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Female | 22

Sertraline and St. John's Wort Interaction Concerns

Hi, I got prescribed sertraline 50mg and wanted to start treatment. However, I took St John’s wort 3 days ago. Is this safe for me to start sertraline treatment tomorrow?

1 Answer
Dr. Vikas Patel

Psychiatrist

Answered on 3rd Sept '24

Se­rtraline helps with depre­ssion and anxiety. St. John's Wort is an herb that doesn't mix we­ll with sertraline. Togethe­r, they could cause serotonin syndrome­ - symptoms like confusion, fast heartbeat, and high blood pre­ssure. It's better to wait 2 we­eks after stopping St. John's Wort before­ starting sertraline. This preve­nts any issues from occurring.

73 people found this helpful

Questions & Answers on "Psychiatriy" (363)

My friend suffering from following problem 1 if family member not talking politely or net & clean way then she crying too much 2. After that talking with herself ( I am positive, everyone talking with me polite, all is well, ok etc) 3.crying too much, closes her eye, sleeping on floor, pain in her left side chest, stomach sounding very fast like gad gad, plam light bluish

Female | 26

Your friend is having a hard time dealing with stress and experiencing emotional troubles, which in turn, are causing physical problems. She might be crying, talking to herself, and feeling a sharp pain in her chest, which is a clear indication of stress and anxiety. The noises in the stomach and blueish palms may be the first signs of a high pulse rate and lack of normal blood circulation. Advice her to speak to someone she trusts and make deep breathing a habit, and have her try relaxation techniques to minimize stress. 

Answered on 24th July '24

Dr. Vikas Patel

Dr. Vikas Patel

Hello my age 23 male I have heavy alcohol addiction so some ayurvedic person gives me some ayurvedic medical and he said conditions if you drink any alchohal in future aftr taking ayurvedic medicine in future you will die. Is true?

Male | 23

Alcohol addiction is serious, and professional help is vital. Be cautious with Ayurvedic remedies; extreme effects when drinking aren't common but can occur. The best option is to address addiction properly with the guidance and support of healthcare professionals.

Answered on 19th July '24

Dr. Vikas Patel

Dr. Vikas Patel

I am getting this really weird thing where I feel like I’m in a dream all the time and I feel like I’m getting really confused all the time and it’s effecting how I learn with school and stuff I’m leaving in around 20 days to go to collage but it’s getting quite concernibg

Female | 16

It seems that you may be going through a type of depersonalization. That means that a person can observe life like an outside spectator from the viewpoint of seeing himself/herself acting. It can be associated with anxiety, stress, and other mental health issues as well. It is highly advised to communicate with someone you trust or a counselor about how you feel. They will be able to provide you with coping mechanisms. Besides, resting well, eating properly, and take a couple of breaths or practising mindfulness can also be beneficial to keep your mind at peace. 

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Mujhe raat ko nind nhi aati h, sucide thought aate h, logo se milne me problem hoti h

महिला | 23

These might be caused by something deep under the sadness or anxiety. I suggest that you see a medical doctor or a licensed counselor who can help you in this way.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Ghabrat ho rahi h tension bi la rahi ho thak jathi ho

Female | 32

This can be the result of many things like work stress, problems at school or home, or not caring for yourself. To feel better, try engaging in activities that calm your mind such as deep breathing, talking to someone you trust, or spending time doing something you enjoy. Resting well and eating healthy foods are the two things you should do to keep your body in good shape.

Answered on 23rd Oct '24

Dr. Vikas Patel

Dr. Vikas Patel

I smoked a lot of thc oil daily many times and I’m wondering how long it will stay in my urine

Male | 23

Marijuana high stuff called THC that brings about a high mood can stick in your urine for a while. If you have smoked a lot of THC oil, it could have stuck in your urine for up to 30 days. The symptoms can vary but may include problems with memory, thinking, and mood. The solution is to run those with THC out of the system and help with some water intake to get flushed out.

Answered on 11th Sept '24

Dr. Vikas Patel

Dr. Vikas Patel

Sleep disorder with talking,moving ,punching etc in dreams.Twice fallen from bed in dream.

