Locations
Zinia Thomas, M.D.
St. Louis, MO
About
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Psychiatry
Licenses
United States: Missouri
Languages spoken
English
Doctor Q&A
23 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 34-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Age?: Depending on the age and what conditions your mom has, I could give a better answer, however, that dosing and combo seems excessive. These are both co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
893 viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Try psychiatry: loss of libido without a mechanical/structural issue, might not be fully addressed by a urologist. Psychiatrist are better equipped to deal with psyc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
882 viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes: it is scary when it is your child, but give fluids, monitor and watch his steadiness on his feet. those doses seem small enough, that it will just ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
888 viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Not safe: Her drug use is not safe for the baby. Does she want to keep the baby? While pregnant everything she uses will affect baby. With 3 wks till delivery,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Stress Mgmt/ SRRI: Overall stress mgmt will help. There are some "therapeutic" techniques as well- start and stop-
Some people have also had luck with SSRIs like Zoloft... Read More
Created for people with ongoing healthcare needs but benefits everyone.
893 viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes : Lamictal is generally used for the depressed phase of bipolar disorder, however once on it it works for all stages, including hypomania
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Diuretic and SSRI: those complaints don't sound related, so i would suggest a work up of both symptoms and treatment of them separately. Diuretics are for high BP but a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
888 viewsReviewed >2 years ago
A female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Wean off: Not sure what's in zzquil but generally they have alcohol and while 1or 2 doses May help, chronic ingestion may be contributing to migraines, insomnia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Possibly SSRI's: the SSRI's (prozac , zoloft, paxil, etc) are known to have sexual side effects of delayed ejaculation and sometimes decreased libido. Using a medicat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
882 viewsReviewed >2 years ago
A female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Ok: You didn't give a dose of citalopram, but if it was 1 tab (even at highest dose, 20mg) is fine with the dose of amitriptyline. Of course, you might re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
893 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Serotonin vs dopamin: Paxil, a serotonin med, will have more GI side effects- nausea, cramping, Bowel changes, since it has a short half life, if not taken regularly some p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes: adderall XR usually lasts for about 8-10 hrs, so having a drink 12 hrs later won't interfere much
Created for people with ongoing healthcare needs but benefits everyone.
810 viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Should be avoided: Ativan and alcohol are synergistic meaning they will double their effect and cause unwanted side effects and behavior. I'd avoid the combination to ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
839 viewsAnswered >2 years ago
A female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Possible, get help: borderline personality disorder can encompass the symptoms you mention. self injury is a problem and needs to be addressed, regardless of the label o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
882 viewsReviewed >2 years ago
A male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Relative no-no: both meds together are a relative contraindication, since they both will decrease your respiration rate and may cause breathing concerns.
additionally... Read More
Created for people with ongoing healthcare needs but benefits everyone.
882 viewsAnswered >2 years ago
A 56-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes: Those doses are low so generally safe however everybody reacts differently. I would expect sedation therefore it's important to be in a place where yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Itchy/ hives: An allergy implies an immune reaction with itchiness and hives. I haven't seen an alprazolam allergy however a sensitivity may be possible which impli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Taper & add minerals: Avoiding withdrawal generally occurs by tapering a dose down gradually while starting a lower dose of the Invega. If you want to share your dose , I c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
893 viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
No: Neuro sleep is a good blend of melatonin and other brain nutrients that are safe and natural. I'm glad you're using something like that to help your s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes: those medications, benzodiazepines, are like cousins of each other, they can be used as substitutes in a pinch. However they can also be synergistic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
888 viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Sch. An evaluation: The HealthTap evaluations can be done in the comfort of your home. Please schedule an appointment and I'd be happy to listen, evaluate, and treat you.
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsReviewed >2 years ago
A female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Raw, not raised: frictional burn looks worn off from constant rubbing. Not sure if it should be raised, unless there is swelling now.
Created for people with ongoing healthcare needs but benefits everyone.
818 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Zinia Thomasanswered
Psychiatry 24 years experience
Yes and no: Wellbutrin is good for smoking cessation. If the anxiety is from nicotine withdrawal it should help. If the anxiety is a separate component Wellbutrin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
13
Thank you notes
HealthTap member
Nov 26, 2015
This Thanksgiving, I wanted to share my appreciation for all that you do! Thank you, doctor! :)
HealthTap member
Mar 31, 2015
Dr. Thomas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks so much! I'm trying to wean from clonazepam :)
HealthTap member
Your answer was very helpful! Thanks :)
HealthTap member
Your answer was very helpful, thanks!
Education & Training
Medical/Graduate school
American University of the Caribbean, St. Maarten
Graduated 1999MD
Residency
UMDNJ UNIVERSITY HOSPITAL
Completed 2003
Awards
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