Question 1

Hi Doctor, I've been dealing with anxiety and panic attacks, especially when something sudden happens like a phone ringing. My doctor prescribed Mitocent 30 mg, an antidepressant. I'm worried about whether this medicine might have any long-term side effects. Also, how long would I need to continue taking it? Could you guide me on how to manage or overcome this issue?

Accepted Answer

Mitocent (30mg) is an antidepressant commonly prescribed for anxiety, and while it can be effective in managing symptoms, long-term use may have potential side effects like weight gain or changes in sleep patterns. It's important to follow your doctor's guidance on the duration, and alongside medication, practicing relaxation techniques and cognitive behavioral therapy (CBT) can significantly help in managing anxiety and panic attacks.

Question 2

I have a continuous stuttering problem, and its really frustrating. Im wondering if there could be any connection between stuttering and masturbation. Could masturbation be a cause?

Accepted Answer

There is no such relation between them,visit NEUROPHYSICIAN for your problem.

Question 3

Hi Doctor, Ill be moving to Kanchipuram in June from the U.S. and I currently take Vyvanse for adult ADHD. Im not sure where to get this medication or something similar in India. Can you guide me on how to find a doctor, the cost of medication and appointments, and what alternatives are available for ADHD treatment in India?

Accepted Answer

Moving to a new country can be challenging, especially when managing a medical condition like ADHD.In India, you'll find several medications available for ADHD treatment. Commonly prescribed medications include:- __Methylphenidate__ (MPH): Available in immediate-release (IR), extended-release (ER), and long-acting (LA) formulations.- __Atomoxetine__ (ATX): A non-stimulant medication.- __Lisdexamfetamine__ (LDX): A stimulant medication, although its availability might be limited in India.- __Clonidine__: Sometimes prescribed off-label for ADHD treatment.To find a doctor in Kanchipuram, you can:1. Ask for referrals: Reach out to friends, family, or colleagues who live in Kanchipuram for recommendations.2. Online directories: Utilize online directories like Practo or Lybrate to find psychiatrists or neurologists in Kanchipuram.3. Contact your embassy: Reach out to the U.S. Embassy in India for guidance on finding medical care in Kanchipuram.Regarding the cost of medication and appointments, it's difficult to provide an exact estimate without knowing the specific doctor or hospital you'll be visiting. However, you can expect the cost of ADHD medications in India to be lower compared to the U.S.Before your move, consider:1. Carrying a sufficient supply: Bring a sufficient supply of your current medication, Vyvanse, to last you a few months.2. Obtaining a prescription: Get a prescription from your current doctor that you can use in India.3. Researching Indian pharmacies: Look into pharmacies in Kanchipuram that can provide you with the necessary medication.

Question 4

Hi, my father is addicted to pan masala and jarda, and I'm really worried about his health. What should I do to help him quit this habit?

Accepted Answer

Hello well it's very common practice so many areas of our country if you have to make him stop using it then first user making realised that it is a bad practice and it will cause him more harm than good then only you will be able to stop using it try to convince him on that first so that he should be prepared for quitting thank you

Question 5

Im currently taking Nexito Forte and was wondering if its okay to take Omega 3 capsules from Amway alongside it. Im also planning to stop Nexito Forte soon and would like some guidance on how to go about it safely. Can you help?

Accepted Answer

nexito forte is escitalopram its antipsychotic drug ,you shouldn't stop it with out doctors opinion if you are taking it on psychiatrist advice , one should not take or quit psychiatric drugs without doctor's advice . Moreover omega 3 is just a fatty acid its not replacement for escitalopram. Consult psychiatrist

Question 6

Ive been having a serious issue where after ejaculation, I feel extremely weak, almost like theres no energy left in me. My left hand and feet feel really weak, and I get headaches along with blurry vision. I dont have sex because it makes everything worse, and Im not even married yet, but I feel scared and avoid masturbating because of it. Its affecting my energy levels and even my work, and I feel depressed and stressed. I feel like Ive lost my core strength, and Im scared that every time I ejaculate, Im losing my life force. Ive been to doctors, done MRIs, LFT, and all the basic tests, but everything comes back normal, and Im still feeling this way. Can you help me understand whats going on?

