Female | Joke
Can I Safely Reduce Mirtazapine Dose to Avoid Weight Gain?
Hi - I am taking for 10 months now mirtazipine 30 mg. Is it ok to half the dose - or do I need to build down more slowly? I gain a lot of weight … Thank you
Psychiatrist
Answered on 6th Sept '24
A common side effect of mirtazapine is weight gain. Talk with your doctor before you reduce your dose. They might recommend a strategy to decrease the dose gradually so that you won't have withdrawal symptoms. It is dangerous to quickly change your dose; therefore, it is necessary to do it carefully under the supervision of your doctor.
2 people found this helpful
Questions & Answers on "Psychiatry" (410)
I am.patient of depression anxiety i am 28 years old i also use medicine i m married i have two children
Female | 28
It's important to take care of your mental health, especially with the responsibilities you have as a parent. Continue taking your prescribed medication, but also consider speaking with a psychiatrist or a psychologist to explore therapy options that might help you manage your depression and anxiety better. Regular follow-ups with a psychiatrist are crucial for your well-being.
Answered on 14th Aug '24
Dr. Vikas Patel
Is exercise good for akathisia caused by ssri meds
Male | 22
Akathisia, the condition characterized by undue restlessness or an uncontrolled compulsion to move the body, even muscle contractions or spasms that may occur, are among the side effects of the intake of SSRIs. A physical regime that is regular will help decrease anxiety and boost the overall health status of an individual. Low-intensity exercises like walking and yoga have the energy to be miracles. However, each case is different from the other, and suggest you take your symptoms and exercise programs to your doctor.
Answered on 10th Dec '24
Dr. Vikas Patel
my partner has just taken 15mg zopiclone and 400 mg seroquel. Is there cause for concern?
Male | 39
Yes, that should be worry of yours if your partner has taken 15 mg zopiclone and 400 mg seroquel, if taken together. Both of them are soporific agents and can cause overcrowding, dizziness and confusion. It is critical to consult with a psychiatrist or a sleep specialist as you seek immediate medical treatment.
Answered on 23rd May '24
Dr. Vikas Patel
one of my friend ,she is feeling helpless and not having sufficient sleep. she has mentally challenged girl child. she is getting depression to think about family.
Female | 39
It sounds like she might be experiencing depression, especially given the stress of caring for a mentally challenged child. I strongly recommend that she visit a psychiatrist for professional support and guidance. Taking care of her mental health is important for her well-being and her family's.
Answered on 28th May '24
Dr. Vikas Patel
Lack of Sleep I want some sleeping pills
Female | 19
The signs of sleep deprivation, such as feeling exhausted, being moody, and having difficulties concentrating, can be bothersome. The reasons can be stress, too much screen time before bed, or a noisy environment you cannot control. Rather than sleeping pills, develop a soothing bedtime routine, such as reading a book or taking a warm bath to calm your mind. It can help you get the sleep you need.
Answered on 5th Aug '24
Dr. Vikas Patel
Emotionless feeling less mental
Female | 22
Answered on 29th Aug '24
Dr. Sapna Zarwal
Im a 15 year old one actually its not a disease or something bt im getting myself weak and scared and my heart beats are getting high its actually the exm results... Cbse class 10 results are on tmrw and im feeling myself loosing the strength
Female | 15
I can understand how waiting for exam scores makes you feel very bad. Your body can get weak, and afraid, and your heart can beat fast when you are anxious. It is just how your body acts when it feels stress. To feel good, try breathing deeply, talk to someone about how you feel, and do things you like. Remember, exam scores do not show who you are as a person.
Answered on 2nd Nov '24
Dr. Vikas Patel
I'm 18 years old. I suffer from severe depression and self harm. I have my exams soon and I just can't sleep. I need to stay awake but even after consuming 2000mg of coffee, i feel like wanting to sleep. Should I eat more coffee?? How can I stay awake for longer periods if coffee isn't going to help.
Female | 18
This happens when your body gets accustomed to it. Instead of more caffeine, try: taking short breaks, stretching your legs, and splashing cold water on your face. Discussing depression and self-harm urges with someone is crucial. Seeking help from a psychiatrist is the best approach to improving well-being and staying alert naturally.
Answered on 23rd May '24
Dr. Vikas Patel
I am 15 years old, I drank an energy drink at 4pm with 200mg of caffeine. I have never had an energy drink before, I was normal until now at 9pm and I feel jittery anxious and on edge and my chest kind of hurts but I don’t know if it is just the anxiety or what. Please help me is this normal.
Female | 15
A high-energy beverage containing a lot of caffeine might be responsible for your current state. You know, caffeine can make some people feel nervous and jumpy or even give them a tight chest. The deal is that caffeine is a drug; it stimulates the body. To get well, you need to take water, calm down, and don't touch anything containing caffeine.
Answered on 30th May '24
Dr. Vikas Patel
Is xanax safe for a 14 year old
Female | 14
No, Xanax is not safe for the age of 14. Xanax is a highly-addictive drug and doctors prescribe only for anxiety or panic disorders in an adult.
Answered on 23rd May '24
Dr. Vikas Patel
I was wondering if I might have something such as DID, as I have been experiencing some symptoms. 1: I have auditory hallucinatons from time to time, like people talking, or whispering my name. 2: I cannot remeber most of my childhood at all. 3: I also talk to myself a lot, like I am a different person. 4: I have visual hallucinations sometimes, like shadows in the corner of my eye 5: Also have trouble focusing sometimes 6: very impulsive sometimes 7: I also daydream alot, and usually for 30 minutes + I and my sister was verbally abused from 2016 to 2022. It stopped in 2022 because I pointed it out. My ‘alters’ aren’t so complicated they are just different aspects of myself really. Most of the time to the extreme though. Like one is me but angry, sad, etc. Once I had a bit of a dissociative fugue, when I kind of just fazed out on the bus and I came to, on the bus but at a different point in the road, and I had no memory of what had happened.
