Recently Answered Questions
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I am on Sertraline 50 mg and suffering from brain fog and insomnia. Kindly help.
Query: Hello doctor, I am on Sertraline 50 mg for three days, I am suffering from brain fog and unable to sleep. My doctor told me to stay on 50 for 4 days and then switch to 50 mg two times per day. Is it fine? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I can understand your situation. You can take a tablet of Sertraline 50 mg twice per day. Tablet sertraline can be taken up to 200 mg per day. You will not have any problem. Sometimes patients may have GERD otherwise, it is the safest medic... Read Full »
Query: Hello doctor, I am a 37-year-old male. I have been taking Escitalopram for two years as I developed anxiety and a feeling of being generally worried. I had depression a few years back and took Sertraline for seven to eight years. When I stopped taking it two years back, I started having anxiety and ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. You have an anxiety disorder and you are on the tablet Escitalopram. But you have not mentioned the dose of your medication. If you have been stable for two years then you can try to taper off and watch for anxiety.... Read Full »
Query: Hi doctor, I started taking Sertraline recently because of severe anxiety, IBS, and light indigestion (feeling heavy after meals). Indigestion has subsided, but not anxiety or IBS. The worse effect of that drug was acid reflux as soon as I took the first pill, and it still persists, and it is worse ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. This is most likely anxiety related. It cannot be esophageal cancer as there were no symptoms before medicine, and the symptoms are too rapidly progressive for cancer. Usually, it does increase in weeks, but not two wee... Read Full »
After stopping Gabapentin, I have chills, vomiting, and anxiety. Why?
Query: Hi doctor, I have been taking Celexa 10 mg for two years. Recently, I was prescribed Gabapentin 100 mg twice daily, which I took for about a month, but started having stomach issues. So, I titrated it down to 100 mg a day for a week by myself and then stopped it. It has been almost three weeks and ... Read Full »
Answer: Hello, Welcome to icliniq.com. Withdrawal symptoms seem to be unlikely after three weeks of stopping Gabapentin. Check if you have a fever. If not I would suggest you try taking PPI (proton pump inhibitor) for vomiting and Benzodiazepines for anxiety and insomnia. Skip Celexa for a couple of d... 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 »
When I have anxiety, my heart rate jumps up. Should I make an appointment?
Query: Hello doctor, I have frequent recurring pains in my chest due to anxiety. I recently got a fitness watch and noticed that when I am experiencing this my heart rate goes way up. Normal for me is 65 to 70 when resting. When my chest starts hurting it has jumped as high as 135 to 140 when resting. Is t... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. From what you mentioned, most probably you have panic disorder (one of the anxiety disorders). Let me know some more details: 1) Do you have changes in bowel habits, eating habits, or sleeping pattern?2) Do you live a stressful life?3) D... Read Full »
What should be done to overcome depression other than medication?
Query: Hello doctor, I am a 24-year-old male. I am a dental student, and I suffered from clinical depression five years ago. I consulted a psychiatrist, and since then I was on antidepressant Sertraline, antipsychotic Aripiprazole, and Divalproex. Three years after the treatment when the symptoms sub... Read Full »
Answer: Hello, Welcome to icliniq.com. It is good to know that you are able to function well at present and medication has been helpful. I note that you are currently on Escitalopram, Aripiprazole, and Divalproex. You have reported suffering from clinical depression, stress, and social phobia. Since you exp... Read Full »
How can I overcome my depression and self-harming thoughts?
Query: Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed? Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doc... Read Full »
I need a psychiatric opinion for my friend who has been treated for catatonic schizophrenia.
Query: Hello doctor, I need a psychiatric opinion for my good friend who has been treated for catatonic schizophrenia. She is a 27 year old European woman. She had in total three episodes of catatonia that required hospitalization. But I suspect it may have been depression instead, since she volunteered h... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I have read the query and after reading the history of hers I can tell you that these symptoms suggest more towards some neurotic illness specifically depression rather than catatonic schizophrenia. In catatonic schizophrenia patients s... Read Full »
What should I do if my ear pain is getting worse?
Query: Hello doctor,I am a 37-year-old male, and my height is 5'11", and my weight is 89 kg. I have terrible ear pain and deafness. I am currently Sertraline. My ear pain has been getting worse over the past four days. What should I do?Thanks. Read Full »
Answer: Hello, Welcome to icliniq.com. Your symptoms are suggestive of a middle ear infection. There is the possibility of wax in the ear canal. Is there any discharge from the ear? Do you have a cold or nasal block? Until you consult an ENT (ear-nose-throat) for this issue, for the time being, you can... Read Full »