Recently Answered Questions
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My heart is beating fast. Is it due to anxiety or any underlying problem?
Query: Hi doctor, I am 26 years old. I have noticed that sometimes I wake up with my heart beating too fast and can feel my heart. This first happened when I woke up and took a look at my little child and thought my child was not breathing. That time my heart rate increased strongly. After this, sometimes ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please follow exercise and diet to reduce weight. Trivial MR - mitral regurgitation can progress and cause atrial fibrillation (irregular fast heart beat). So, for now check your thyroid functions (T3, T4 and TSH - thyroid-stimulating hormone), ECG (electrocardiogram), ... Read Full »
Does taking Stalopam affect the sound sleep of my mother?
Query: Hi doctor, My mother is 51 years old. Over 9 years she is unable to sleep properly either in the day as well as night. She started to feel irritated and we consulted one of our family doctor and he suggested to start Stalopam plus. But now a days even after taking the same medicine she is not gettin... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the prescription attached (attachment removed to protect patient identity). Diagnosis was anxiety with insomnia for which Stalopam plus (Escitalopram) was prescribed. It seems she has developed tolerance to this drug. So, either dose should be in... Read Full »
I need an opinion on weaning off psychotropics. Please help.
Query: Hello doctor, I need an opinion about weaning off psychotropics to go on only Clozapine for a diagnosis of schizoaffective disorder. Please help. Thank you. Read Full »
Answer: Hello welcome to icliniq.com. I understand your concern. As you are on multiple medicines, it will be difficult to withdraw all medicine. You are currently taking a combination of anti-psychotics and mood stabilizers. So, if you want to be on Clozapine, you can add it in a low dose of 12.5 mg. Stop... Read Full »
How to overcome major depressive illness, sleep deprivation, and anxiety attacks?
Query: Hi doctor,I am suffering from major depressive illness, sleep deprivation, anxiety attacks, heavy breathing, fatigue, and exhaustion. I am a doctor myself and currently taking Petril 0.5 mg. I need help. Read Full »
Answer: Hello, Welcome to icliniq.com. How long have you been experiencing features of depression, anxiety, and related symptoms? Is there any ongoing stress in your life that is exacerbating your symptoms? Being a doctor can itself be an exhausting and demanding job. I note that you are taking Petril 0.5... Read Full »
Is it safe to take Viagra is you have an aneurysm?
Query: Hi doctor, I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas. I have had occasional erectile dysfunct... Read Full »
Answer: Hi, Welcome to icliniq.com. According to me, it is better to avoid Viagra as it is a vasodilator. But, the final decision should take after consulting your cardiologist. First, rule out the psychogenic causes of erectile dysfunction. Because, there is no need to take Viagra (Sildenafil), if ... 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 »
How to care for an aggressive and abusive person?
Query: Hello doctor, This is regarding my 87-year-old father who is physically fine perfectly. But, the whole day and night, he curses my mother and will not let her sleep. In his mind, he thinks that everyone is trying to cheat him and because of that he is not able to sleep. Sometimes he becomes violent ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your father is having features of psychosis. I would suggest starting him on Quetiapine 25 mg twice daily and increase after one week to 50 mg daily. Consult your specialist doctor, discuss with him or her and take medicines with their consent. This should have a g... Read Full »
I have a rough life, and I feel always sleepy. What to do?
Query: Hello doctor,I have a rough life, and I am drained. Always sleeping and not eating, I still have sore heads and have been diagnosed with anxiety and depression. I have Crohn's disease and a colostomy bag, but I always have this emptiness feeling inside and sad and lonely all the time.I do not know w... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand you are going through a difficult time. According to the problems you have described above, it seems like you are suffering from depression. Feeling low and lonely, not feeling fresh after adequate rest, poor appetite, negative thoughts, and the emptines... Read Full »
I have a burning sensation on the feet for three days and under Clonazepam. Why does this occur?
Query: Hello doctor,I have a burning sensation on the feet for three days. I am currently under Clonazepam. Read Full »
Answer: Hello, Welcome to icliniq.com. Causes of burning feet include peripheral neuropathy and plantar fasciitis. I suggest you use footwear even at home and take over-the-counter pain medications to alleviate pain. You may also use Diclofenac gel for local application. If the symptoms do not subside over... Read Full »
Is it safe to use Klonopin when at high risk of QT prolongation?
Query: Hello doctor, I have been suffering from panic attacks and anxiety for several years, and on top of that essential tremor affects my everyday life. A couple of weeks ago, my doctor prescribed Klonopin (Clonazepam) for me, but there are some things I am worried about after googling a bit. Does Klonop... Read Full »
Answer: Hello, Welcome to icliniq.com. Long term Clonazepam, as well as high dose clonazepam, puts you at a risk for developing acquired long QT, having said that a QTC of 447 msec is within the prescribed i.e < 460 msec limit for women. Oxazepam is safer but if you combine either of these with anoth... Read Full »