Male | 18
Based on the symptoms, your problem may be Dissociative Identity Disorder (DID). Consulting with an experienced psychiatrist or clinical psychologist, especially in the field of DID, is crucial in diagnosing and planning personalized treatment.
Answered on 23rd May '24
Dr. Vikas Patel
Can i take ibuprofen with clonazepam together
Female | 26
Taking ibuprofen and clonazepam together isn't recommended unless your doctor approves it. If combined without medical advice, there's an elevated risk of undesirable effects: drowsiness, dizziness, breathing difficulties. Therefore, consult your psychiatrist before using these medications concurrently. They may suggest timing adjustments or alternative treatments to address your symptoms securely.
Answered on 6th Aug '24
Dr. Vikas Patel
Doctor mujhe 2 mahine se nind na ane ki problem hogayi hai usk liye mai kya karu kya exercise se nind ki bimari khatam ho sakti hai aap mujhe salah de sakte hai
Female | 21
You mentioned trouble sleeping for 2 months. That's a long time - insomnia can feel exhausting. Many factors like stress, anxiety, and poor habits contribute. Simple exercises like deep breaths or light yoga before bed may improve sleep quality. Avoiding screens close to bedtime and maintaining a routine sleep schedule are also beneficial. However, if difficulties persist despite these efforts, seeking medical advice is recommended.
Answered on 21st Aug '24
Dr. Vikas Patel
I am a 17 year old male, ive been having symptoms of Bipolar Disordet for the past year, ive also experienced hallucinations and manic paranoia, there is a history of mental illness in my family, my uncle has ever bipolar and psychosis
Male | 17
You might have Bipolar Disorder. You may have to deal with drastic changes in mood such as being very cheerful and energetic at one time and then later feeling very sad and downcast. At times, people with bipolar disorder can also experience hallucinations and paranoid thoughts. Proper communication with a psychiatrist is vital for getting the right diagnosis of your situation and working out the best treatment.
Answered on 8th Oct '24
Dr. Vikas Patel
My brother started smoking heroine and it has been over 6 months now. He wants to quit and made a few attempts but the withdrawals and lack of will power is not allowing him. He started taking buprex as medication to combat the withdrawals. What would be best course of action for him?
Male | 21
Quitting heroin can be extremely challenging, especially without proper support and guidance. Buprex can help manage withdrawal symptoms, but he needs to undergo a structured detox program and receive counseling to address the underlying issues contributing to his addiction. Your brother should consult a psychiatrist or a qualified addiction specialist for personalized treatment and support.
Answered on 23rd May '24
Dr. Vikas Patel
I'm 26 I have autism ocd Suspected ADHD and suspected fibromyalgia I'm taking 15mg of escitalopram It's making me fall asleep from 6 am to 8 am What should I do? I take it in the evening
Male | 26
Escitalopram might be making you feel too drowsy in the morning like it's the reason you are going to sleep. This case is more or less the same with some people. An example of one thing you might do is to consume it earlier in the evening, for instance, right before you eat. This way, you may later be tired but not in the morning. If the problem continues, bring it up with your doctor.
Answered on 22nd July '24
Dr. Vikas Patel
Can I take my xanax and drink orange juice?
Female | 71
To get the Xanax to work effectively, don't take it with orange juice. Xanax is in a class of medications called benzodiazepines. Mixing it with orange juice makes your body absorb Xanax less well because the juice's acidity interferes with this process.
Answered on 23rd May '24
Dr. Vikas Patel
Am fully stress and i can't sleep all night. I wand to cry i don't know the reason but i wand cry
Female | 18
That's normal - everyone experiences those feelings now and then. Stress builds up. It makes sleeping difficult and brings tears easily. That's okay though. Try opening up to someone you trust about what's bothering you. Deep breaths or listening to calm music might help too. Don't forget: taking care of your mental health matters just as much as your physical health.
Answered on 23rd May '24
Dr. Vikas Patel
mai ek llb ki student hu meri umar 24 saal h mujhe kisi se baat karne ka bhi dil nahi karta h 1.6 year ho gya mere brekup ko par mai us baat ko leke hi chal rahi hu aage nahi badh paa rahi hu rote rehti hu choti choti baato par man chidchida sa rehta h or kuch bhi chij ki man me abhi ikchsha nahi rahi mujhe ab kuch bhi acha nahi lagta h menttly mai bahut hi paresan hu mai job karti hu par ab mujhe job karne ka bhi man nahi hota h bina man se office jaati hu
Female | 24
You might have been confined to some of the symptoms of the anxiety and depression. It is essential to consult a mental health professional who would assist you in dealing with the symptoms and would teach you skills that would help you to cope better with the condition.
Answered on 23rd May '24
Dr. Vikas Patel
So, i took a 30mg codeine tablet. Then 5 minutes later i forgot i had taken it. So took another. So iv taken 60mg in 1sitting. Will i be ok. Im 33 weigh about 10st4. Relatively mind strong. I was just curios
Male | 34
If you take 60mg of codeine all at once, it is more likely to cause some side effects. One of the side effects is that you may become very sleepy, feel dizzy, or have problems with breathing. Whenever a medicine reaction like the one described here happens, it is best to remain calm and save your life without increasing the doses further. In addition, it is recommended to stay hydrated, sit down, and be observant of the body's feelings for possible encounters.
Answered on 16th July '24
Dr. Vikas Patel
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