Are a lack of confidence, sleep issues, and headaches worrisome?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I would appreciate more information about your father's health. Are there any additional medical conditions, such as diabetes mellitus (a metabolic disorder causing high sugar in the blood) or hypertension (high blood pressure), that he is dealing with? Is he currently taking any medications? It would also be helpful to know if your father has a history of alcohol abuse or smoking. Conducting specific investigations is recommended, and if the results are within normal ranges, he may be experiencing either depression (prolonged sadness) or anxiety (excessive worry). Is he facing any significant stressors in his life? I suggest a tablet of Alprazolam for sleep disturbances, but a thorough evaluation is necessary for a more comprehensive understanding of your father's condition.

Please provide detailed information about your father so I can offer the most appropriate assistance.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Can your father correctly identify the current time, location, and individuals around him? If he struggles with recognition or shows signs of forgetfulness, it could indicate delirium (a state of acute confusion and rapid changes in brain function). In such a case, I suggest taking him to a physician for evaluation.

Based on the assessment, the physician may recommend consulting either a psychiatrist or a neuro-physician. If all medical investigations yield normal results, psychiatric issues might be considered. Given that your father's blood pressure tends to spike significantly, there is a potential risk of a stroke in the brain. I suggest consulting a physician first and undergoing necessary investigations.

To address sleep disturbances at night, I suggest you administer a safe dose of Alprazolam 0.25 mg to your father. Consult your doctor and take the medicines.

I hope this helps.

Please revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

The combination of Alpha-lactalbumin and Myoinositol is beneficial not only for addressing PCOS (polycystic ovary syndrome) but also for managing depression (prolonged sadness) and anxiety (excessive worry). In addition to the prescribed antidepressant and Melatonin for sleep disturbances, your father must continue with all the medications.

Additionally, I suggest your father incorporate the following lifestyle changes to cope with anxiety and depression:

1. Engage in daily exercises for 30 to 45 minutes, such as going for a walk.

2. Practice meditation for 20 minutes daily by sitting comfortably and focusing on normal breathing without forcing thoughts to stop.

3. Consume healthy, home-cooked meals and avoid junk food.

4. Ensure an adequate intake of water.

5. Spend quality time with friends and family every day.

6. Pursue creative hobbies like reading, journaling, painting, drawing, or learning new skills, languages, or musical instruments.

7. Aim for seven to eight hours of sleep each night.

8. Refrain from tobacco, alcohol, or any substance abuse.

9. Find purpose and joy in life rather than just going through the motions.

I hope this helps.

Please revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Prolonged use without medical guidance can lead to addiction; however, Melatonin itself is not addictive. Your father has been prescribed Galop Plus, a combination of two medications - Escitalopram 0.5 mg and Clonazepam 10 mg. It is important to note that Clonazepam can be addictive and ideally should be tapered off after four to six weeks. Nevertheless, considering your father's sleep is crucial, especially for managing anxiety-related increases in blood pressure and sugar levels. Administer these medications safely after meals to prevent acidity issues on an empty stomach. The primary medication for your father is Escitalopram, and it is imperative to continue it under the supervision of your psychiatrist.

I hope this helps.

Please revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

It is important to note that neither Melatonin nor any other medications prescribed by your neuro-physician should raise your father's blood pressure. Additionally, there is no indication of drug interactions with his past medications for diabetes or hypertension. Given that your father's blood pressure is high, it is advisable to consult your physician for effective management. They may consider introducing another antihypertensive or adjusting the dosage of the current medication. If your father experiences sleepiness, suggest to discontinue Melatonin. Regarding Galop plus (Escitalopram 0.5 mg and Clonazepam 10 mg), maintain a half-dose; avoid administering a full tablet even after seven days

I hope this helps.

Please revert in case of further queries.

Thank you.