I have been taking lyrica since 2 mths ago from dosage 50-150mg. Recently been prescribed with the following medications; since I have dizziness , nusea and panic feeling during the first 10 days of adding SSRI so doctor has been adjusted gradually due to side effect/ mutually the root cause of panic disorder. Morning 1/4 of Zoloft 5mg Zanax 0.125mg 3 times per day Night lyrica 150mg
Is this the right combination & dosage? As after 14 days Doctor suggests to adjust Zoloft to1/2 of 5mg.
Your prompt reply will be much appreciated.
Ps I have no family record or panic/ anxiety history, except for unspecified dizziness over a year which bothers me so start consulation with Psychiatrict.
何美怡
醫生回覆
Dear Karen,
Thank you for your email. It is difficult to advise on the dosages of different medications for a patient without a proper psychiatric assessment of the patient. It is only possible to confirm that Lyrica and Zoloft are both drugs that are prescribed for treatment of Panic Disorder. It is my advice that you should return to your treating psychiatrist early if you are suffering from significant side effects with your medications or you have questions regarding your prescribed medications.
Hope you will get well soon!
會員#27419 陳小姐
有關腦磁力刺激治療(TMS)
病患者女 - 29歲
我有躁鬱症適吾適合做腦磁力刺激治療(TMS)？TMS做完會忘記好多野嗎？會否有危險性？
何美怡
醫生回覆
你好，謝謝你的查詢。
腦磁力刺激治療(TMS)是沒有危險性的，這儀器是經過臨床驗證並獲得美國食物及藥物監管局核證的。
另外，這治療是不會引致失憶的。
祝 身體健康
何美怡醫生
會員#25776 Sam
A question about refractory OCD, GAD and MDD
I have MDD, GAD, OCD and ASD. I have tried Zoloft, Lexapro, Prozac, Paxil, clomipramine, Remeron, Cymbalta, Pristiq, Seroquel, Abilify, Zyprexa, Risperdal, lithium, Depakine, Klonopin, Ativan, Xanax, Lexotan, Inderal and Lyrica. Please see my current prescription below:
After trying so many medications, my OCD, anxiety and depression still make me dysfunctional. I can't resume my university studies or leave my home alone. I see my psychiatrist, clinical psychologist, counselor and social worker regularly. My psychiatrist said she would not recommend ECT. I tried rTMS and dTMS but they don't work. Esketamine and MAOIs are not available. What can be done to bring my OCD, anxiety and depression under control?
何美怡
醫生回覆
Dear Sam,
Thank you for your questions. Sorry to hear that you have been suffering from a range of different mental health issues for a period of time and the symptoms have not been well-controlled. Unfortunately I am unable to answer your questions without doing an assessment in view of your long and complicated history. I would recommend that you need to speak with your psychiatrist again regarding your concerns.
何美怡醫生(女)