Accepted Answer

the very basic your need to understand that masturbation is only food for pleasure and stress relief. Apart from that there is no advantage of that. And yea there are side effects of that if you practice it daily like the way you ate feeling now. Just to assure you everyone would feel the same after the process. It should not be practiced not.more than 5 Times a week. This whole thing is letting you down because you're letting it take on you. This is just a part of life which you're thinking it as threat to life nope it isn't that way. And the investigations would be definitely normal because there is nothing to find except the only thought you have in your mind. Take it off and go in with system you'll definitely get relief.

Question 7

Lately, Ive been waking up suddenly in the middle of the night and masturbating while still semi-conscious. I realize what's happening and remember it the next day, but it only happens at night and not during the day. I stopped doing it during the day a year ago, but this has been happening for 3-4 months now. Its making me feel depressed, and I just want to focus on my studies. Is there any way I can stop this from happening while Im unconscious?

Accepted Answer

It sounds like you're experiencing a form of sleep-related behavior, which could be related to your subconscious mind, stress, or other underlying factors. It's important to address any feelings of anxiety or stress and consider speaking with a counselor or medical professional who can help you manage this situation and find ways to regain control over your sleep and well-being.

Question 8

Ive been on Lexapro for a while to manage panic disorder and GAD, and its been working well for my panic attacks. But Im thinking about trying some CBD oil to help with stress and lack of focus after work. My local vape shop sells 100% CBD oil (no THC), and Im considering adding it to my vape juice. Do you think its safe to mix CBD oil with Lexapro?

Accepted Answer

While 100% CBD oil (no THC) is generally considered safe, it's recommended to consult your neurophysician before mixing CBD oil with Lexapro, as CBD can interact with the liver enzyme CYP3A4, potentially affecting Lexapro's metabolism and efficacy, and individual reactions may vary.

Question 9

Im going through a tough time with depression and sometimes get headaches from it. Lately, Ive been having thoughts of suicide. Is this something that can be treated, and how can I get the help I need?

Accepted Answer

Managing depression and suicidal thoughts requires immediate attention. from psychiatry

Question 10

Ive been having vivid dreams every day since I was a child, and it makes me feel restless and tired, as if I didnt sleep at all. After my dad passed away when I was 23, the dreams increased, often involving him. Though that has reduced, I still dream every day, even during a nap. Ive never consulted a doctor about this. Could you help me figure out whats going on?

Accepted Answer

It sounds like you may be experiencing vivid dreams or even sleep disturbances, which can be exacerbated by emotional stress, such as the loss of your father. This is quite common, and your restless feelings upon waking could be linked to disrupted sleep cycles. It might help to speak to a healthcare professional about this, as they can offer strategies or treatments to improve your sleep and emotional well-being.

Question 11

My son starts crying as soon as I ask him to study and becomes really impatient. I'm not sure how to get him interested in learning or help him develop the patience to try new things. Because of this, he's not able to focus or do anything properly. What can I do to help him?

Accepted Answer

Helping your 6-year-old son enjoy learning:Understand and address the underlying reasons:1. Fear of failure2. Lack of interest3. Difficulty understanding concepts4. Learning style mismatch (e.g., visual, auditory, kinesthetic)Strategies to foster interest and patience:Make learning fun:1. Interactive games (e.g., puzzles, quizzes)2. Storytelling3. Hands-on activities (e.g., crafts, science experiments)4. Educational videosCreate a conducive environment:1. Designate a quiet study area2. Minimize distractions (e.g., TV, phone)3. Encourage breaks4. Praise effort, not just resultsDevelop patience:1. Break tasks into smaller steps2. Set achievable goals3. Celebrate small successes4. Encourage self-reflection and self-improvementPositive reinforcement:1. Reward effort, not just grades2. Verbal encouragement (e.g., "I'm proud of you")3. Physical affection (e.g., hugs)4. Create a "Star Chart" for accomplishmentsInvolve your child:1. Ask about interests and incorporate into learning2. Let them choose topics or activities3. Encourage self-directed learningSeek additional help if needed:1. Consult with teacher or tutor2. Child psychologist or counselor3. Online educational resources (e.g., Khan Academy Kids)

Question 12

I've been using minoxidil 5% for the past 5 days, and lately, I've been having trouble sleeping. Could minoxidil be causing this sleeplessness?

Accepted Answer

-Yes, sleeplessness can be a rare side effect of minoxidil, though it's uncommon. If the issue persists or worsens, consider consulting your doctor to explore alternatives or adjustments.

