The medicines used to treat the symptoms of clinical depression are called antidepressants. They are also used to treat generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), and sometimes for post-traumatic stress disorder. Some of the antidepressants commonly used are Fluoxetine, Imipramine, Bupropion, and Sertraline.
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I have been prescribed Sertraline, Lamictal, and Seroquel for depression and anxiety. Is this a correct combination?
Query: Hello doctor,My psychiatrist prescribed me Sertraline 200 mg and Lamictal 200 mg in the morning, and Seroquel 50 mg at night. This combination is supposed to help me with my depression and anxiety. Is this a normal combination? Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and understand your concern. You are on a high dose of medications. I need some details of your illness like the total duration, signs and symptoms. Sertraline is used for depression and anxiety and Lamictal is used for bipolar depression. Seroqu... Read Full »
How to help my wife overcome the fear of coronavirus pandemic?
Query: Hi doctor,My wife is 33 years old with a height of 58 kilograms and a height of five feet seven inches. My wife is scared about the health concerns of our family due to coronavirus. Sometimes she is not able to sleep and none of my family members is suffering from the disease. She is obsessively cle... Read Full »
Answer: Hi, Welcome to icliniq.com. First, you must stop watching all news channels and stop talking about corona pandemic with her. You can see news maximum for half an hour a day and get updated about it. Keep your wife busy and try to make her spend time on her hobbies. She can start to do meditation a... Read Full »
Query: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health prob... Read Full »
Answer: Hi, Welcome to icliniq.com. You have late insomnia. If there is any associated anxiety or depression, then that should be evaluated properly. Kindly visit a psychiatrist in person.For insomnia, drugs like Amitriptyline or Mirtazapine or Trazodone can be used. These are antidepressant drugs, but hav... Read Full »
I was on antidepressants, but I developed ringing in my ears after taking Escitalopram and Bupropion. Which other antidepressants can I take?
Query: Hi doctor, I want recommendations for depression medication. I have been diagnosed with depression and ADHD. I have used Escitalopram and Bupropion successfully, but I developed a ringing in my ears that became too difficult. So the doctor gave me Lamotrigine and Bupropion, which made me grumpy and ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please elaborate more on your symptoms. Since how long have you been on these medications? Did you perceive any improvement with the above medications? Thank you. Read Full »
Can antihypertensive drugs cause erectile dysfunction?
Query: Hi doctor, I have high blood pressure, and I have been prescribed with a medication I often forget to take. I have never had a problem with erections. The other night I had a good one when cuddling with my girlfriend, but it went away when things started to get sexual. We both tried to get it back ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks for consulting. Erectile dysfunction has many causes like psychological which happen suddenly and usually in the short term, like few days. With this type, there will be good sexual desire and morning erections. Organic is caused by low testosterone level with t... Read Full »
Does Wellbutrin affect testosterone levels?
Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will d... Read Full »
My mother is so clueless about what she is doing. Why?
Query: Hi doctor, My mother is 50 years old. Sometimes, she is so clueless about how to talk, what to talk and when to talk. As a result she always gets hatred from the people around her. She fights with everyone and always complains about each and everything happening. We used to think all these where ho... Read Full »
Answer: Hi, Welcome to icliniq.com. Kindly answer me few questions. Has it started suddenly or gradually?How was she a year back? Was she completely normal or had some behavioral problems?For last one year, is she performing her duty like job or kitchen work? Is she caring and responsible in her family now?... Read Full »
I am tapering off my antidepressant medication, and my depression has gotten very severe. What should I do?
Query: Hi doctor, I am currently in the middle of a cross taper off of Gabapentin (previously at 600 milligrams, now off of it) and Lamictal (previously at 400 milligrams and now at 100 milligrams). In comparison, I continued taking 300 milligrams of Wellbutrin, which I titrated up to several days after st... Read Full »
Answer: Hi, Welcome to icliniq.com. Here are my opinions based on your description, which may or may not be right because to diagnose an Illness, you need details of symptoms. So, in my opinion, if Lamictal or Lamotrigine and Quetiapine helped you and now tapering, it is causing a problem. But, on the othe... Read Full »
What is the reason for having negative thoughts and vivid dreams?
Query: Hi doctor, My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during ... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can ... Read Full »
Why am I still suffering from depression and anxiety even after taking medicines for four years?
Query: Hi doctor, I have been on depression and anxiety medications for four years. I found out that I had depression because I stopped eating and landed in the hospital for being malnourished. I was exhausted with antidepressant and anxiety medicine. Now I am not sure whether it is the feeling of my body ... Read Full »
Answer: Hello, Welcome to icliniq.com. Depression and anxiety treatment should be given for long duration for best results. Even with medicine, your symptoms are persistent, so this is not the time to stop the medicines. But, the prescription should be evaluated. Do not think of reducing the doses by own ... Read Full »