Recently Answered Questions
All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.
I suffer from depression despite of having medications. Is this normal?
Query: Hello doctor,I have depression. I have had this for some six to seven years. I am currently taking Mirtazapine, but it is not helping. I create scenarios where I am a different person living a life the complete opposite of mine. I have a whole array of family and friends in these scenarios and I rev... Read Full »
Answer: Hello, Welcome to icliniq.com. How long have you been taking Mirtazapine 15 mg? It usually takes about four weeks to see any benefits. If there are no side effects, your doctor can consider increasing the dose further to 30 mg once daily. You need to be closely monitored by your doctor while t... Read Full »
I am diagnosed with TB and get depressed. Please help.
Query: Hello doctor, I am a 22-year-old female. I weigh about 52 kg. So from the last one year, right after my graduation, I am at home as I was diagnosed with TB. So being at home I feel depressed. My mood changes every minute. My behavior from the last six months is irritating and arrogant. The people a... Read Full »
Answer: Hello, Welcome to icliniq.com. Your description and symptoms are typical of major depressive disorder. This happens very commonly, one in four women can have this at any point in their life. Due to any prolonged stresses, sometimes the stress handling capacity of the brain gets reduced due to the ... Read Full »
SSRI is not helping with my bipolar disorder and panic attacks. Why?
Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl... Read Full »
Answer: Hello, Welcome to icliniq.com. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin... Read Full »
Why do I have anxiety symptoms even after taking medications?
Query: Hi doctor, I am on Effexor XR 150 mg daily morning (for chronic anxiety and GAD), and Crestor 10 mg daily (for controlling the lipid profile), and recently the doctor has added Cozaar 50 mg daily (because of high blood pressure). I used mostly all types of SSRIs, but I found Efexor is the best for a... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your case, and I found you are concerned about your treatment regimen and comorbid conditions. I found still you are taking Effexor 150 for GAD, and you continue to feel anxiety symptoms as well as sexual dysfunction and sleep disturbance. In my opinion, after re... Read Full »
I am experiencing sexual problems. Please help.
Query: Hi doctor, I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health. Read Full »
Answer: Hi, Welcome to icliniq.com. There are many reasons for this condition, so you need to be evaluated and physical examination is required. For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half a... Read Full »
Can Loratadine help to resolve delayed ejaculation caused due to SSRI?
Query: Hi doctor, I am a 28-year-old male. I read an article in which Loratadine has been used to treat delayed ejaculation caused by SSRI. I have delayed ejaculation caused due to Escitalopram 20 mg (taken for Obsessive-compulsive disorder). I would like to know the mechanism of action of Loratadine in im... Read Full »
Answer: Hi, Welcome to icliniq.com. You can continue taking SSRI (selective serotonin reuptake inhibitor) as prescribed by your doctor. I understand your situation that it is not pleasant to have delayed or no ejaculation due to SSRI. But on the other hand, imagine all the paralyzed men or those men who d... Read Full »
I have intrusive thoughts after porn withdrawal. Why?
Query: Hello doctor, I have intrusive thoughts, blasphemous thoughts that keeps returning to my head. In the past I had porn addiction, and the day I forced myself to stop, I began having those thoughts. I already had OCD symptoms when younger but more subtle. I suspect I have some low serotonine so I am ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query with interest. As you had OCD in childhood and anxiety disorder and taking St John's wort, Omega 3 , Magnesium and Vitamins (attachment removed to protect patient identity). You need to start SSRI group of drug (Fluvoxamine or Fluoxetine or ... Read Full »
My uncle has schizophrenia. Will I get the same genetically?
Query: Hello doctor, These past few days I have been bad as I have focused back on my schizophrenia obsession. It mainly focuses on times I have been paranoid, or times I have visualized things as something else. Examples: when slacking off at work thinking, what if there are cameras in the office or inte... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for such a detailed history. It makes things very clear. I will sum up the main clinching reason why you do not have schizophrenia. You have insight. Means you know what is wrong with you and you can attribute a reasonable logical cause to this and know wh... Read Full »
What is the treatment for my short penis and nightfall?
Query: Hello, I am a 25 year old person. I have a short penis. It is only 2-2.5 inches long in flaccid state, but the length and diameter is 4 inches in erect state. I want to increase the size of my penis. Apart from this, I also have nightfall problem which lasts for less than 2 minutes. It will occur ... Read Full »
Answer: Hello, Welcome to icliniq.com. First of all I would like to do psycho education for you, regarding some psycho sexual issues. Size of penis varies between races, individuals to individuals and it will also depend upon genetics. Normal length of vagina in an average female is about 3-4... Read Full »
My mother has trigeminal neuralgia. Please help.
Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no relief is o... Read Full »