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 "Psychiatry" (494)
I am 24 Year old male. Recently my dad passed away. I felt sick one night and went to hospital and they diagnosed me as anxiety disorder. I stopped the medication for one day and feeling fine but just now I’m feeling the symptoms again but I had a few sip of beer beforehand so I’m wondering if I should still take meds to help with my symptoms or I should not take meds? The medication is Ativan
Male | 24
Restlessness, increased heart rate, and trouble with concentration are some of the most common symptoms that anxiety can cause. Alcohol can mix with drugs such as Ativan and the patient might suffer severe side effects. The primary rule is to get advice from your doctor before starting any treatment of any kind, especially after a shot of alcohol. They will provide you with advice that suits you. Apart from that, always put your mental health first, and with the help of a professional, you can learn to handle these emotions.
Answered on 16th Dec '24
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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
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Logo sy khof confidence na hony k barbar hai
Female | 23
Aapko jo ehsaas ho raha hai, wo bahut aam hai. Iska kaaran aksar stress, anxiety, ya khud par low confidence ho sakta hai. Yahan kuch samasyaen ho sakti hain: bechaini, sochne mein mushkil, ya social situations se door rehna. Solutions hain: relaxation techniques, mindfulness practices, aur achi lifestyle choices jaise regular exercise aur healthy diet. Agar ye feelings baar-baar aa rahi hain, to psychiatrist se baat karna behtar rahega.
Answered on 2nd Mar '25
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Answered on 23rd May '24
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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
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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
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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
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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
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My son aged 25 was learnt to be under your treatment.I neither know for what illness nor have his prescription.He is aggressive and wouldn't co-operate if I call him for consultation with you along with me and his mom although he said to have consulted you.The boy is confined to his room and is hostile towards me for reasons unbelievable.His mother, my wife was under Dr vijayakumar's treatment from 2000 for over a period of 10 years.Now she consults another psychiatrist as she was on a transferable job. I am 62 years old and my wife 56 years.She had taken VRS from Bank job six months ago. My son is only child and a pampered one.His behaviour isn't acceptable although he would appear normal. I am worried how I could manage to give him treatment through you as he is aggressive and may also leave home
Male | 25
Aggression and hostility may be symptoms of other problems such as anxiety or depression. It is very important to handle the situation with empathy and patience. Supporting him through the process like by advising him to reach out to a psychiatrist, can be helpful. The main approach to the matter is to allow him to freely express what he feels, thus he will be able to share his issues.
Answered on 27th Nov '24
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Answered on 23rd May '24
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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 25th Nov '24
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I have faced such symptoms from a very long time fear of judgement, fear of rejection , external validation, confusion in decision making , impatient, always have an unknown fear if I say no or want to break a promise with others they become defensive with me I know this fear is not practical but jesa hua bhi nahi hota woh situation dimag m khud bna kr usse darna ki esa na ho jaye , overthinking ,Try to escape from the situations Previous history In my early adolescence mere forehead k beecho beech ek patake ka barud lag gya tha jisse bahut bleeding hui later mujhe kafi mahino tk sir dard bna rha meri eyesight weak ho gyi ek saal baad or dard kabhi kabhi abhi bhi ho jata hai Current situation mujhe lgta h m bahut si baate bhul rhi hu jo abhi hui h ya phele Mujhe doubt h ki ye sb symptoms kis wajah se h
Female | 22
Your fear of being judged, rejected, and overthinking can be symptoms of anxiety. The head injury that you had in your adolescent period may also be linked to your headaches and memory issues now. Of course, speaking with a mental health professional is the best way to get help, but you also might want to see a neurologist for your head injury.
Answered on 5th Dec '24
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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
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Medicine overdose taken by one of our friend we don't know what to do.
Female | 20
If someone has consumed too much medication, it's essential to stay calm. Symptoms may include nausea, dizziness, confusion, or unusual behavior. This can happen due to accidental ingestion or misunderstanding dosages. Immediate steps include keeping the individual comfortable, monitoring their condition, and calling emergency services if symptoms worsen. Always report the specific medicine and amount taken. It's crucial to consult psychiatrist for medical help, as he can provide the right treatment based on the situation.
Answered on 2nd Mar '25
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में bhupesh mehta from Indore M.P. से हू, मेरी उम्र 49 साल है, मुझे depression, chemical लोचा है, रात में नींद नहीं आती है, मेरे घर के नजदीक के डाक्टर ने मुझे etolozom. 25 tablet लिखकर दी, पर ये गोली लेने से आराम नहीं है
Male | 49
These symptoms can be the result of chemical overload in the brain. The medication (etolozom. 25 tablets) prescribed to you might not be sufficient to improve concerns. You must talk to your doctor about other possible approaches or changes to your medication so that you can achieve better health.
Answered on 27th Nov '24
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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
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I am 29 years old and female. I am not pregnant and have difficulty sleeping at night. Currently I am on adco zolpidem and I find take one at 21:00 leaves me still awake at 22:10 so I have administered another, I want to know if there are other products on the market that are stronger and also should I fall asleep after taking the the second one I wake up 5 hours from administration where I take another half a tablet
Female | 29
It is crucial not to overstep the stipulated dosage or mix it with other drugs. If you're up after taking it, your insomniac problems may be due to some other factors that may be holding you back from getting the sleep you need. I would suggest discussing it with your doctor and possibly trying a different medication or adopting some other approaches to get your sleep back to normal.
Answered on 4th Dec '24
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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
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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
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