Recently Answered Questions
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Can I get tremors from drugs like Abilify and Cymbalta?
Query: Hi doctor, I have schizoaffective disorder. I take Abilify and Cymbalta. But most of the time my hands shake badly. Do you think it could be due to Abilify and Cymbalta or it could be more related to my disease? Does Abilify cause tremors as a side effect? Read Full »
Answer: Hello, Welcome to icliniq.com. How long have you had these tremors? Is it present all the time? Did you develop these tremors only after starting medication or did you have some form of shaking even before medication? Both Abilify (Aripiprazole) and Cymbalta (Duloxetine) are known to be associate... Read Full »
How to prevent serotonin syndrome while taking antidepressants?
Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used.However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsive ... Read Full »
Can Cymbalta and Phentermine be used together for weight loss?
Query: Hi doctor, I take Cymbalta 60 mg for depression and Trazodone 100 mg for sleep. Can I take Phentermine for weight loss without problems of serotonin syndrome? Read Full »
Answer: Hi, Welcome to icliniq.com. Phentermine is a short-term (few weeks) adjunctive used as a part of a weight reduction regimen for patients with initial body mass index (BMI) more than or equal to 30 kg/m². Cymbalta - Duloxetine has serious interaction with Phentermine. Both if taken togethe... Read Full »
My thoughts are leading me to insomnia. What should I do?
Query: Hi doctor, I am a patient with neuropathy and bedridden for the last eight years. I watch tv for eight to nine hours a day. I am suffering from insomnia for the last one year. The reason for sleeplessness is thoughts and thoughts. The moment I go to bed thoughts starts pouring in one by one without... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. As per details provided by you, it is probable that you may be experiencing some underlying anxiety or depressive disorder. Though the hypnotics mentioned by you relieve the anxiety and improves sleep, they do so only on a temporary basis. It is no... Read Full »
My mom was treated for trigeminal neuralgia, with no relief. What to do?
Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sod... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no r... Read Full »
How to provide relief for my mom's back pain?
Query: Hello doctor, My 68 years old mother is having severe back pain since last few months. Whenever she stands up for some time, her back pain starts, and it goes down to the entire legs. It becomes so intolerable that she has to sit down somewhere immediately to avoid pain, and she gets relief after sh... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your mother's reports (attachment removed to protect patient identity). Your mother seems to be suffering from radiculopathy, due to nerve compression as a result of disc prolapse. The treatment of this problem needs patience and takes a long time. For pain,... Read Full »
Will taking Duloxetine for OCD cause sexual side effects?
Query: Hi doctor, I am a 28-year-old male with a diagnosis of OCD and dissociative disorder NOS. In the last few months, I became apathetic. I think I am not depressed, but I lost interest in daily activities and hobbies. My main problem is mental rumination. I have been put on Duloxetine 60 mg hs and Mir... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your situation. However, Duloxetine has more sexual side effects than Escitalopram. And Duloxetine is not commonly used for OCD (obsessive-compulsive disorder). You can go with Clomipramine with Escitalopram or Fluoxetine. You should also follow the bel... Read Full »
Can I use Paroxetine for bipolar II disorder, anxiety disorder, and agoraphobia?
Query: Hi doctor, I want to know some treatment options for my conditions. I have bipolar disorder II with social and generalized anxiety. I have panic attacks and agoraphobia due to it. Previously, I was taking Escitalopram, Venlafaxine, Fluoxetine, Sertraline, Lithium, Depakote, Quetiapine, Risperidone,... Read Full »
Answer: Hi, Welcome to icliniq.com. You can continue taking medications that keep your condition stable at present. Duloxetine is a good option for you and it will not increase your blood pressure. Escitalopram takes around four weeks to show its full effect after starting this medication. Prozac can decr... Read Full »
How to get rid of constant lower back and neck pain?
Query: Hi doctor, I have consistent lower back and neck pain. I have been diagnosed with cervical disc herniation before 20 years and lumbar disc herniation before 12 years. An L2 nerve block procedure was done before 11 years. I did my MRI before three years. Read Full »
Answer: Hi, Welcome to icliniq.com. MRI (magnetic resonance imaging) can show disc bulges present in both the neck and back. The degree of nerve root compromise will determine the degree of symptoms and taking conservative management helps a lot. I need to see your MRI. As your MRI was taken before three ... Read Full »
I am suffering from L5-S1 nerve root compression. How to recover?
Query: Hi doctor, I am suffering from L5-S1 nerve root compression issue. I have been given an epidural injection, but it does not work correctly. I am getting substantial pain all over my right leg. The pain is very severe. I am unable to walk or sit at all. I also went through SNRB and epidural steroid i... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. I understand such radicular pain is very troublesome. For pain, I advise the following. Kindly consult your specialist doctor, discuss with him or her and take treatment with consent. A combination of Pregabalin and Methylcobalamin. To do hot fome... Read Full »