Question 13

Is IBS completely curable? Ive been dealing with it, and Im really worried about how long it might take to get better. The bloating is especially uncomfortable. Are there any effective ways to manage or stop it?

Accepted Answer

-IBS (Irritable Bowel Syndrome) isn't typically "curable," but it can be managed effectively with dietary changes, stress management, and medication. The duration of relief varies, but with the right approach, symptoms like bloating can improve over time.

Question 14

Ive been experiencing constant chest pain for the last 4 months. Can you help me understand what could be causing it?

Accepted Answer

Constant chest pain for 4 months warrants immediate medical attention; please consult a cardiologist

Question 15

I've been taking Clonazepam 0.25mg daily for about 20 days, and I'm looking to taper off. What's the best way to reduce the dosage gradually? Also, how long will it take for the medication to completely leave my system once I stop?

Accepted Answer

taper off Clonazepam 0.25mg after 20 days of usage:Tapering Schedule1. Gradual reduction: Decrease the dose by 0.125mg (half of the original dose) every 3-4 days.2. Example tapering schedule:1. Day 1-3: 0.25mg (original dose)2. Day 4-6: 0.125mg3. Day 7-9: 0.0625mg4. Day 10 and beyond: Continue to taper off the medication.Elimination Half-LifeClonazepam's elimination half-life is approximately 18-50 hours.Complete EliminationIt can take around 7-14 days for Clonazepam to be completely eliminated from the body.Important Considerations1. Medical supervision: Tapering off Clonazepam should be done under medical supervision.2. Withdrawal symptoms: Be aware of potential withdrawal symptoms.3. Seizure risk: Suddenly stopping Clonazepam can increase the risk of seizures.

Question 16

Im a 35-year-old IT professional and Ive been dealing with brain fog for a long time. My thoughts feel unclear, I cant focus, and my concentration keeps declining. On top of that, Im having trouble remembering even simple things and its affecting my ability to write documents. Its really impacting my work. What could be causing this, and how can I get rid of this brain fog? Should I see a psychiatrist or is there any medication that could help?

no need to worry follow your doctors advice

Last updated on 18 Dec 2024

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Accepted Answer

no need to worry follow your doctors advice

Question 17

My wife doesnt seem to have any mood or interest during sex. Is there any medication or treatment that can help women with this? Could you please suggest something?

Accepted Answer

Female Sexual Arousal and Low Libido_Medical Consultation_1. _Consult a gynecologist or sex therapist_: Discuss your wife's concerns with a healthcare professional to rule out underlying medical conditions._Possible Causes_1. _Hormonal imbalances_: Low estrogen or testosterone levels can affect libido.2. _Stress, anxiety, or depression_: Emotional factors can impact sexual desire.3. _Relationship issues_: Communication problems or intimacy concerns can affect sexual arousal._Treatment Options_1. _Hormone replacement therapy (HRT)_: For hormonal imbalances, HRT may be prescribed.2. _Libido-enhancing medications_: Medications like flibanserin (Addyi) or ospemifene (Osphena) may be prescribed for low libido.3. _Topical creams or gels_: Products containing sildenafil (Viagra) or alprostadil may help increase blood flow and arousal.4. _Counseling and therapy_: Addressing relationship issues, stress, or emotional concerns through counseling or therapy can help improve sexual desire and arousal._Natural Remedies_1. _Aromatherapy_: Certain scents like lavender or jasmine may help increase relaxation and arousal.2. _Herbal supplements_: Herbs like maca, ginseng, or tribulus terrestris may help improve libido.3. _Exercise and relaxation techniques_: Regular exercise, yoga, or meditation can help reduce stress and improve overall well-being._Remember_1. _Communication is key_: Openly discuss your wife's concerns and feelings with her.2. _Prioritize intimacy_: Focus on building emotional intimacy and connection with your partner.

Question 18

I'm 17 years old and Ive been masturbating every day since I was 15, but Ive recently cut back. Im worried if this has caused an increase in prolactin, which could affect my testosterone levels and explain why my beard growth is slow. Is this something to be concerned about?

Accepted Answer

Excessive masturbation does not directly cause an increase in prolactin levels, which can affect testosterone production. However, chronic stress or certain medications can lead to elevated prolactin levels. To help regulate testosterone levels and promote beard growth, you can consider taking supplements like zinc and vitamin D. Additionally, maintaining a healthy diet and regular exercise routine can also support hormone balance.

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