Alcoholism and Drug Addiction

Health Q&A
Do antipsychotics work region specific?

31. Male. 5'5".77 kg. Taking invega sustenna 150 mg monthly depot since June 2024 and taloprex since last week. My doctor says invega works region specific and won't affect dopamine activity in regions like prefrontal cortex. But AI says it blocks dopamine throughout the brain. Who is correct?

Anxiety problem

Iam suffering from this anxiety since last 5 years first racing heart beat it started then one year full ah nothing happened then again racing heart beat with chest pain and left arm pain it went and throughout day on and off it came my hand pain last two days like this I think foe the past five years so many times it came I thought my heart is damaged so two days back I took blood test sugar bp hol3strol is normal and also I took ecg one month ago which is also normal and also I tooklipoprotein test whi h is less than 30 which is also normal but last two daysah I was getting panicked for small reasons like my mother called out door opening sound ets iam not able to sleep and also iam suffering from ulcer I took tablets for that and also doc gave capinol 20 la for anxiety I took foe two days and then I saw the side effects and I got scared and I couldn't sleep I stopped eating I took two days and stopped side effect it will trigger heart attack like that I saw in website I scared

Hyperspeamia

I took finasteride 1 mg started stopped and the started and then finally stopped(took it for 10 days) and had a prolonged arousal which erectile Dysfunction and hyperspeamia (high semen volume). Erectile Dysfunction is gone but hyperspeamia is  still there it has been 14 days .When will my hyperspeamia go away and why this happened?

Clarification

Hello Doctor, I would like your guidance. Today was my first day at a new company. About two hours before reaching the company, I took 20 mg of Inderal by splitting a 40 mg tablet. I have social anxiety and performance anxiety. Usually, when I have to talk to female colleagues or seniors, my heart beats very fast and I struggle to speak. Today, I still felt a little nervous when I met a female colleague, but my heart did not race, and I was able to speak calmly instead of talking very fast. I also felt much less afraid while talking to my seniors. This made me feel much more confident. Based on this experience, I realized that if my anxiety is controlled, I can perform much better. Does this mean Inderal is helping with my performance anxiety? Is it safe or appropriate to use Inderal 20 mg before important work situations, or should it only be taken under a doctor's specific instructions? I cannot afford a paid consultation at the moment, so I would be very grateful for your guidance.

OCD problem

I have severe OCD. i was taking uvox cr 200 mg, risdone ls at night and clonotril 0.5 mg at night but to no effect. So my doctor changed the medicines and gave me serta 100 mg twice a day, clonil sr 75 mg, risdone ls twice a day and rexipra forte 20 mg at night. What i have seen is that except risdone ls all 3 contain serotonin. Will my body be able to process this much serotonin? Should i take this medicines or change it? Pls help me

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Doctors
Mr. Robert Alan Bornstein - Psychologist
Mr. Robert Alan Bornstein Psychologist (Graduate, Ph.D.) 53 years experience Ohio State Harding Hospital
Fifth by Northwest, COLUMBUS
Ms. Janice K Kiecolt-Glaser - Psychologist
Ms. Janice K Kiecolt-Glaser Psychologist (Phd, PhD in Psychology) 50 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Canal Winchester, COLUMBUS
Mr. Michael A Forman - Psychotherapist
Mr. Michael A Forman Psychotherapist (Medical School, Professional School) 49 years experience Ohio State Richard M. Ross Heart Hospital
Weinland Park, COLUMBUS
Dr. Eileen P. Ryan - Psychiatrist
Dr. Eileen P. Ryan Psychiatrist (Medical School, Residency, Chief Residency in Psychiatry, Medical degree, DO, Internship, Residency - ID, Fellowship in Psychiatry) 42 years experience The Ohio State University Harding Hospital Department Of Psychiatry
Columbus 43210, COLUMBUS