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Dr. Zinia Thomas

Psychiatry
St. Louis, MO
23 years experience female

Locations

Zinia Thomas, M.D.

St. Louis, MO

Address

12 Hgieltun , St. Louis, MO, United States
Directions

My office hours

Wednesday: Closed
Show more

Fax

8557707744

About

Specialties
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 Thomas
Psychiatry 23 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
A 19-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 29-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 27-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 37-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 31-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A female asked:
Dr. Zinia Thomas
Psychiatry 23 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.
A 28-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 27-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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.
A 26-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 32-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 29-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 years experience
Yes: adderall XR usually lasts for about 8-10 hrs, so having a drink 12 hrs later won't interfere much
A 36-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 56-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 26-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 26-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 26-year-old female asked:
Dr. Zinia Thomas
Psychiatry 23 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
A male asked:
Dr. Zinia Thomas
Psychiatry 23 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
A 32-year-old male asked:
Dr. Zinia Thomas
Psychiatry 23 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

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Testimonials
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

HealthTap Doctor Mom
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less