Mental Health

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Metoprolol and Paroxetine interaction

I have been prescribed Prolomet XL 25 (metoprolol) and Pexep-CR 12.5 (paroxetine). I read there is interaction between the two. Can i take them together?
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Post anti-depressant taper SYMPTOMS

I was on anti-depressants consistently since March 2023. (Fluoxetine for 2years, Sertraline for 8months, Paroxetine for 8 weeks, & Escitalopram for more than 8 weeks) I have recently tapered off Rexipra (Escitalopram). I was taking a 10mg dose. I switched to 5mg for 10-15 days & then 2.5 mg for 10 days. I am experiencing severe insomnia & moderate restlessness. After tapering, now I take Tranxiety (Etifoxine 50mg) to manage anxiety & it seems to be working without impairing the day-to-day function (which happened on Clonazepam & Alprazolam) DOES tapering off any anti-depressant cause - post discontinuation syndrome? HOW LONG DOES IT LAST?
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Panic attack

Can inhaler be used instead of medicines for panic attacks when I am unable to breathe . I do not have asthma's is have checked it
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Mother having mood disorders

She have the mood disorders sometimes feels good happy sometimes becomes agressive shouting. Always sleeping starts crying when someone says why she is doing like this. Skips meals and says she don't have a value in the house. Actually she has been diagnosed with Type 2 Myotonic Dystrophy
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Anxiety attacks and ibs

I have IBS can I take amitone 10mg for I can't sleep sudden nocturnal panic attacks .. also lower abdomen slight pain
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Schizophrenic family member

How do you deal with a possibly schizophrenic family member who refuses to go to the doctor? What are my options?
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Does Meditation really help?

Does Meditation really help in impulsivity or results are mixed.? I see my dr doesn’t believe in Meditation fully Meditation Benefits are proven or mixed or mostly spiritual?
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Anxiety and panic

Me jun2020 se desvenlafaxine pr hu, pehle 1month desvenlafaxine 50mg and etlaam pro 1time a day, then next month desvenlafaxine 50mg 2 times a day and etlaam pro 1time, next  desvenlafaxine 100 mg 2 times a day and ese krte 50 mg per day tak laya jun 2022 tak, (only  june 21 se jun22 tak paroxetine 25 mg per day along with desvenlafaxine), phir june 2022 se june 23 tak 50mg a day, june 23 - dec 23 tak 25mg a day and finally dec 23 se abhi 50mg day pr hu. Earlier mere symptoms the low confidence, irritability, mood swings, anxiety issue, social anxiety, panic on accepting new things. I have taken only online consultation . abhi bhi anxiety he muje pr kam he.
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My situation

Hi doc , I wanted to clearly explain my situation , when I'm at my 12 th standard I got into romantic relationship later the very next day my mom knew that and best me so badly later when I was in final yr of my graduation I had my first sex because of that I used MTP it was such a big mess , had panic attack I handled it all alone my partner betrayed me and later I gave on this . Finally started to move on now I'm in a situation that every time I think of that I feel like I will always land into a mess only . I'm trust anyone and i unable accept anyones love either , fear has overtaken my feelings . And now I'm in loop all the time . To be i honestly want to have a relaxing sex just like other but I don't have guts even i do i end up in anxiety, depression that I have done wrong i will be in trouble .
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Clonidine er or Atomoxetine?

I used to masturbate daily since around 2014 mainly to help myself fall asleep. It was never due to strong sexual urge or feeling horny, it just became part of my sleep routine before bed. Since 2020, after learning about sleep hygiene and using supplements like melatonin and magnesium glycinate, my sleep problem has improved a lot. I no longer feel I need masturbation for sleep, and I actually want to stop it completely. However, I still end up masturbating automatically before sleep around 6–8 times per month. I don’t even feel much sexual urge, but it feels impulsive or habitual, difficult to control, and sometimes I feel unable to think clearly in that moment. I have ADHD (mainly attention deficit + impulsivity type). Since methylphenidate cannot be taken before sleep, I wanted to ask: For this type of  bedtime habit, which medicine is usually considered more helpful — Atomoxetine or Clonidine ER? Would appreciate medical guidance.
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