Recently Answered Questions
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Can Loratadine help to resolve delayed ejaculation caused due to SSRI?
Query: Hi doctor, I am a 28-year-old male. I read an article in which Loratadine has been used to treat delayed ejaculation caused by SSRI. I have delayed ejaculation caused due to Escitalopram 20 mg (taken for Obsessive-compulsive disorder). I would like to know the mechanism of action of Loratadine in im... Read Full »
Answer: Hi, Welcome to icliniq.com. You can continue taking SSRI (selective serotonin reuptake inhibitor) as prescribed by your doctor. I understand your situation that it is not pleasant to have delayed or no ejaculation due to SSRI. But on the other hand, imagine all the paralyzed men or those men who d... Read Full »
Can taking hormonal pills for perimenopause symptoms cause breast cancer?
Query: Hello doctor, I am a 46-year-old female who is dealing with perimenopause symptoms. My Ob-gyn has recommended taking low dose of birth control pills to relieve my symptoms. However, I am at a higher risk for breast cancer because my late mother (who died in an auto accident) was a breast cancer sur... Read Full »
Answer: Hello, Welcome to icliniq.com. That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Second... Read Full »
I have intrusive, blasphemous thoughts after porn addiction withdrawal. Why?
Query: Hello doctor, I have intrusive thoughts, blasphemous thoughts that keeps returning to my head. In the past I had porn addiction, and the day I forced myself to stop, I began having those thoughts. I already had OCD symptoms when younger but more subtle. I suspect I have some low serotonine so I am ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query with interest. As you had OCD in childhood and anxiety disorder and taking St John's wort, Omega 3 , Magnesium and Vitamins (attachment removed to protect patient identity). You need to start SSRI group of drug (Fluvoxamine or Fluoxetine or ... 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 »
Query: Hello doctor, My psychiatrist has decided for years to use only a combination of SSRI and Busipirone permanently to control and manage my chronic GAD and SAD. Which among the SSRIs combination is the best and has the fewest side effects? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Coming to SSRI first, the side effects such as sedation and weight gain issue is lower with Prozac ( Fluoxetine). While Zoloft (Sertraline) has a lower rate of weight gain and sedation is a little higher compared ... Read Full »
I have been experiencing anger management problems for a long time. Can SSRIs help me overcome it?
Query: Hi doctor,I want medication to help with my anger something like SSRI. I have always had terrible anger management problems since I was young. However, it has gotten to a point where I need something to help me control myself. I break down constantly and take my anger out on my family and work colle... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I can understand your situation. You may have major depressive disorder due to chronic stress. Your depression gives you anger outbursts. There is non-pharmacological management for it, and you should try to follow the below guidelines to dea... Read Full »
Query: Hello doctor,I have been on Fluoxetine for two months. In the beginning, I had no sexual problems, but after the second or third week, I could get an erection, but I could not ejaculate. So my question is, how can I fix this problem? I know every SSRI has sexual dysfunction as a side effect, but it ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is a common side effect due to SSRIs (selective serotonin reuptake inhibitors) like Fluoxetine. You may have delayed ejaculation. You can try the tablet Cyproheptadine (Heptidine) 2 mg before having sex. It will work. If it does not work, ... 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 »
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 »
Can masturbation be a reason for my premature ejaculation?
Query: Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for prema... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. First of all, I would like to tell you that masturbation is not the reason for the problem of premature ejaculation you are having. Masturbation is a safe habit, and most of the men masturbate. Diabetes increases the risk of premat... Read Full »