Recently Answered Questions
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How do I stop my medications for seizures?
Query: Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking Valkem OD 500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects? Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) shoul... Read Full »
My wife's breath smell like alcohol after taking meds. Why?
Query: Hello doctor, My wife has taken Ambien 5 mg, once or twice a week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The symptoms are most likely due to an interaction between Accutane (Isotretinoin) and Ambien (Zolpidem). This could increase the levels of Ambien in the blood immediately after taking it. The symptoms are highly suggestive of an allergic reaction. She could either be ... Read Full »
Can I take another lorazepam for anxiety?
Query: Dear Doctor, I have panic/anxiety disorder and was prescribed with 5mg lorazepam. I took one tablet at 8 PM but still l would wake up anxious in the morning. Is it safe to take one more tablet? Read Full »
Answer: Hi, Thanks for posting your query at icliniq.com. At this moment you can take another 0.5mg but do not repeat it after that. Tomorrow you can discuss your poor response to the 0.5mg lorazepam either with your physician or you can discuss with me online, if online therapy for a psychiatry consultat... Read Full »
Can Lorazepam affect the baby during pregnancy?
Query: Hello doctor, Just two days ago I found out I was about 1-2 weeks pregnant. And it has been about 4 1/2 weeks since my last menstrual period. Unfortunately with labor day being this weekend I have been unable to see my regular OBGYN. But I did go to the ER to confirm the pregnancy 2 days ago. So my ... Read Full »
Answer: Hello, Welcome to icliniq.com. Well in your case, as you said rightly Lorazepam is category D drug and not advisable. Ideally we advise avoidance of this medicine during and even before till 12 weeks pregnancy to avoid congenital malformations. You have tried leaving/ reducing it, but your withdra... Read Full »
I am facing sleep paralysis for the past two months. Kindly help.
Query: Hi doctor, I am a 30 year old female. I am a working woman. I am facing sleep paralysis frequently from the last two months. Sometimes, it happens on consecutive days. I have faced this earlier also, but then it was very rare once in six months or once in a year. It always happens in the morning t... Read Full »
Answer: Hi, Welcome to icliniq.com. Sleep paralysis is not a disease. It is the transition that happens during various stages of sleep. Usually, if you do not have any other symptoms apart from this, then you do not require any imaging. In case, you experience any other symptoms, then you have to be... Read Full »
Should I be concerned about elevated PSA with BPH aggravated by regular cycling?
Query: Hello doctor, My PSA levels went up from 1.4 to 2.38 during my physical, and the digital rectal examination (DRE) did not find any issues. I have another PSA test scheduled for next month, and I am very concerned. Should I consider requesting an MRI or a biopsy before that test? It is important to n... Read Full »
Dr. Tuljapure Samit Prabhakarrao
Answer: Hello, Welcome to icliniq.com. I have read your query and can understand your concern. A slight increase in PSA (prostate-specific antigen) levels may be attributed to factors like a digital rectal examination (DRE) or prostatitis, which is typically not a cause for concern. I suggest retesting your... Read Full »
Should I start taking Ativan after an anxiety attack?
Query: Hi doctor,Two years back, I gave birth to my baby. After that, I start to suffer from PPD. I was prescribed Ativan and Zoloft. I stopped taking Ativan after taking it for a few months. I am still taking Zoloft 100 mg. For a week, I am experiencing some anxious feelings. I had full-blown anxiety two ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You can take tablet Lorazepam 0.5 mg or Clonazepam MD 0.5 mg while having an anxiety attack. Do not take it daily. Take as per requirement. You should take them in a mouth dissolving form. It will give an immediate effect. Try to follow these ... Read Full »
What is the reason for my husband's overthinking and disinterest to go to work?
Query: Hello doctor, My husband and I got married 1.5 years back and we have a 3-month-old child. Recently, he started feeling disinterested to go to work place and is always overthinking. When I asked about his overthinking, he said he did not like to go to office. However, when I enquired at his office, ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. Tabley Risperidone is an antipsychotic used to treat schizophrenia or any psychotic disorders. Tablet Lorazepam is for sleep. Can I know if he is continuing the medicines? Did he mention anytime that he hears any... Read Full »
Can I take Ativan 2 mg and Rexipra Forte together for sleep disturbance?
Query: Hi doctor, Can I take Ativan 2 mg and Rexipra Forte together at night? My doctor has recommended me this medicine and I am taking this for three years. Is there any long time problem with taking this medicine? Read Full »
Answer: Hello, Welcome to icliniq.com. Tablet Ativan (Lorazepam) 2 mg is used for sleep disturbance. If you do not have sleep disturbance, I suggest to taper off the tablet Ativan 2 mg and stop it. I suggest taking half tablet of Ativan 2 mg for six weeks, then make it an alternate day for another six wee... Read Full »
Query: Hello doctor, I am a 23-year-old female, 167 lbs (and decreasing) 5'6" in height, and taking Lorazepam 5 mg when needed. This has been an issue for a long time. It starts with a feeling of consuming dread. Like it suffocates you. Then my heart beats so hard and fast. As if it's ready to burst out of... Read Full »
Answer: Hello, Welcome to icliniq.com I read your query and understand your concern. There are probably two issues with you, one is anxiety and panic attacks, and the second is gastritis and reflux disease. For your first problem, I think you should have medicine continuously rather than whenever needed. Yo... Read Full »