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Dr. Julia Irwin

Psychiatry
Norman, OK
27 years experience female

Locations

Julia Irwin MD, PC

Norman, OK

Address

820 Wall Street, Norman, OK
Directions

My office hours

Wednesday: 8:00am - 4:00pm
Show more

Fax

405928-2046

About

Bio

I enjoy outdoors, family, and creativity in all forms. Try to always remain positive in the face of adversity. Help others when I can. Be available to those in need.

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

Doctor Q&A

60 Answers
1 Agree
The number of answers this doctor has agreed with.
A 36-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
First: First glue then metal open wide and change the wire soon you'll have straight teeth.
A 58-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
dose equivalents: Xanax (alprazolam) 0.25mg is approximately equal to 0.5 mg of klonopin.
A 41-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
maybe: Mecononium aspiration at birth can cause a condition called an 'anoxic brain injury'. This is when not enough oxygen feeds the brain. As a result o... Read More
A 35-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Zoloft/alcohol: Dr's cannot condone the use of alcohol with medications.........Now having said that. .... I have many pts that drink in moderation. I would not e... Read More
A 38-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
not usually: Ambien (zolpidem) is a sedative/hypnotic commonly used for tx of insomnia. I am not aware of any affect on platelets caused by ambien.
A 30-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
yes: Xanax (alprazolam) is in the class of drugs called benzodiazepines. Effexor (venlafaxine) is a commonly used antidepressant. Both are prescribed tog... Read More
A 34-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
common side effects: Most commonly reported side effects are headache (24%), nausea (18%), ejaculation disorder (9-14%), somnolence (13%), insomnia (12%). Other side eff... Read More
A 48-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Anticonvulsant : Neurontin ( gabapentin) is in the class of anticonvulsants. I am not aware that it will cause a + drug screen. It does bind to the GABA receptor w... Read More
A 21-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Talk with your dr: Bunny, rapid wt gain with psychiatric medications warrants attention by your dr. This type of wt gain can cause other metabolic problems that can be ... Read More
A 36-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Caution together: Lorazepam is a benzodiazepine which has many uses. Caution should be exercised when used with nyquil or any liquid that contains alcohol because both... Read More
A 42-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
not recommended: Alcohol use while taking benzodiazepines is usually not recommended. Alcohol potentiates the dose of xanax (alprazolam).
A 41-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
suboxone in urine: Suboxone has a peak plasma concentration time of about 1.53-1.72 hrs. It is metabolized and is eliminated from the body 30% urine and 69% feces. The... Read More
A 21-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Ck pg test: If you are regular every 28-30 days and are late...Always take a pregnancy test if you are sexually active. If not sexually active no worries. It i... Read More
A 25-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
ck with your dr: Fluoxetine will increase the level or effect of Propranolol by affecting hepatic enzyme metabolism. Possible serious or life-threatening interactions... Read More
A 33-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Usually Okay: Ambien (zolpidem) can be taken with most over the counter cold remedies. Caution should be exercised with products that cause drowsiness which may be... Read More
A 30-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Possibly: Although burping is not the first symptoms most people think of with pms it can occur. However there are a host of other conditions that can cause bu... Read More
A 37-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Usually ok: If one does not suffer from liver or significant renal disease...It is usually ok to take both in recommended doses.
A 36-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Can be...: Depakote is in the class of anticonvulsants medications however in psychiatry it is also considered a mood stabilizer. Uses include the treatment ma... Read More
A 32-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Just a few factors: Factors that interfere with test results include: apple juice, blood in urine, technical error, adulteration of specimen, lower cut off levels of scr... Read More
A 22-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
not usually: Drug screens usually measure certain concentrations of a drug found in the system. Smelling mj or kissing someone who has smoked would not yield enou... Read More
A 27-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Need more hx: Need more pt information. Wt, drug abuse, pre-existing medical conditions etc.
A 25-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Okay to be hesitant: Entering into a therapeutic relationship takes time. The initial process is called 'joining' for a reason. You are getting comfortable in a new sett... Read More
A 36-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
mindful,: Mindful, bliss, spirit eyes closed, mind open, breath flows ohm, namaste, peace.
A 32-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
absolutely: Many large universities often seek out pts to participate in various projects. Some are for pay others for research value only. Contact your local u... Read More
A 36-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
peaks fast: Peak plasma time is 1.53-1.72 hours. When introducing Suboxone it is done over several days. Day 1: dosed up to 8mg day 2: based on withdrawal sym... Read More
A 39-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Tolerating?: Everyone has a different tolerance to medications. Both of the above can be very sedating. For those with a high tolerance sedation is not an issue.... Read More
