Locations
Julia Irwin MD, PC
Norman, OK
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.
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
Doctor Q&A
60 Answers
1 Agree
The number of answers this doctor has agreed with.
A 29-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
can be days to month: Depending on the dose, distribution, elimination, and amount of fat one has will determine the length of time mj can be detected on a drug screen. Mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Varies: Cocaine can test + for 2-4 days or 10-22 days with excessive use.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Not likely: Most drug screens test for Cocaine and Codeine separately. The test is specific for the individual metabolites of each substance.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
yes: There are no drug-to-drug interactions that contraindicate the two be taken together.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Blood can interfere: Serum drug screens are okay but blood in the urine can affect the results on drug screen accuracy.
Ck with your local lab before giving a specimen wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
many reasons: There are a variety of factors that predispose one to depression ranging from genetics, internal and external factors. You are doing a lot by being a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
yes: Generally there are no major drug to drug interactions by taking both.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 40-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
usually okay: Both can be very sedating. Do not drive or operated dangerous machinery until you know how these meds affect you. Always use as prescribed.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Depends on type: There are various types of clinical anxiety disorders ranging from panic disorder, general anxiety disorder, depression with anxiety are just to name ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
many uses: Amitriptyline, also called Elavil (amitriptyline) is in the class of tricyclic antidepressants. It is indicated for the treatment of depression. Howe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Both antidepressants: Both are antidepressants that work on different neurotransmitters associated with the development of depression; serotonin, Dopamine and norepinephr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Not generally: Zoloft (sertraline) is in the class of antidepressants called ssri's. This class of medications generally have benign side effects including: headach... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Leg spasms: Valium 2-10mg by mouth every 6 to 12 hrs as needed is what is recommended for leg spasms.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 53-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Sometimes: Many of my add, adhd patients often react to stimulants with sedation or a calming effect.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Not long: Adderall (dextroamphetamine and racemic amphetamine) is will usually show up on a drug screen for 24-48hrs.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
clip,: Clip, file, wash and clean
polish, stencil, beautiful
dry, smiling, good day.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 52-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
mindful,: Mindful, bliss, spirit
eyes closed, mind open, breath flows
ohm, namaste, peace.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
First: First glue then metal
open wide and change the wire
soon you'll have straight teeth.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
Need more hx: Need more pt information. Wt, drug abuse, pre-existing medical conditions etc.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 58-year-old male asked:
Dr. Julia Irwinanswered
Psychiatry 28 years experience
dose equivalents: Xanax (alprazolam) 0.25mg is approximately equal to 0.5 mg of klonopin.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Julia Irwinanswered
Psychiatry 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.8k 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
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,
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