Recently Answered Questions
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I am an anxiety patient and using Mirtazapine. How long can I continue this?
Query: Hello doctor,I am an anxiety patient with 170 pounds weight and 5 feet 5 inches height. I am using the Mirtazapine tablet for a year. I have withdrawn it some times but faced some panic attacks. Please suggest to me how long I can continue this? Read Full »
Answer: Hello, Welcome to icliniq.com. Mirtazapine is an effective antidepressant medicine used to treat depression and anxiety disorders. What dose are you taking? It can usually be from 15 mg to 45 mg depending on response and tolerability. You need to take it daily for at least six months to a year, po... Read Full »
Kindly clear my doubts regarding the tablet Pramipexole.
Query: Hello doctor, I have been taking medication for chronic anxiety and GAD to control my anxiety and prevent relapse for the past few years. I now take Effexor XR 150 milligrams daily in the morning and Crestor 10 milligrams daily in the morning (for controlling the lipid profile), and recently the doc... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. 1) If we consider mood symptoms, then you are doing good. You have reported improved anxiety symptoms and depression with Effexor (serotonin and norepinephrine reuptake inhibitors). The addition of Buspirone (an... Read Full »
What are the advisable long term drug of choice for anxiety and depression?
Query: Hello doctor, I have depression, anxiety, lack of confidence, lack of energy, palpitation, and excess sweating for the past 18 years. I have consulted so many psychiatrists. My current doctor prescribes me Nexito Forte, Prothiaden 25 mg, and Toficalm 100 in morning and evening. But I feel some sleep... Read Full »
Answer: Hello, Welcome to icliniq.com. You should go with Escitalopram (Escitalopram Oxalate), Clonazepam and Mirtaz (Mirtazapine). These combinations have a minimal side effect. You take antacid with it. Please do not take the above medications in an empty stomach. You must lose your weight. Do the daily e... Read Full »
Please suggest medicines for anxiety, depression, and anger.
Query: Hello doctor, I am taking medicine for anxiety, depression, and anger for the last 8 to 10 years, but not continuously. Right now, I m taking Panazep 25, Bupron 150, and Dicorate 500 all at night. I had sexual problems for the past 40 days, so the doctor advised me to take Sildenafil 50. Now I feel ... Read Full »
Answer: Hello, Welcome to icliniq.com. It seems that you are taking too many antidepressants, like Panazep 25 (Paroxetine) and Bupron 150 (Buproprion). Panazep has the side effect of reduced libido and erectile dysfunction when taken over a longer period. Hence, the same is happening with you. Currently... Read Full »
My heart rate slows down to 63 bpm with anti-anxiety medication. Why?
Query: Hello doctor, I have had really bad anxiety lately and never check my heart rate and decided to check it. It was only about 63 beats per minute, but it was around 90 the last time I checked. I have recently been put on Pantoprazole and an extra blood pressure pill for anxiety. I would say I am very ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. A normal pulse rate is anything between 60 to 90 beats per minute. So 63 beats per minute is not bad. I am slightly worried about your weight. The chest pain you are having might be angina. I strongly advise you to do an echo, chest x-ray, ... Read Full »
Query: Hello doctor, For two months I was having severe anxiety that I could not even walk properly. There was a lot of loss of balance then I visited a neurologist for consultation. He advised me a bundle of tests and also told brain MRI. All my reports were normal including brain MRI. Then prescribed so... Read Full »
Answer: Hello, Welcome to icliniq.com. If every investigation came normal and you have anxiety you should consult a psychiatrist rather than a neurologist. This will help in making the right diagnosis of symptoms. If the anxiety is persistent the dose of Fluoxetine can be increased to 40 mg per day after ... Read Full »
I am having trouble maintaining an erection. Please help.
Query: Hello doctor, I got married last month. I am not able to maintain a strong erection that is needed for penetration. And, my libido is also low nowadays. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. I request you to provide following information so the diagnosis can be made and suitable remedy can be offered. Have you experienced the same issues while masturbating or doing sex in the past? How did the problem start... Read Full »
I feel good after taking anti-anxiety medications except for sleepiness. What to do?
Query: Hi doctor,I am 47-year-old male suffering from anxiety disorder and being treated for OCD specifically. I was prescribed Zoloft 100 mg (Sertraline) a year ago. But after three months, I transferred to Prozac 40 mg (Fluoxetine) together with Risperdal 0.5 mg (Risperidone). This has been going on for ... Read Full »
Answer: Hi, Welcome to icliniq.com. Since your Obsessive-compulsive disorder or OCD symptoms are under control using a combination of Risperidone and Fluoxetine, it is not an excellent choice to change it. Fluoxetine usually causes insomnia rather than sleepiness, and it is often taken as a morning or after... Read Full »
I have mood swings after stopping anti-depressants. Why?
Query: Dear doctor, I am taking Panazep 25, Divaprid OD 500, Serta 50 once at night from last six months for anxiety, depression, and anger irritability. But as I stopped taking the above medications for four to five days, my mood swings are terrible. My anger is out on everything. I start having doubts ab... Read Full »
Answer: Hello, Welcome to icliniq.com If your symptoms are coming back on stopping the medication, it is an indication that you need to continue the treatment. It means you are not fully recovered from your illness. My advice is that you continue the medication as prescribed. This recurrence of symptoms me... Read Full »
Why do my partner get skipped heartbeat on bending?
Query: Hello doctor, My partner recently stopped taking antianxiety medications. He is a severe hypochondriac, specifically a cardiophobe. He has experienced palpitations of various intensities for years. He has had multiple echocardiograms, the most recent one being less than two years ago, all of which ... Read Full »
Answer: Hello, Welcome to icliniq.com. Generally, any type of activity could present with a skipped heartbeat. It is just a coincidence that he has heart skips when he bends over. There is no correlation between bending over and heart skip. I advise him to continue exercising and adopt a healthy lifestyle... Read Full »