Recently Answered Questions
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I missed a dose of Nexito forte and got anxiety attack. Please help.
Query: Hello doctor, I have had an anxiety disorder for five years now, and my GP suggested Nexito forte to me. He asked me to take this without fail. However, I missed a dose as I was traveling and had a relapse with severe sweating. What should I do? Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. If you can get medication then try to get it as early as you can. Nexito Forte (Clonazepam and Escitalopram Oxalate) is the brand name but you will get another brand name with the same medication and dose. You just need to find out or you... Read Full »
I am taking Duloxetine for OCD. Will this 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 »
Will anxiety likely to cause changes in blood report values?
Query: Hello doctor, I am a 30-year-old female. My main problem in life seems to be way too much anxiety. That is the main reason I went to the doctor to get a blood test. I got my blood and urine tests reports and these are the things that I think should be noted. Good LDL cholesterol: 106 mg/dl (should ... Read Full »
Answer: Hello, Welcome to icliniq.com. First of all, your reports are all normal except for some infection in the urine. For that, I advise a test called urine culture sensitivity and revert back with the report. Your triglyceride is slightly low. That does not mean anything. It does not mean you have a ... Read Full »
How to deal with delusions and nightmares regarding a rape incident?
Query: Hello doctor, My friend undergoes frequent delusions and nightmares about some men raping her. She is 20 years old now. When she was around 10 years old, she went to a wedding ceremony. She made friends with a boy much older than her. He took her to someplace on the very same day telling her somet... Read Full »
Answer: Hi, Welcome to icliniq.com. It appears more of an anxiety spectrum disorder rather than an actual delusion. Which antianxiety drug was started on her and what was the response? She might respond to a small dose of Escitalopram 10 mg at morning and 0.25 mg Clonazepam at night, if there are severe n... Read Full »
I have been taking Escitalopram 20 mg for a year. How to stop it?
Query: Hello doctor, I was on the following combination of prescribed medications for one year. Escitalopram 20 mg, Flupenthixol 5 mg, Dosulepin 50 mg This combination was tapered as follows: Phase 1 For 30 Days (Escitalopram 20 mg, Flupenthixol 0.5 MG on alternate days, Dosulepin 50 mg) Phase 2 for 30 da... Read Full »
Answer: Hello, Welcome to icliniq.com.I can understand your concern.You have gradually tapered off your all above medications, I expect you have done it under the observation of your doctor. I need more details about the duration and severity of your illness.Why were you on all the above medications? Do you... Read Full »
What should I do to elevate my low mood and sleep disturbance?
Query: Hello doctor,I have masked depression, and anxiety accompanied by sleep disturbances. I often get irritable and depressed. Other conditions are IBS and restless legs. I am prescribed Mirtazapine 3.75 mg along with Clonazepam 0.75 mg. While I can sleep eight hours it has not improved in other parts o... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering your other symptoms and other medicines, I would suggest you to take tablet Escitalopram 10 mg once at night after food and raise the dose of Mirtazapine to 7.5 mg at night. The current Mirtazapine dose you are taking is a very mild sedative dose only. It ... Read Full »
What causes muscle twitching after I take medications?
Query: Hello doctor, I would like to ask about my symptoms. It started with aweful headache for two days. The following week had pain in muscles and bones. Then that went followed by extreme anxiety attacks, burning on neck, tingling in head and face. I was in and out of hospital for three days. Started o... Read Full »
Answer: Hello, Welcome to icliniq.com. I will be happy to help you out here, and I need a little more history. 1. Do you have any flu-like symptoms? 2. Any nausea, vomiting, or diarrhea? 3. Have you been taking any over-the-counter supplements? Read Full »
I have spastic paraplegia.Will dopamine help me?
Query: Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? Read Full »
Answer: Hi,Welcome to icliniq.com.L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it w... Read Full »
I have premature ejaculation. How to treat this?
Query: Hi doctor, I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue? Read Full »
Answer: Hi, Welcome to icliniq.com. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Did you consult a psychiatrist before this consultation for your problem? Since when have you been married? Was this problem since marri... Read Full »
I have persistent mental issues despite taking medicines. Why?
Query: Hi doctor, Last year I suffered from mental illness, and I went to a psychiatrist and told them about my symptoms. At first, he diagnosed me with an anxiety disorder and told me to take Escitalopram 10 mg. I took that medicine for the next 56 days but got no relief. Then again, I went to him and tol... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You need to wait for four weeks for the full effect of your Sertraline. Sometimes it takes time when you have relapsed, and you start medication a second time. Even you may need a higher dose for it. So it would help if you waited at least fo... Read Full »