Doctor Q&A for Dr. Pacita David

A 18-year-old female asked:
Dr. Pacita David
Psychiatry 32 years experience
May be risky: Taking Fluoxetine, a serotonin reuptake inhibitor, along with a triptan, a serotonin receptor agonist, increases the risk of serotonin syndrome.The sy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Discuss with doctor: Decreased libido is one of the potential sexual side effects from Lexapro and medications of the same class. Sometimes this can improve if the dose is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Stressed out: Certainly chronic stress can lead to hypertension. Lifestyle changes such as healthy food choices, exercising regularly, and getting enough sleep can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Discuss with doctor: When did you start on Lexapro (escitalopram)? Was it just recently? What time do you take it? For some, Lexapro (escitalopram) is better tolerated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Good question: As a class, antidepressants/antianxiety medications such as Effexor (venlafaxine) XR, can potentially cause worsening depression and/or anxiety in sus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Discuss with doctor: You say you are on Escitalopram at bedtime for about a year. Have you found it to be generally effective in addressing anxiety symptoms? If you are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old female asked:
Dr. Pacita David
Psychiatry 32 years experience
Safety not known: Biotin is a water soluble B vitamin, and maca is a relative of the radish . Each of them separately are not known to pose any established risk. The co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Pacita David
Psychiatry 32 years experience
Inform your doctor: Tramadol affects opiate receptors and inhibits reuptake of serotonin and norepinephrine. It is classified as a pain medication used to treat moderate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Pacita David
Psychiatry 32 years experience
May be risky: Addrena is marketed as the OTC equivalent to Adderall (dextroamphetamine and racemic amphetamine). It is promoted as a "natural energy supplement fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Pacita David
Psychiatry 32 years experience
Please seek help: I understand your concern about damage to various organs secondary to overdose, but the pressing issue is that you are repeatedly overdosing. It appea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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