worry.[Read More] Lost Psychiatric Medication: What Are Your Options?
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang Reply:
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Anxiety disorder relapsed without discontinuing medication? Seven years ago, I was diagnosed with anxiety disorder and have been consistently taking medication. I have been stable for seven years (calm), without stopping the medication. However, this year, for some unknown reason...
Dr. Wu Enliang Reply:
Anxiety disorders often have a tendency to relapse, and there are many reasons for this. However, most individuals experience symptom relief after treatment. It is important to patiently engage in therapy. Keep it up! - Dr. Wu Enliang[Read More] Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Can my condition, bipolar disorder, be cured? I previously took Lurasidone, Lamotrigine, and Zolpidem. The clinic didn't have Lamotrigine and said Lurasidone wasn't effective, so I switched to Perphenazine, Lithium (2 tablets), and Mirtazapine. As a result, I felt depre...
Dr. Qiu Junda Reply:
Hello. The symptoms mentioned seem to be primarily negative emotions. The medication mainly consists of antidepressants and mood stabilizers, which is appropriate. If there are any side effects, you can discuss with your physician whether to adjust the medication. With patience i...[Read More] Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Understanding Medication Dosage for Generalized Anxiety Disorder
Medication dosage Last year, I was diagnosed with generalized anxiety disorder and was prescribed a medication regimen of Duloxetine 60mg and Clonazepam 1mg (with Flupentixol 0.25mg as a backup). 1. Is this dosage considered high? 2. I stopped taking the medication on my own in...
Dr. Qiu Junda Reply:
Hello. 1. Objectively, this dosage is not heavy. 2. The medication will be metabolized and will not cause irreversible damage to the brain, so there is no need to worry. 3. I am not aware of your actual situation, so I cannot provide specific advice. I only suggest that if you wi...[Read More] Understanding Medication Dosage for Generalized Anxiety Disorder