Recently Answered Questions
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Can 50 mg Fluvoxamine be given to a patient with anxiety and OCD?
Query: Hello doctor, For someone suffering from anxiety, OCD, intrusive thoughts. This person was on 5 mg of Cipralex for quite a few years, then about eight months began a change of medicines, about six to seven in this time. Finally this person was given 25 mg Fluvoxamine. First four days everything ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. As you have mentioned that the patient is feeling better with this medication, I would suggest you to continue 50 mg Fluvoxamine for at least another two to four days and see if they feel okay. Fluvoxamine has a sedative effect and that... Read Full »
Can depression and OCD get cured with medications?
Query: Hello doctor, I am a 34 year old male working as an engineer. Regarding my mental state, I feel lethargic and sleepy all day. I do not have the interest to do anything in life. Even if I start something, I am easily bored. I am always in a hurry. I have rapid mood swings. I cannot concentrate while ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The kind of thoughts that you describe and the fact that they keep coming repetitively is diagnostic of obsessive compulsive disorder (OCD). Your complaints of weakness, mood swings, anger, and a loss of interest in doing things is typical of depression. So, your docto... Read Full »
Query: Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately... Read Full »
Answer: Hello, Welcome to icliniq.com. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on au... Read Full »
Kindly suggest ways to overcome sex addiction.
Query: Hi doctor, I am a sex addict. How to overcome this? I do lots of sexual activities on a daily basis, which gives me pleasure and I get tired soon because of that. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your complaint, but the history is not enough to tell you any suggestion. So, I would like to ask you a few questions, so that I can decide whether you need any treatment or not. What kind of sexual activities you are doing? How many times in a day you do that? ... Read Full »
Is it suitable to add mood stabilizers for an OCD patient?
Query: Hi doctor, My relative has had severe OCD for the last 20 months. He has not left home for six months and spends 18 to 20 hours in bed. She started tablet Fluvoxamine the previous year at 25 mg, increasing by 25 mg every three weeks, and currently at 100 mg from the last seven weeks. There is a slig... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The patient has been on the same medication for more than seven weeks. It usually takes four weeks for the full effect of the medication. If there is not much improvement, you must increase the dose or add another medication. You can ask your... Read Full »
Does Fluvoxamine cause lethargy?
Query: Hello doctor, I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will h... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, you are right, Fluvoxamine has a side effect of increased sedation. Because of sedation person feels lethargy. You can do this thing that if Fluvoxamine is causing sedation, you can shift the medicine to night time, just before sleeping. This would sort out your... Read Full »
Why do I always feel like falling over a cliff?
Query: Hello doctor, I am not sure, but it feels like I am falling over the cliff. I live in an apartment on high floor and sometimes I am frozen and cannot move an inch feeling as if I move, I will fall out my window. Although, I am not falling in this moment, I freeze stop and cannot move. This follows... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for taking the help from a psychiatrist. I am not able to get your point properly, but it seems you are suffering from major depressive disorder with a phobia. There is non-pharmacological management for it. You should try to follow the below guidelines to... Read Full »
Will Fluvoxamine for OCD cause disturbed sleep and scary vision?
Query: Hello doctor, I have been diagnosed with OCD. My doctor also briefly talked to me about schizotypal personality disorder. I am currently taking Fluvoxamine 200 mg at night, Risperidone 2 mg at night, and Modafinil 100 mg in the morning. It has been well controlled for more than four months no... Read Full »
Answer: Hello, Welcome to icliniq.com. What you are experiencing is called hypnogogic hallucinations which occur normally when sleeping sometimes, but in your case, it is due to the Modafinil. It is known to interfere with sleep and also cause hallucinations. Also, the metabolism will be slowed by Fluvoxa... Read Full »
I am on depressive medications and do not feel like going to work. Why?
Query: Hello doctor, I have been using Fluvoxin 100 mg, Oxetol 450 mg and Quetiapine 100 mg for depression and OCD for five years. My problem is I am not regular to work as I do not feel to go to work. I feel like this only in the morning. I want to be in the bed. I do not feel it is because only of slee... Read Full »
Answer: Hi, Welcome to icliniq.com. It seems that your depressive symptoms are bothering you. It may be helpful to increase the dose of Fluvoxin (Fluvoxamine) and reduce the dose of quetiapine, so discuss with your psychiatrist for increasing the doses of antidepressant Fluvoxin. Do regular exercise, or g... Read Full »