Recently Answered Questions
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Is it possible to reduce the side effects of my social phobia medications?
Query: Hi doctor, I will first summarize my case, and then I will put my query. I had been diagnosed to have GAD and social phobia before 10 years, and I was taking Paxil 20 mg daily in the evening along with CBT. The result was excellent. The anxiety and depression went away, but with a very high level o... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query. Out of the three options, the third option would be the best possible concerning the balance between the effectiveness and side effects. Zoloft (Sertraline) and Lexapro (Escitalopram), both are almost equal regarding the side effects and efficacy. Ba... Read Full »
How long does Lexapro take to start working?
Query: Hi doctor, I had recently had several hospital stays for spikes in blood pressure due to years of stress with a sick child. Nothing organically was found. Anxiety might be the key. I was put on 5 mg of Lexapro at night, which made me anxious and gave me insomnia. Then, another doctor gave me Buspa... Read Full »
Answer: Hello, Welcome to icliniq.com. If Lexapro (Escitalopram) caused insomnia, then it is better to take the drug in the morning after breakfast. This drug is an SSRI drug (selective serotonin reuptake inhibitor) and helps to reduce depressive symptoms when taken regularly. Buspirone is an anti-anxiety ... Read Full »
I am having suicidal thoughts and nervous breakdown. Why?
Query: Hi doctor, I was injured at work before four years and till date I have not received any treatment. In the course of trying to get medical help, I have been suffering with severe pain and have been on strong pain medication for over three years. I also had two surgeries earlier for disc herniation. ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern Please try to accept that depression is an illness like any other medical illness. In depression a lot of individuals develop paranoid ideation and even delusions. Sometimes, these paranoid ideas, develop against close family members or f... Read Full »
We are planning for a baby. Will my penis size affect this in any way?
Query: Hi doctor, Please help me get rid of the following issues. I got married before two months. I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant? While masturbating, I am able to erect up to 5 inches and also produce sperm. But during in... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed. Your problem is delayed ejaculation, probably due to your anxiety. So I am prescribing you some medications for erectile dysfun... Read Full »
Will my anxiety relapse if I stop SSRI?
Query: Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I st... Read Full »
Answer: Hi, Welcome to icliniq.com. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action.SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSR... Read Full »
I am being emotionally abused. Please help.
Query: Hi doctor, I am 20 years old. I am an engineering college student. I have an younger brother. My parents have always been distant for as long as I remember and the beating, fighting and emotional abuse started around five years back. Now they started to fight with us too. My father always try to t... Read Full »
Answer: Hi, Welcome to icliniq.com. You are having symptoms of both depression (sad mood, forgetfulness, depersonalization, feeling of helplessness, suicidal ideation, loss of concentration) and anxiety (restlessness, heaviness). So, your diagnosis is mixed depression and anxiety disorder. You need to take ... Read Full »
What is the treatment for alcohol and smoking addiction?
Query: Hello doctor, My husband is addicted to alcohol and smoking. What treatment is recommended? Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, treatment for alcohol addiction and smoking is a self-decision and self will. If he is willing to stop, then you can take help from de-addiction centers for medicines. To reduce alcohol craving, I would suggest Acamprosate along with Etizolam for withdraw... Read Full »
Which is a more potent anti-anxiety medicine?
Query: Dear doctor, I am taking SNRI/ SSRI for around 20 years. Five years ago, my general anxiety got worse. So, my doctor switched from Citalopram 10 mg to Escitalopram 10 mg (one per day). Citalopram was taken five years to 10 years ago, before that Zoloft 20 mg per day. Now my GAD is getting worse. A ... Read Full »
Answer: Hello, Welcome to icliniq.com. Buspirone is a different drug than Escitalopram. Escitalopram is an SSRI (selective serotonin reuptake inhibitor) and helps improve serotonergic neurotransmission in the brain. The drug should be taken regularly in order to improve anxiety and depression. Buspirone i... Read Full »
Does Buspirone have any sexual side effects?
Query: Hi doctor, I was prescribed Fluvoxamine 100 mg a day for my ego-dystonic homosexuality, major depression and OCD. Also, I am on Oxcarbazepine 300 mg twice a day for my laugh without any reason continuously for a long period of time. Now, I started using Buspirone 5 mg for sexual side effects. I did... Read Full »
Answer: Hi, Welcome to icliniq.com. No medicine or counseling can alter sexual orientation. Be absolutely clear about this. Any attempt to change orientation by a doctor is considered unethical by professional organizations including the Indian Psychiatric Society, American Psychiatric Association and ... Read Full »