Recently Answered Questions
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What are the causes of fast heartbeats?
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 »
Query: Hello doctor, It was five years back when I encountered sleep problem for the first time, and at that point, I was doing a night shift. I consulted a doctor, and he suggested me the medicine Clonazepam 0.5 mg. I had continued Clonazepam 0.5 mg for 1 year. After more than a year, I got to know from a... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Clonazepam is a benzodiazepine group of medicine and prescribed for psychiatric problems including seizure and panic disorder. Having suicidal thoughts is a known side effect of Clonazepam. Yo... Read Full »
Query: Hello doctor, My sister has been under the treatment for schizophrenia for the past many years. She has been taking the following medicines right now for the past few years with slight modifications. (1) Amisulpide 200 milligrams twice daily. (2) Clozapine 100 milligrams once daily. (3) Clonazepam 2... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems your sister is suffering from schizophrenia. It is a chronic disorder that leads to cognitive impairment. 1) Your sister is on Clonazepam (benzodiazepine) 2 milligrams which is a sedative. if she does ... Read Full »
I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering from insomnia,... Read Full »
Are Xanax and premature ejaculation related?
Query: Hello doctor, My problem is very common with statistically around 30% of men face, which is premature ejaculation. There is no erectile dysfunction. It is just that I discharge at an extremely swift pace, that is within 30 seconds to 2 minutes of sexual activity. I have tried all techniques like st... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration.Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep breath ... Read Full »
How do orthostatic hypotension and REM sleep disorder relate to Parkinson's disease?
Query: Hi doctor, What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs.... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.REM sleep disorder is another common complication of Parkinson'... Read Full »
I have struggled with overthinking and talking negatively for five months. Please help.
Query: Hi doctor, I have been overthinking and talking negatively for four to five months since it started. As a result, I cannot sleep properly, constantly doubt one person, and suddenly get angry and emotional. Currently I am taking Metformin 500 mg for diabetes and Glimepiride for blood pressure. Please... Read Full »
Answer: Hi, Welcome to icliniq.com. You are suffering from some stress for the past four to five months. If there is a change in your behavior with all the symptoms as you have mentioned above for the past four to five months, there is a possibility of a mood disorder. There is a need to explore things in... Read Full »
Query: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug.Even if it is taken early morning, it can still cause insomnia, particularly in the initial few days or weeks.My advice would be if you are doing well on Fluoxetine, apart fr... 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 »
Does intake of Chantix alter a person's memory?
Query: Hi doctor, I started taking Chantix to quit smoking for around three months now. The side effects I noticed were vivid dreams and becoming more withdrawn. Two months back, my girlfriend and I got into a domestic dispute. My honest memory of this incident is that she started verbally abusing me from ... Read Full »
Answer: Hi, Welcome to icliniq.com. The behavioral disturbances that you had exhibited were unlikely to have been caused by Chantix (Varenicline).It is just that you got disturbed that day and had reacted to the stressful situation. The memories that you have are real time memories and not imagined as you t... Read Full »