SSRI refers to selective serotonin reuptake inhibitor. It is a class of drugs used to treat major depressive disorder and anxiety.
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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 »
I have been using a combination of SSRIs and Busipirone to control my chronic GAD and SAD. What other combination medications can I use?
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 »
How can I come out of my imaginary game of parallel universe?
Query: Hello doctor, I am suffering from a strange problem. I have played an imaginary game. In the imagination, I had created a parallel universe. I was the head of my country and made the rules. I added the experiences of real life in that game. When I was alone, I played the role of different people lik... Read Full »
Answer: Hi, Welcome to icliniq.com. Most probably you are suffering because in your imaginary world, you enjoy the things and in the real world you have to adjust yourself according to the situation. This is causing anxiety symptoms and headache leading to poor academic performance. Secondly, the situati... Read Full »
I am unable to keep my erection for more than five minutes. Please help.
Query: Hello doctor, I am unable to keep the erection for more than five minutes. Whenever I try to do intercourse I lose my erection and it gets really hard to penetrate.Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. As you are currently taking Tadalafil and still have the erectile dysfunction, then most probably you need to get the problem investigated, and also do you have any other medical conditions? You can give a... Read Full »
What pills would help my erection last longer?
Query: Hello doctor, I want some pills which will help to last my erection for a long time during intercourse. Please suggest some pills which are available in local medical shops. Also, please list if there are any side effects of taking them. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. Drugs from the SSRI (selective serotonin reuptake inhibitor) group has the side effects of delayed ejaculation. So I suggest you take a tablet of Paroxetine up to 25 mg once a day or tablet of Fluoxetine 20 ... Read Full »
I smoke weed. Kindly help me to get rid of the habit.
Query: Hi doctor, I do not trust girls. I have had relationship issues, as I was betrayed by the girl I love. I also have a weed problem, and I am a dropout from college. Please help me get over these issues. Read Full »
Answer: Hi, Welcome to icliniq.com. This is more of a generalized thought that all the girls are not trustworthy just because a girl betrayed you. You are taking weed. Please specify the duration and daily dose. You need a help of a psychiatrist, as a thorough evaluation is necessary to plan a regime ... Read Full »
Why do I have dryness in my eyes after laser surgery in the eyes?
Query: Hello doctor, I am a 36 year old male. 17 years ago, I began experiencing high levels of anxiety and depression. I was put on Zoloft. After about five years, I was moved to Lexapro as Zoloft was not working. After being on Lexapro for five years, I was moved to Pristiq. After 5 years on Pristiq, ... Read Full »
Answer: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. It is true that SSRIs (selective serotonin reuptake inhibitor) make the person emotionally blunt when on a long term use. In your case, SSRI (Zoloft and Lexapro) and Pristiq (Desvenlafaxine) are ineffective ... Read Full »
Which medicine can help me manage my depression?
Query: Hi doctor, I am presently working in my startup and under too much stress. I am feeling slightly sad/depressed and would like to have some mild medication to help tide over this stressful period. It is purely work related, and some days I find it difficult to sleep due to constant thinking about one... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your problem and understand your concern. If these symptoms persist for more than two weeks, they suggest depression. SSRI (selective serotonin reuptake inhibitor) such as Sertraline is helpful in such situations. Also, try regular exercise... Read Full »
Is it advisable to increase the dose of Fluanxol up to 3 mg for my panic disorder?
Query: Hello doctor, I am a 31-year-old guy who has been living with panic disorder for 10 years now. Panic has taken over my body and last year was pure hell in my life. I was finally admitted in December and after that the anxiety has only returned. I wake up with streaks in my arms and legs and I feel ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your concern and I think that probably Quetiapine can help you to some extent. Adding Lithium is unlikely to helpful unless you have comorbid depression or bipolar disorder. If SSRI (selective serotonin reuptake inhibitor) group of drug have not be... Read Full »
I ejaculate within two minutes of intercourse. What should I do?
Query: Hello doctor, During intercourse with my wife, I ejaculate the entire semen within two minutes. After ejaculation, the erection goes away. I am unable to understand how to maintain the longevity of the erection during the intercourse. Please guide next course of action. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. Premature ejaculation is quite a common problem. There are two approaches to manage this problem Behavioral therapy Medicines Now coming to the behavioral therapy, there are different methods you ... Read Full »