Recently Answered Questions
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What are the causes and treatment for premature ejaculation?
Query: Hi doctor, I ejaculate too early and I ejaculate about 2.5 ml. Is that normal? What should I do to raise sperm volume? Read Full »
Answer: Hello, Welcome to icliniq.com. Within how much time do you ejaculate? Volume is fine. Read Full »
What is the cause for having sudden mood changes and fear of losing people?
Query: Hi doctor, I often feel very low, anxious, and stressed. I try diverting myself, but I still get into a trance, where I feel sad. I am afraid of losing people, and keep thinking about what they think and how they feel. Even though they are not worthy of my sorry at times, I still apologize out of ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I do not think these are symptoms of multiple personalities. Your main symptoms are related to mood like low mood, feeling bad at times, and anxiousness. Fear of losing people is also related to depression. Your behavior to say so... Read Full »
I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering from insomnia,... Read Full »
Query: Hi doctor, I am suffering from anxiety. Please help. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. Your description of symptoms is concise and specific, which makes it easy to diagnose your condition. Mental illnesses are broadly classified into neurosis and psychosis. In neurosis, a person does not lose contact with reality and understands that he has a mental issue k... Read Full »
Query: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug.Even if it is taken early morning, it can still cause insomnia, particularly in the initial few days or weeks.My advice would be if you are doing well on Fluoxetine, apart fr... Read Full »
I am depressed; I have sexual dysfunction, no erection, and a low sexual desire. What to do?
Query: Hello doctor, I am suffering from anxiety and depression. I have palpitation and breathlessness. I am taking Panazep 25, Bupron 150 and Dicorate 500. I have sexual dysfunction, no erection, and a low desire. My doctor prescribed me Sildenafil 50 but, I am worried about its side effects. Please sugg... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. There could be the following reasons for an erection problem:Ongoing anxiety and depression: The proper treatment of anxiety and depression will rectify this issue. Panazep (Paroxetine) is known to cause sexual dysfunctio... Read Full »
Will my anxiety relapse if I stop SSRI?
Query: Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I st... Read Full »
Answer: Hi, Welcome to icliniq.com. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action.SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSR... Read Full »
Does irritable bowel syndrome cause difficulty in breathing?
Query: Hi doctor, I am a 29-year-old male. My height is 5'7, and my weight is 70 kg. I have had the following symptoms for the last eight months- difficulty in deep breathing. It feels very tight in the middle of my chest when I try to take a deep breath, sometimes along with tightness in my upper nose (I ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. After studying your case scenario, it looks you are suffering from one of the following conditions- 1. Irritable bowel syndrome. 2. Obstructive sleep apnea. 3. Anxiety neurosis. I am sure these diagnoses have been put... Read Full »
Can Trazodone cause serotonin syndrome?
Query: Hello doctor, I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribe... Read Full »
Answer: Hello, Welcome to icliniq.com. Serotonin syndrome is an acute emergency case, rarely seen in common practice. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my ... Read Full »
How to prevent serotonin syndrome while taking antidepressants?
Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used.However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsive ... Read Full »