Doctor insights on:
What To Expect The First Week On Prozac
Depends on dose: and what you are being treated for. The approved indication for Clonazepam is for treatment of seizures, and then I would expect a reduction in your number and severity of seizures. If treatment for anxiety, that should gradually lessen. You may feel tired or sleepy, and may experience reduced concentration and focus. You should not drive until you see how it effects you, and exercise caution. ...Read more
Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more
Minor discomfort: The first day you will endure about an hour of sitting with mouth open and having braces placed; this is a minor annoyance unless it is painful to open so long (i give breaks to people who need them). The first night the teeth will start to be sore, it worsens till about 72 hour mark and then starts to resolve quickly. It is worth the discomfort! ...Read moreSee 1 more doctor answer
Discuss w/ provider: I applaud your interest - this matters! You'll need to be closely monitored to make sure your levels do not exceed a safe one. This can happen easily if you become a bit dehydrated. Press for info from Dr. and pharmacist. Drink adequate water for as long as you take this. Insist on freq blood level checks. Good for you! Take care. ...Read more
Evaluation: A comprehensive psyche evaluation usually includes vital signs, interview & any necessary labs. The psychiatrist may palpate the thyroid gland or do a neurological examination. Some psychiatric evaluations will not include a physical examination. The interview will touch on what brought you in, past psychiatric hx, family hx, social hx to include substance use, as well as screening questions. ...Read moreSee 1 more doctor answer
Psychiatrist?: If you mean a visit to a psychiatrist, the first visit involves sharing your history and the specific concerns you have. S/he will need to know about other medical illnesses you've had, other medications you've been on, personal history, use of substances, family history, etc. There may be tests of thinking. All this is to understand what's causing you distress, in order to treat the problem. ...Read more
Is it possible to have withdrawals when switching antidepressants when your doctor didn't taper the first one and just had you start the new one?
Here are some ...: Surely, you will be professionally and courteously cared with detailed history-taking so to define why you go to see and what may cause your problems in genitourinary tract + physical exams including skillful DRE (digital rectal exam) to palpate your prostate and to inspect & palpate your penis, scrotum, and its contents + tests such as UA, residual urine or ... ; then discuss what is found & plan ...Read more
Maybe: The use of hormones can temporarily "pause" your cycle, but there needs to be a good medical reason to do so. ...Read more
Hard to tell: For the most part you may have minor unpleasant effect for the first couple of days like jitteriness , stomach upset , change in sleep either increase or decrease . These symptoms usually go away with in couple of days and you can expect improvement of your symptoms in weeks . It is highly recommended that you start with the smallest dose and gradually titrate it up ...Read more
See below: The latest tests, become positive at about the time you'd expect your next period. If negative, repeat in 1 week. ...Read more
No: If the bleeding is really your period you cannot ovulate that day. Normally 2 weeks later or so but that can vary. ...Read more
Related to a question I asked earlier about when to take zoloft (sertraline). Do the side effects go away after the body gets used to the dosage and time change.
What symptoms?: I usually tell patients to start 25 mgs with food at dinner. This accomplishes several things. It usually diminishes the effect of sedation, nausea and fatigue that can often occur when you start an ssri. Increase the dose every 5 to 7 days by 25 mgs. Until i see a therapeutic effect. At 100 mgs. I wait another two to four weeks so that treatment "catches up" to onside effects. Talk to yourdoc! ...Read moreSee 1 more doctor answer
Varied: There are a variety of treatment options for depression including a variety of medicines, psychotherapies, ECT, VNS, DBS, TMS, and alternative medicines. Try looking at the APA treatment guideliness for depression - available in the public domain. A capable psychiatrist can also help guide you. Best wishes ...Read moreSee 2 more doctor answers
Why did you decide to be a doctor? How is it different to what you first expected? Whast the best and worst part of the job for you?
My father: Was a physical therapist. Was looking to do that. He said to go for the doctorate. Could still do rehab medicine. I really enjoyed hospital medicine. So focused on internal med. I just like to work. Between the insurance companies and legal crap it really takes away from doctors just being doctors. This is by far for me the worst part of the job. Still I enjoy what I do ...Read more
"Milestones": Developmental Milestones are "normal" expectations one should expect to see as we age. The human body and it's progressive development from Infancy to adulthood is remarkable. The following link is very informative and will give the Milestones you should expect to see starting form birth to age 3... https://www.cdc.gov/parents/infants/milestones.html ...Read more
Excellent move: A good therapist is a competent friend who will put you at ease as you look at things about your life and thinking that are uncomfortable. You'll get the courage and insight to learn new behaviors and attitudes. Avoid therapists who urge you to place blame or be angry; embrace those who will help you understand your past while you move to a brighter future. Work hard, be brave! ...Read moreSee 1 more doctor answer
Hi...I took the depro shot the last week in may for the first time...when should I expect my period to start?
I am on 50mg of amitriptyline for migraines. I talked to the neurologist about going off of them. What is the best way to taper off by 10mg at a time?
Side effects?: Has your neurologist considered recommending nortriptyline which generally has less intense side effects than amitriptyline (if side effects are hampering you?). I tend to wean my patients off by about 10 mg. every 3-5 days from 50mg. to ZERO. Wanna chat about this a bit more? www.healthtap.com/drsaghafi ...Read moreSee 1 more doctor answer
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