Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda Reply:
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang Reply:
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Issues related to the effects of benzodiazepines? Hello, Doctor. I am a patient with obsessive-compulsive disorder (OCD) and have been undergoing treatment for six months, during which my symptoms have significantly improved. The medications prescribed to me are Zoloft (Sertralin...
Dr. Qiu Junda Reply:
Hello. 1. Clonazepam 1mg is metabolized in the body and excreted through urine, and it does not remain in the body (or brain) long-term, which alleviates your concern about irreversible cognitive impairment. 2. The dosage of Zoloft at 150mg, while not low, is still within the the...[Read More] Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Understanding Panic Attacks After Starting Antidepressants: What to Know
Some conditions after using antidepressants? Hello Doctor: I have issues with anxiety, panic, and PPPD. I visited a doctor last Friday, and the prescription included an antidepressant at 10mg (half a pill daily for the first week, then one pill starting the second week) and Rital...
Dr. Wu Enliang Reply:
Hello, doctor. I would like to ask if my situation indicates that I am not suitable for using antidepressants? A: This episode should not be related to the medication, so it does not mean you are unsuitable for it. The doctor I consulted earlier did not inform me whether this is ...[Read More] Understanding Panic Attacks After Starting Antidepressants: What to Know
Understanding Lithium Side Effects and Managing Mood Disorders
Bipolar disorder / Medication side effects Hello, doctor. I have been taking lithium for about a week, but during this time, I have reduced the dosage on my own due to side effects. 1. I would like to ask if this behavior is appropriate. When I visited the hospital, the doctor as...
Dr. Qiu Junda Reply:
Hello. 1. Lithium salts are a type of mood stabilizer. The situation you described is relatively uncommon. I'm not sure if you are using any other medications concurrently. I recommend that you follow up with your physician for a discussion. If it is indeed related to lithiu...[Read More] Understanding Lithium Side Effects and Managing Mood Disorders
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda Reply:
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Questions regarding the efficacy of Rifampin in treating physical symptoms? Hello Doctor: After being diagnosed in January this year, I began experiencing symptoms in February, such as severe insomnia, difficulty concentrating, dizziness, lightheadedness, slow focus switching bet...
Dr. Qiu Junda Reply:
Hello. Medications like Librium and other benzodiazepines have sedative effects, primarily aimed at improving insomnia in your case. They are unlikely to help with other issues such as dizziness, lightheadedness, or cognitive impairments. If there is no improvement in your insomn...[Read More] Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Understanding Drug Interactions: Sulpiride and Escitalopram Effects
Drug interactions Sulpiride and escitalopram can interact with each other, but the nature of their interaction is complex. Sulpiride, an atypical antipsychotic, may enhance the effects of escitalopram, a selective serotonin reuptake inhibitor (SSRI), potentially leading to increa...
Dr. Qiu Junda Reply:
Hello: 1. There are no significant interactions between the two. 2. I am not aware of your symptoms. If you are being treated for depressive symptoms, the physician likely prescribed these two medications with the intention of them working synergistically. 3. There is no differen...[Read More] Understanding Drug Interactions: Sulpiride and Escitalopram Effects
Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Drug withdrawal Hello, doctor. I have some questions I would like to ask. Currently, I am taking the following medications: - Mirtazapine 1.5 tablets at bedtime - Clonazepam 25 mg at bedtime - Levetiracetam 2 mg at bedtime - Subutex 50 mg after each meal - Lorazepam 0.5 mg as n...
Dr. Wu Enliang Reply:
A: Based on what you've shared, tapering off Clonazepam (Klonopin) by reducing your dosage gradually over three weeks may be appropriate, but it's essential to consult with your physician before making any changes to your medication regimen. Clonazepam does have a poten...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
It may have been misdiagnosed in the past..? Hello, doctor. I am the patient who has been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. Recently, I recalled something: throughout these years, every psychiatrist I have seen has only diagnosed me with OCD...
Dr. Lin Mianzhang Reply:
Hello Ayue: First of all, being prescribed medication for schizophrenia (formerly known as schizophrenia) does not necessarily mean that you have the disorder. To understand why the previous physician informed you that way, you may need to ask him directly. Additionally, insuranc...[Read More] Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Issues with Antipsychotic Medications A family member has schizophrenia and exhibits symptoms such as hallucinations. After seeing a doctor, they were prescribed Wellbutrin (bupropion), Rifampicin, and Fluoxetine. I would like to ask the physician if these medications, which are ...
Dr. Lin Mianzhang Reply:
Hello: These medications may not effectively improve the psychotic symptoms of schizophrenia (such as hallucinations, delusions, etc.), and it is possible that your family member did not fully disclose their condition to the physician during the medical visit. It is recommended t...[Read More] Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Can I Switch Mental Health Providers After Graduation?
Transfer Issues Hello, doctor. I am about to graduate and will be moving away from the initial clinic where I have been receiving treatment. I have been taking medication for one to two months. Can I switch to a mental health clinic closer to my home on my own?
Dr. Lin Mianzhang Reply:
Hello Yiyi: Sure! However, when you visit other clinics, you need to clearly communicate your past treatment history, including any changes in medications and variations in symptoms. If you are not very clear about your past treatment, I recommend that you request a copy of your ...[Read More] Can I Switch Mental Health Providers After Graduation?
Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Psychiatric medications I have anxiety disorder, so I have been taking medication for it. However, after a while, I felt it wasn't effective, and my doctor switched my medication. Although the new medication seems to be working, I have noticed a significant weight gain. Duri...
Dr. Qiu Junda Reply:
Hello. These medications do not cause indigestion. Whether weight gain is related to the medication is still to be evaluated. You may try discontinuing SUNPYLON TABLETS 50MG to see if there is any improvement. Additionally, you can seek assistance from a hospital's weight ma...[Read More] Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Medications for Generalized Anxiety Disorder - Klonopin (Clonazepam) Hello, Doctor. I would like to ask you about my situation. I have been diagnosed with generalized anxiety disorder and have been on medication for two years. Throughout my treatment, I have faced issues with med...
Dr. Wu Enliang Reply:
Hello, is the dosage of the sleeping medication I am using considered high? A: Yes, the dosage of the sleeping medication is somewhat high. Will it be difficult to withdraw from it later? A: It varies from person to person. By the way, is there currently any clear evidence linkin...[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Is Using Nicotine for Focus in Studying a Safe Approach?
Is it appropriate to use nicotine in the short term to maintain focus while studying? I have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) since childhood. I am currently 22 years old. During high school, I felt very frustrated and insecure about my inabilit...
Dr. Qiu Junda Reply:
Hello. Nicotine is a central nervous system stimulant and is classified as an addictive substance. Long-term use generally has more adverse effects on both physical and mental health. I personally have doubts about the claim that nicotine can maintain focus while studying, as I h...[Read More] Is Using Nicotine for Focus in Studying a Safe Approach?
Managing Medication Side Effects in Psychiatry: Seeking Solutions
Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...[Read More] Managing Medication Side Effects in Psychiatry: Seeking Solutions