Recently Answered Questions
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I have extreme shaking and severe weakness. Why?
Query: Hi doctor, I am 46 years old. My weight is 147 lbs and height is 5 feet 3 inches. I am currently taking Tizanidine, Nabumetone, and Hydrocodone as prescribed for a back injury sustained over three years ago. My symptoms are extreme shaking, severe weakness sometimes to the point of feeling like I am... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concerns. I think you had a back injury, pain, and spasticity (stiffness) for which you are taking the above mentioned drugs for last three years. Let me explain briefly about the drugs you are taking. Nab... Read Full »
I have erectile dysfunction from antidepressants. Why?
Query: Hello doctor, I am 24 years old, weight 86 kg and height 170 cm. I am facing erectile dysfunction after leaving antidepressants for one month. I do not have erections. The erection is very weak and I cannot sustain it. I went into depression four months back for which I was on antidepressant medicat... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. Well, it can be side effects of these drugs but it should have subsided by this time. So, you need to get some investigations such as serum prolactin level and serum testosterone leveldone. Depending, upo... Read Full »
I have anxiety and insomnia. Please advise safe medication.
Query: Hello doctor, One of the doctors prescribed me XeFexor Duo (combination of Flupentixol and Escitalopram) for psychosomatic symptoms due to persistent anxiety. All my tests like TMT, 2D echo, 48 hours Holter monitor, ECG, kidney or liver tests, blood tests, vitamin tests, etc are normal. I read the s... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. You must understand that there is a difference between potential side effects that are reported with the drug and commonly seen side effects with a drug. While the side effects that you mentioned have been reported in the literature, they are not common and I have not ... Read Full »
Can I take Carisoprodol as I have Ibuprofen allergy?
Query: Hi doctor, I am allergic to Ibuprofen. Can I take Carisoprodol? Read Full »
Answer: Hello, Welcome to icliniq.com. Carisoprodol is a muscle relaxant barbiturate compound. Do not use it if you are allergic to Meprobamate, Tybamate or Mebutamate or Carisoprodol itself. However, Ibuprofen allergy is not a contraindication for use of Carisoprodol as they are different line of compound... Read Full »
After taking Atenolol, I feel dizzy and tired. Why?
Query: Hello doctor, I have been on Atenolol for the past six years. I was prescribed this for a high heart rate. It worked well the first five years. But, from the last year, it has ruined my life. I have no energy. I get light headed and dizzy. I am on 100 mg a day. I am not sure what to do. Read Full »
Answer: Hello, Welcome to icliniq.com. It is probably Atenolol-induced low heart rate and blood pressure. First, you need to get your blood pressure and pulse rate checked. You should buy an electronic BP apparatus which shows both blood pressure and pulse rate or else you could get it checked from a nea... Read Full »
I started Venlafaxine and am having side effects. Why?
Query: Hello doctor, I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid... Read Full »
Answer: Hello, Welcome to icliniq.com. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to... Read Full »
Does using Tacrolimus ointment cause cancer?
Query: Hi doctor, Is Tacrolimus ointment 0.03 % safe, or might it cause cancer? I have lip swelling, and my doctor suggested using it twice daily. However, I am worried as I read that it has a higher risk of causing cancer. Please help. Thanks. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Tacrolimus ointment is safe for you to use. I will state the reasons for the same: 1. It is an ointment and not a tablet. Oral absorption leading to systemic toxicity is far less in topical ointment than in oral t... Read Full »
Why are my gums still red after using an electronic toothbrush?
Query: Hello doctor, I went to the dentist before two months. He said that I had good teeth health and gum health. The only thing is for my front teeth on the top and bottom I developed a frayed appearance around the gumline. He said this was from too much gumline and toothbrush contact and that switching ... Read Full »
Answer: Hi, Welcome to icliniq.com. You have an excellent set of healthy teeth. By observing the pictures (attachment removed to protect patient identity), the gums do seem to have puffiness, but only of mild nature. The brush whether electric or not does not matter, just do not touch the gums and stick to... Read Full »
I am a 37-year-old male suffering from swelling in both legs since a month. Please help.
Query: Hi doctor, I am a 37-year-old male suffering from swelling in both legs for a month. I had heart failure three years ago and was hospitalized for six weeks. I discontinued my treatment a few days back. My last checkup was done last year. Until now, I did not go for a checkup. I am taking Ketoanalogu... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. As you have a history of heart failure, this can explain swelling in the legs. But the medicine Amlodipine you are taking is known to cause leg swelling. You should consult your cardiologist and get echocardiography done to determine heart ... Read Full »
Does erection problems persist after discontinuing antidepressant?
Query: Hello doctor, I am 23 years old and I am on Citalopram, Buspirone, and Valium. In the past few weeks, I have stopped taking Valium. I am taking only 2.5 mg to wean off and just today I discontinued the Citalopram as well after gradually cutting down from 40 mg to 10 over the last two weeks. I still ... Read Full »
Answer: Hi, Welcome to icliniq.com. If the erection problem is due to antidepressants, then it will become invariably normal once you stop the medications. In your case, the reason must be marijuana. I think it is better you stop that and also get your early morning serum testosterone assay done. Read Full »