A 43-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Change time of dose: When one eats it stimulates the serotonin in our gut which makes one want to take a nap. I do know the times or doses of the Klonopin (clonazepam) ... Read More
A 42-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Plantar fasciitis: This condition is a painful inflammatory process of the plantar fascia which is located on the sole of the foot. It is commonly associated with long ... Read More
A 27-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Sometimes: Many of my add, adhd patients often react to stimulants with sedation or a calming effect.
A 36-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
clip,: Clip, file, wash and clean polish, stencil, beautiful dry, smiling, good day.
A 33-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Not long: Adderall (dextroamphetamine and racemic amphetamine) is will usually show up on a drug screen for 24-48hrs.
A 53-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
monitor closely: Unfortunately, all the medications in this class are called antipsychotics and have a warning for use in patients with dementia. There have been repo... Read More
A 27-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
enzymes: Eating a meal and drinking milk can cause an increase in circulating serotonin and tryptophan. These chemicals can make one want to take a nap. The i... Read More
A 19-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Great Question: There are three major Dopamine pathways in the brain that help regulate emotions, blood pressure, movements, etc. When overactive can cause psychotic ... Read More
A 23-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Get medical workup: I have never seen testosterone reported in the units you gave. It is usually in ng/dl or nmol/l. Nonetheless when a young man loses morning erect... Read More
A 52-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Medical work up : Dementia is not the first disorder i consider in a 52 year old with confusion and dizziness. I would recommend a complete medical work up. Many thi... Read More
A 18-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
not recommended: It is not recommended to suddenly stop medications for several reasons. First there are withdrawal symptoms associated with each of the listed meds. ... Read More
A 42-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Leg spasms: Valium 2-10mg by mouth every 6 to 12 hrs as needed is what is recommended for leg spasms.
A 39-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
less than a week: Most symptoms of discontinuing Lexapro (escitalopram) resolve within a week. The half life of the drug is about 32 hrs. Other symptoms after stoppin... Read More
A 31-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
continue med: Celexa (citalopram) is a antidepressant in the class of ssri's. It is important to be compliant with medications and take them as ordered. Missing d... Read More
A 35-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
slightly different: Both meds are in the class of benzodiazepines. Klonopin has a longer 1/2 life than xanax (alprazolam). One dose of 0.5mg of Klonopin is roughly eq... Read More
A 48-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Perhaps: Medications work by route of dosing, absorption, metabolism, distribution and elimination from the body. Antacids can can interfere with the absorp... Read More
A 34-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Mental disorder plus: Psychosis basically is referring to a host of symptoms that are seen in many psychiatric disorders. Delusions, hallucinations, disorganized speech, d... Read More
A 29-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Find support: Throughout our lives it is normal to want to please our parents. Therefore we do not want to disclose anything that might lead to a rejecting respons... Read More
A 20-year-old male asked:
Dr. Julia Irwin
Psychiatry 27 years experience
other options: Both meds are serotonin norepinephrine reuptake inhibitors therefore will have similar side effect profiles. There are other medications available fo... Read More
A 22-year-old female asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Get in with Dr.: Your symptoms are called neurovegetative signs and symptoms. Sadness, loss of appetite, fatigue, depressed moods, guilt, changes in sleep patterns, l... Read More
A 31-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
Both antidepressants: Both are antidepressants that work on different neurotransmitters associated with the development of depression; serotonin, Dopamine and norepinephr... Read More
A 45-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
cocaine + for days: Most drug screens will detect Cocaine for 2-4 days following use. With high doses used, it can be detected for as long as 22 days.
A 42-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
yes: There are no drug-to-drug interactions that contraindicate the two be taken together.
A 49-year-old member asked:
Dr. Julia Irwin
Psychiatry 27 years experience
time MJ in system: The length of time marijuana stays in the body is dependent on many factors. Distribution, metabolism, and elimination. These in turn are affected b... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
78
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Irwin is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Irwin is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Ty. also forgot to write diarea. many things go against allergi. feel much better without milk. ty
HealthTap member
Thanks for your quick reply! Thanks but I'm not looking to add more meds in my menu.
HealthTap member
Greatly appreciate for your ans n tat very sweet of u. Sincere thks.

Education & Training

Medical/Graduate school

University of Oklahoma College of Medicine, OK
Graduated 1995MD

Residency

GRIFFIN HOSPITAL
Completed 1999

Awards

HealthTap Founding Doctor

Affiliations

American Psychiatric Association, American Medical Association, Norman Physician hospital Organization, Cleveland/McClain county medical association, Oklahoma Psychiatric Association,
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