請按  進入你的留言區
|
|
81
|
February 25, 2009 - 11:40 AM
陳國棟醫生 精神科
|
|
| |
HI Harriet,
Sorry for my late reply.
The medication you have mentioned belong to an old generation, known as "Tricyclic Antidepressant". It can be relatively safe in low dose even in pregnancy. 10mg is a low dose. It is relatively safe also because of its long history of being used.
Taking sleeping medicine is not the only way to solve a sleep problem. It is adviseable to know the cause of the insomnia. Exercises, sleep hygiene, self-hypnosis can all be considered.
|
|
|
|
82
|
February 24, 2009 - 02:29 PM
May Wang
|
 |
| |
I am suffering from Schizophrenia. The first time I was diagnosed as a patient was two years ago. I also took medicice for about two years. My doctor said I could not stop taking the medicine because my brother also has the Schizophrenia. Do I need to take medicine for whole life?
|
|
|
|
83
|
February 17, 2009 - 07:55 PM
Harriet
|
 |
| |
Dear Dr. Chan,
I have been suffering insomnia for over 10 years which might be caused by depression. I got "Zolpidem Tartrate 10mg" from the Kowloon Hospital and take 1/2 or 1/4 tablet on a daily basis.
I got married in the past year and planned to have a baby. I worried about the adverse effect of the medicine and asked the doctor to give me other drug without/ with less adverse effect. He gave me "Imipramine HCL 10 mg" and he said that this medicine is safe enough.
However, I checked out from website that this medicine belongs to FDA Category C (a risk disclaimer is stated that taking this drug may lead to some adverse effects.) Whereas, "Zolpidem" belongs to Category B.
Then, I consulted another psychiatric doctor and he gave me "Qualitriptine 10mg". He said there would be no problem to take it during pregnancy. However, I afterwards found from website that its ingredient - Amitriptyline- is also classified as Category C and the following risk warning is stated:
"Teratogenic effects have been observed in animal studies. Amitriptyline crosses the human placenta; CNS effects, limb deformities and developmental delay have been noted in case reports."
I feel extremely confused and don't know if those suggested drugs/advice are really reliable. I tried to stop taking medicine but ultimately failed. I really want a baby but don't know what I can do for a safe arrangement.
It would be greatly appreciated if you could give me your valuable advice at your earliest convenience.
Many thanks!
Best regards,
Harriet
|
|
|
|
84
|
February 01, 2009 - 10:22 AM
陳國棟醫生 精神科
|
|
| |
hi Joe,
Thank you for asking!
The details of treatment plan can only be decided after a thorough clinical assessment.
You are welcome to call at 28820223 for further information.
|
|
|
|
85
|
January 31, 2009 - 12:25 PM
BB
|
|
| |
陳醫生:
謝謝您 的回覆 和鼓勵! 祝您和家人 身體健康!
BB
|
|
|
|
86
|
January 30, 2009 - 03:25 AM
Ya Chun
|
|
| |
陳醫生:
感謝你的關心 和體諒,
當我看到 你的回覆時,
心裡 很是感激,
不禁 哭了...
在支持 姐姐這些年來,
看見她 對抗疾病的勇氣,
但 病情去而復返,
真把人折騰,
多少時候, 感覺實在無助。
但十分感謝 你的鼓勵,
我們會努力,
仍相信 雨會過,
天總會放晴!
願你的使命
帶給更多人 新的盼望!
謝謝!
|
|
|
|
87
|
January 29, 2009 - 09:16 PM
陳國棟醫生 精神科
|
|
| |
BB 你好,
多謝垂詢!
請不必 太過擔憂, 醫治情緒病 可能是 一條漫長的 道路, 當中起伏難免, 你說提及的 害怕與 工作能力 的衰退, 可能與 長期用藥 有關, 也可能是 長年疾病 使人失去信心, 這需要認真 檢視病情 並且針對性的 計劃一個 康復過程。
其實, 你已經做了 很多自助的 手段, 而且做得很好, 但康復 同時也很 需要耐心, 俗話說, 病來如山倒, 並去如抽絲, 所以請繼續 把自己的生活 平衡好, 多與積極 友善的親友 相處, 你必然會得到 更佳痊癒。
|
|
|
|
88
|
January 29, 2009 - 09:02 PM
陳國棟醫生 精神科
|
|
| |
YA CHUN 你好,
多謝垂詢!
雖然 身在日本, 一看到你 的來信, 就立即回信, 以防延誤。
抑鬱症 第四次發作, 確實容易 使患者產生 對抗情緒, 感到無論如何 都醫治不好 的情緒, 繼而自暴 自棄起來。
最差的情況, 可能是進入 一種不吃不喝 毫無動力 的情況, 更可能有 自殺的風險。
所以, 請盡力說服 她繼續治療, 讓她知道 病情反覆 並非她的錯, 如果以藥物 配合心理 或情理治療, 終會顯著 改善她的情況。
也祝你與家人 新的一年 事事吉利!
|
|
|
|
89
|
January 24, 2009 - 01:12 AM
JOE
|
|
| |
1) would like to know if i need any operation, do you have any free meeting at the beginning to find out what problem of the cilents hv, what kind of operation should take, or they are really have to take the course ?
2) please give me fee information
|
|
|
|
90
|
January 24, 2009 - 01:10 AM
BB
|
|
| |
陳醫生:
我患了焦慮症 和抑鬱病 已差不多十年啦, 之前我吃 Efexor 150mg。在2007年我開始8月 減藥至2007年10月 尾完全停藥, 但失敗。 後來吃回 Efexor 75mg, 見社工 和臨床心理學家, 有恆心做 運動和 鬆弛練習, 其後在2008年5月至11月 吃Efexor 37.5mg 及慢慢停藥, (在2次減藥 或完全停藥 後我返工前 變得好驚, 發現自己 之前做的工作 很多出錯, 對自己做過的task 好似唔識得做, 時時要同事confirm 我做的事correct or not,我覺得很辛苦 和擔心自己會傻, 最後2次都辭職。
現在每月我只吃回 15粒Efexor 37.5mg, 但腦很混亂, 害怕見人。
請問我可以 「點」幫到自己?
|
|
|
| [Top] Page # ... 5 6 7 8 9 10 11 12 13 14 ... of 32 [Bottom] |
|
歡迎來到陳國棟精神科醫生的留言信箱 