Recently Answered Questions
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Do psychological problems appear secondary to sleep apnea?
Query: Hello doctor, I am suffering from sleep apnea and some psychological problems. I strongly suspect that the two are related and that sleep apnea is causing psychological problems. About four years back, I was diagnosed with sleep apnea when the AHI was around 30. Gradually, my weight increased over ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understood your concerns. With available details, it is almost transparent that you are suffering from sleep apnea and secondary mixed anxiety-depressive disorder (MADD), which means sleep apnea itself causes anxiety and mood depression. Now regard... Read Full »
How to become more energetic and active?
Query: Hi doctor, I am taking Stalopam 10 bd, Fludac 20 od and Alprax 0.5 od for anxiety and depression. I feel sleepy in daytime and frequent yawning. I feel fatigue and no energy or activeness. I am also on Olmesartan for high BP; Harty and Mactor EZ for high cholesterol levels. Kindly suggest some medic... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. You are suffering from anxiety and depressive disorder and are on 20 mg Escitalopram and 20 mg Fluoxetine per day.Both these drugs are SSRIs (selective serotonin reuptake inhibitor) and in my opinion there is no use in taking two SSRI drugs ... Read Full »
Can fat burner medications interfere with anti-rabies vaccine?
Query: Hello doctor, I am on an anti-rabies vaccination. I am very worried as I have been on other medications which I beilieve may interfere with rabies vaccine: 1. Modafinil, 2. Fat burner (ingridients:-yohimbine,bioperine,guggulsterones,synephrine,caffeine). Read Full »
Answer: Hi, Welcome to icliniq.com. As per your medical history, I went through, I would suggest that the above mentioned medicine will not interfere with rabies vaccine. However, keep rabies vaccine as the top priority and if possible stop other medications till the course is done as rabies is a much mor... Read Full »
I feel good after taking anti-anxiety medications except for sleepiness. What to do?
Query: Hi doctor,I am 47-year-old male suffering from anxiety disorder and being treated for OCD specifically. I was prescribed Zoloft 100 mg (Sertraline) a year ago. But after three months, I transferred to Prozac 40 mg (Fluoxetine) together with Risperdal 0.5 mg (Risperidone). This has been going on for ... Read Full »
Answer: Hi, Welcome to icliniq.com. Since your Obsessive-compulsive disorder or OCD symptoms are under control using a combination of Risperidone and Fluoxetine, it is not an excellent choice to change it. Fluoxetine usually causes insomnia rather than sleepiness, and it is often taken as a morning or af... Read Full »
Why do I suddenly fall asleep at any time and have difficulty staying awake during the daytime?
Query: Hello doctor,I am a 27-year-old female, and I started to fall asleep randomly. It is difficult for me to stay awake during the daytime even though I sleep well during the night. I fall asleep even in the shower. I am worried that I am going to crash while driving. It already happened once, and I wen... Read Full »
Answer: Hi,Welcome to icliniq.com.Thank you for the query. I can understand your concern. According to your statement, you have been suffering from falling asleep suddenly anywhere and in any situation.According to your description, you may suffer from narcolepsy, a neurological disorder that can affect the... Read Full »
Is the lack of sleep for years being in a navy submarine the reason for my sleep disorder?
Query: Hello doctor, I worked in the navy submarine for four years, and I did not get any proper sleep for years. I have had two sleep studies and MLST. The first study shows N3 as 3.1%, and the second study shows N3 as 1.8%. MLST results were 6.7 minutes of sleep latency and 1 REM cycle. I am taking an... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hello, Welcome back to icliniq.com. Thank you for the query. Kindly answer the following; 1) Do you drink alcohol, caffeine, or other drugs? 2) Is there any pain or discomfort? 3) Do you take daytime naps? 4) Can you stop Modafinil for now? 5) Do you feel depressed? Thanks. Read Full »
I sleep for 13 hours a day. Is it fine to take Modafinil to reduce my sleep?
Query: Hi doctor, I am a 25 year old male, all my life I have required about 13 hours sleep every night, regardless of the bedtime. If I get the 13 hours sleep, I am not tired the next day, but if I only get 10 hours sleep, I will be very tired that day and also get a sleep debt. I went to bed at 8 PM las... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for your query. I have gone through your complaint and I think Modafinil is a good option in your case. Modafinil is used to decrease excessive sleepiness and enhances memory and cognitive functions. Modafinil can have some side effects, which are headaches, ... Read Full »
I feel fragile after sleeping. How to overcome my ongoing depression symptoms?
Query: Hello doctor, I am a 42 year old male. I feel extremely weak after sleeping in the afternoon on weekends. And even after taking breakfast I feel sleepy, and I sleep off. I got a kidney transplant done five years back, and I am under psychiatric treatment from the past 15 years. I currently take the... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. You are on 20 mg Nexito (Escitaprolam), Modafinil 25 mg, and 25 mg Quetiapine, even with these medicines, your symptoms are persistent. So, some minor changes in medicines will help you to come out of these symptoms. In... Read Full »
After a stroke, my mother's right side body is paralyzed. How to help her?
Query: Hi doctor, My mom is in her early 60s. She has had type II diabetes for more than ten years, and she has also suffered from the stroke in the past. I want a doctor's opinion about her current situation. Her present situation is as follows: Paralyzed on the right side of her body. She cannot stan... Read Full »
Answer: Hi,Welcome to icliniq.com.I have gone through the provided details and understand your concerns.Although it is almost difficult to pronounce an opinion without seeing a patient, from the available description, it appears that her stroke on left side of the brain (which affects the right side of bod... Read Full »
How does a CPAP machine work to treat sleep apnea?
Query: Hello doctor, I am a 41-year-old male. My height 5'11''(180 cms) and weight is about 115 kg. I was diagnosed with sleep apnea about five years back. During the sleep test, the AHI (apnea-hypopnoea index) recorded was around 35. Now I use the ResMed Escape Auto CPAP (continuous positive airway press... Read Full »
Answer: Hello, Welcome to icliniq.com. So, for sleep apnea, I will not tell you theoretical points. Instead, I will help you with practical solutions only. We have the following options: 1. If you are overweight, just reduce it. Reduce 20% of your weight, and you would probably even not require a CPAP... Read Full »