Male | 64

It seems that you have parasomnias which is a kind of sleep disorder that causes abnormal movements, behavior, and emotions during sleep. It is recommended to contact a sleep specialist for accurate diagnosis and therapy. They can help find the triggers of sleep disorders and suggest the best treatments.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

I’m 24 yr having anxiety and feeling low pls tell how to treat it

Female | 24

Being upset and worried is hard to bear. These emotions are largely due to stress or life changes attributed to many causes. Some of the signs are constant worrying, being afraid, or a disturbed sleep schedule. So, talk to a person, like a friend, or a family member. After that, engaging yourself in activities you prefer and getting enough sleep can help. 

Answered on 5th July '24

Dr. Vikas Patel

Dr. Vikas Patel

Muje pichle 2-3 saal se mind problem h memorie week h bolne me thodi si problem hoti h mind disturbed rahta h jaldi bhool jata hu depression sa rahatha h me bachpan se Mobile phone ka jyada use karta hu or 8-9 year se masterbating ki bhi habit h body fit h wait 75 h plz koi ilaz bataiye ????????

Male | 19

It can be tough to manage weak memory, trouble speaking, feeling upset, quick forgetfulness as well as past depression. I see these problems may stem from too much phone use and frequent masturbation for many years. You should cut down on the mobile phone and get help from professionals. Doctors will show you what treatments are available for this condition and how you can change your lifestyle to improve your mental health.

Answered on 24th June '24

Dr. Vikas Patel

Dr. Vikas Patel

I haven't been feeling the effects of drugs like caffeine, codeine or nicotine for some time now and it's concerning me. I was put onto risperidone and propranolol for seven months before this started happening. Could you help me determine the cause?

Male | 20

It's true that these­ medications can sometimes influe­nce your body's reaction to caffeine­, codeine, or nicotine. The­re's a chance these­ drugs are altering your response­s. The wisest step would be­ discussing your concerns with a healthcare profe­ssional. They'll help decide­ the ideal approach for your situation.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

obsessive compulsive disorder thouths repeted

Male | 24

Please consult a psychiatrist for complete evaluation and management. Total Health 099678 43249 https://g.co/kgs/k63CmA4

Answered on 27th Aug '24

Dr. Narendra Rathi

Dr. Narendra Rathi

Hi, i usually take latuda 40 mg and benztropine 0.5 mg specifically at nighttime. However, this morning i took them on accident instead of just taking my morning dose of 0.5 mg benztropine. I was able to induce vomiting to try to get the medication out of my system. Can i still take my regular nightime medications(40 mg latuda, 0.5 mg benztropine? Or do i need to wait until tomorrow night to start taking them again?

Female | 20

It's positive you made yourself vomit to re­move meds from your body. Since you took the­m earlier today, you can still have your usual dose­ tonight. Just watch for odd signs like feeling dizzy, ve­ry sleepy, or heart be­ating differently. If anything see­ms bad, talk to a doctor.

Answered on 30th July '24

Dr. Vikas Patel

Dr. Vikas Patel

My mother is suffering from OCD & schizophrenia and she thinks her husband and me her daughter are trying to murder her and she's dangerous. What should I do?

Female | 50

It's important to understand that OCD and schizophrenia are serious mental health conditions that require specialized treatment. It's concerning to hear that your mother is experiencing delusions and paranoia. You should seek help from a qualified mental health professional. They can provide a comprehensive evaluation and create a personalized treatment plan that may include medication and therapy.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

I take Sertraline for anxiety and depression and I am going to have my first tattoo done and don't no if the Sertraline has blood thinners in it. Many Thanks.

Male | 47

Sertraline is a medicine often used for anxiety and depression. Tattooing does not contain blood thinners but may result in minor bleeding. Thus it’s important to inform the tattoo artist about your intake of Sertraline so that they can take necessary precautions. To prevent any complications ensure you adhere to their aftercare advice. 

Answered on 16th Aug '24

Dr. Vikas Patel

Dr. Vikas Patel

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