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I am in depression and a lot of exam stress as I am a medical pg aspirant and a doctor, I am using few medications, bupropion 300 mg, lamotrigine 200 mg, venlafaxine 37. 5 mg, aripiprazole 5 mg, pacitane 2 mg, rabeprazole and ondansetron, these r prescribed drugs by a psychiatrist but I myself take. Few medications since 4 years to help with my studies, stimulants (legal ones) to be specific, modafinil 200 mg, selegiline 5 mg, caffeine 220 mg, and the problem now is I never smoked in my life, although I used to drink one year before, only one year I used to drink, was a social occasional drinker and never had cravings and have been alcohol free since a year, but now although I never smoked before, I feel like smoking to relieve my stress despite taking so many drugs, I am still suffering, feel like crying and lack of motivation to study unless I take stimulants, so smoking cravings without even smoking ever before is my problem, I don't know why?, I was maybe a bit influenced by looking at movies and my friends all around me who smoke whenever they r stressed out, which helps with them actually, maybe I thought smoking a bit might relieve stress and make me motivated a bit so I start studying again, can any psychiatrist can help me with this problem? And explain why I am having cravings ?(note: the bupropion I am using is for depression not for smoking cessation), please help me find a solution, I would take a consult as well if somebody who r addiction specialist who can help me with my problem and explain what I am going thru, thank you.

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M.B.B.S, MD - Psychiatry

Psychiatrist•Ghaziabad
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Its probably due to social learning from your intimate environment where you would have seen people taking about/ experiencing stress and smoking simultaneously. Other probable reason is the use of stimulants which usually provokes tolerance with time and as you are taking stimulant at a fixed dose so the brain might have demanding for some stimulant and it knows that nicotine is one of them. I believe you are on a cocktail of medications both self prescribed and self medicated, the latter ones ...more
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My dad is 75 years old. Since last october, he is suffering from mental health issues. He started to get angry on frivolous matters, talking much on unnecessary things, imagine non-existent things (like someone has stolen his dress), etc. We therefore consulted a physiatrist for medical help. Initially, since there was not much improvement in my dad’s condition the doctor increased the dosage. But when my dad became too silent, the doctor started decreasing the dosage. As the medication continued for next 5 months, my dad started behaving in reverse order (talking very less, always sleeping, lost appetite for eating, walking very slowly, getting irritated with sounds). As his condition was same even after reducing the dosage 2-3 times, we consulted another physiatrist who was highly recommended by people know to us. However, things got worse and in the first day of medication itself my dad’s health worsened. He was not able to stand / walk properly and was completely drowsy. For the next few days, the doctor changed the medication several times. Currently, he has stopped medicines for mental health issues and has prescribed medicines for improving his physical health. However, my dad hasn’t recuperated properly and still not able to walk around freely, sometimes loosing balance when standing, sitting, climbing up steps and getting down from steps, seems lost in his thoughts and don’t communicate much with us. He also has difficulty in wearing his shirts (especially, putting buttons on). He also gets confused while choosing places to sit and ends up sitting on the edge / corners of the chair and sofa. He has also lost his appetite for eating. To sum up, before we started this medication, he was able to do his daily chores all by himself without our support. But now he is completely dependent on us. We are lost for reasons for this change of behavior and physical condition of my dad. Kindly let us know, if we are doing proper medication and any suggestion you have on treatment. Following are his present medications: •syndopa 275 (4 times a day every 4 hours) •selgin 5 mg (2 times a day) •syndopa cr (1 time in night) •complete td (1 time in night) •betonin syrup (5 ml for three times) he is also taking his regular medicine for blood pressure (arkamin 100 mg and amladoc 5 mg one time each) we are also worried about him taking excessive medicines at this old age. Please help us with your valuable guidance.

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Pain Medicine Externship, Fellowship In ...read more

Psychiatrist•Panchkula
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Hello sanjeeva
I hear your concerns in this regard. I think you need to speak with your doctor or setup an online consult so that the medication regime can be streamlined after taking into account detailed medical history and past reports.
1505 people found this helpful
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My dad is 75 years old. Since last october, he is suffering from mental health issues. He started to get angry on frivolous matters, talking much on unnecessary things, imagine non-existent things (like someone has stolen his dress), etc. We therefore consulted a physiatrist for medical help. Initially, since there was not much improvement in my dad’s condition the doctor increased the dosage. But when my dad became too silent, the doctor started decreasing the dosage. As the medication continued for next 5 months, my dad started behaving in reverse order (talking very less, always sleeping, lost appetite for eating, walking very slowly, getting irritated with sounds). As his condition was same even after reducing the dosage 2-3 times, we consulted another physiatrist who was highly recommended by people know to us. However, things got worse and in the first day of medication itself my dad’s health worsened. He was not able to stand / walk properly and was completely drowsy. For the next few days, the doctor changed the medication several times. Currently, he has stopped medicines for mental health issues and has prescribed medicines for improving his physical health. However, my dad hasn’t recuperated properly and still not able to walk around freely, sometimes loosing balance when standing, sitting, climbing up steps and getting down from steps, seems lost in his thoughts and don’t communicate much with us. He also has difficulty in wearing his shirts (especially, putting buttons on). He also gets confused while choosing places to sit and ends up sitting on the edge / corners of the chair and sofa. He has also lost his appetite for eating. To sum up, before we started this medication, he was able to do his daily chores all by himself without our support. But now he is completely dependent on us. We are lost for reasons for this change of behavior and physical condition of my dad. Kindly let us know, if we are doing proper medication and any suggestion you have on treatment. Following are his present medications: •syndopa 275 (4 times a day every 4 hours) •selgin 5 mg (2 times a day) •syndopa cr (1 time in night) •complete td (1 time in night) •betonin syrup (5 ml for three times) he is also taking his regular medicine for blood pressure (arkamin 100 mg and amladoc 5 mg one time each) we are also worried about him taking excessive medicines at this old age. Please help us with your valuable guidance.

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Doctorate in Clinical Psychology, Mphil ...read more

Psychologist•Trivandrum
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Hi dear
understand your stress reg this.
Your father may need help of more than one professional, visit a place where it is available
where there is team work of psychologist, neurologist and psychiatrists
may need regular monitoring of fluctuations, supportive counselling or psychotherapy and minimum medication depending on status if needed.
Thank you and take care.
429 people found this helpful
Last Updated: 6 years ago• Featured Tip
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DM - Neurology, MD - General Medicine

Neurologist•Ahmedabad
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Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking o...more
Last Updated: 5 years ago• Featured Tip
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MBBS, MD - General Medicine, DM - Neurol...read more

Neurologist•Chennai
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Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A grandual tremor ...more
Last Updated: 5 years ago• Featured Tip
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DM - Neurology, MD - Medicine, MBBS Bach...read more

Neurologist•Ghaziabad
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Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking o...more
Last Updated: 4 years ago• Featured Tip
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Multi Speciality•Visakhapatnam
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Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking o...more
Last Updated: 6 years ago• Featured Tip
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M. Ch (Neuro Surgery), MS - General Surg...read more

Neurologist•Gurgaon
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Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking o...more
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