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?
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
I have an issue where I stand up from getting out of a car outside and I get a like a pressure that starts in my throat and my heart rate increases pretty fast it only lasts a few seconds and it doesn’t happen Everytime mainly when I’m outside I suffer from extreme anxiety and have gas problems And heart related anxiety I have already had a doctor listen to my heart and he said it’s extremely healthy but I’m worried they miss something.
Male | 17
Perhaps you face panic attack signs due to anxiety and stress. When anxious, our bodies can have increased pulse, throat tightness, and gas issues. Take deep breaths, drink water, relax to handle it. Additionally, therapy may help you address your anxiety. Visit a psychiatrist.
Answered on 23rd May '24
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
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
I am having severe panic attacks
Female | 31
Panic attacks cause rapid heartbeats, breathlessness, and frightening thoughts. Factors such as stress, genetics, and brain chemicals contribute to these attacks. Helpful tips include practicing relaxation routines, engaging in physical activity, and talking to a psychiatrist.
Answered on 29th July '24
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
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
i took thirteen ritalin i’m only meant to take six and i feel very sick
Female | 17
I recommend that you seek medical help without delay. Ritalin is dangerous when overdosed, and it can lead to heart failure, seizures, and even death. Please visit the emergency room or see a psychiatrist as soon as possible.
Answered on 23rd May '24
Dr. Vikas Patel
why do I dark thoughts more often and sometimes feel like crying for no reason
Female | 17
Depression can strike without warning, bringing feelings of sadness, hopelessness, and excessive tears. It may be triggered by stressful events, genetic factors, or hormonal changes. It's important to confide in loved ones, exercise regularly, adopt healthy eating habits, and get enough sleep. Seeking guidance from a psychiatrist can also be invaluable.
Answered on 8th Aug '24
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
Good day doctor Since childhood, I have always been pressing on my nerves and muscles throughout my body, and I can't control myself. It's like grinding teeth, but in my body, and it's voluntary. These are not spasms; I do them, but I can't stop them. When I try to stop myself, I feel like I'm going to explode. The issue was minor in childhood and significantly reduced during adolescence almost to the point of disappearing. However, over the past few years, the problem has worsened significantly. Currently, I'm squeezing my body's vertebrae, especially my neck, and I feel like it's twisting. I consulted a psychiatrist and neurologist who said there is no organic issue, just a bit of anxiety. I took medications for anxiety and stress, but there was no effect. Thank you very much for your time
Male | 34
Pressing nerves and muscles could be body-focused repetitive behavior. This means squeezing or pushing body parts. Anxiety can make this worse. You should see a psychiatrist and neurologist. Since they found no physical problems, managing anxiety and stress may help.
Answered on 23rd May '24
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
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
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
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
obsessive compulsive disorder thouths repeted
Male | 24
Answered on 27th Aug '24
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
i have weight issues, and i feel no body likes me even my family some of the friends body shamed me and i want to shape my body but i am not doing it ik my problme but i can not solve it
Female | 19
It sounds like you're struggling with weight issues and feeling unsupported. It's important to speak to a nutritionist or a psychiatrist. They can help you with a healthy plan and support for your mental well-being.
Answered on 24th June '24
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
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
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