Mental Health

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Can cariprazine cause insomnia

Can cariprazine cause insomnia in bipolar disorder? I'm taking it with olanzapin I take it in morning and olazapine at night
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High triglycerides and cholesterol

I am taking Placida Duloxitine 20 mg Prothiadine 25 mg Daily from last on year , my eating habits are very controlled, else my lipids level are so elevated I want to know these tablet can increase triglycerides or not
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Sleep Problem and Chronic Pain

I have chronic neck and upper back pain for more than 2y. Also I'm having a lot of sleep problem (Can't stay asleep and not getting deep sleep). feeling tired whole day. Also getting headaches. My pain management doctor ordered MRI and certain blood tests (CRP, CBC, ESR, ANA, HLA-B27, Anti CCP, Rheumatoid Factor), which all came normal. He said that I'm suffering from fibromyalgia and prescribed me Duloxetine 20mg + Pregabalin 75mg and advised me to do some neck exercises. It improved my pain for a period but not my sleep. Later he changed the meds to Desvenlafaxine 50mg + Pregabalin M-75mg, Still no significant improvement. The pain is somewhat bearable after using icegel and heat compression but the sleep problem is what is hampering my daily life. Another thing is sometimes when i take an afternoon nap of an hour, i feel refreshed but i never feel refreshed even after getting 6-7 h sleep at night. I'm a student and this thing is causing severe problem in my study and daily life. Ty
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Zolpidem er

My psychiatry doctor prescribed zolpidem er to take before dinner But I wanna take it after dinner But i am not getting sleep If I take after dinner how much time should I wait to take zolpidem er?
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Feeling worry

When i was child i was worried to get up in the school to give presentation i remember i one i give presentation my heart was beating after that i grow up now i am feeling worry when i am going to meet some high class person and sometimes i am feeling worry when i go marriage ceremony when some relatives come our house i feel anxiety and sweating of my forehead slurred speech when i go long distance i dnt knw this place first time i go their i feel good when i go like my knw place i feel worry heart beating sometimes little things i am taking it big things but one positive thing is when I achieve something new like study too much and i got success then i feel good like inner of joyfulness but when i see crow i feel insucred When i talk sometime with more than one person my heart beating sweating and talking slurred Plzzz suggest me wt problem is this Some necessary comments in this matter
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Heart palpitations

Dear doc , From last few weeks while I lye down or wake from sleep or while travelling all of sudden I feel fast heart beat ( palpitations) which is causing disturbance in sleep and bit uneasiness .. Yesterday when I boarded cab for office all of sudden palpitations , nausea and shivering started which lasted for 2-3 hours Pls advise what shall I do.. When I woke up mid of sleep also palpitations happen and when I am trying to sleep same happens I have to sleep downwards
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Overthinking and high triglyceride

I am suffering with overthinking and due to these unwanted things going on in my mind and right side headache always in my head. I also diagnosed the high cholesterol and very high triglyceride. I need a good consultation to cure these and live a normal life. Overthinking I think it was from my childhood 10yrs but last 1 year it has increased too much, no situation is getting worse every day. Please advise me to cure it permanently.
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Tablets regarding

Hello doctor i wanted to ask is rejiyana tablet that contains L arginine and L carnitine and from the suppliment store L carnitine and L arginine different ? even if both contains same thing. why in medical it is so expensive and in suppliment store it is affordable
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Amitriptyline 10mg

Can I take amitriptyline 10mg early in the evening at around 7pm. currently i am taking after dinner at 9.30. i feel drowsy in the morning and not able to wake up early. i have been taking this since long time but now a days feel drowsy. initial days of treatment was fine when i started this in 2017. why after so many years i am facing side effects?
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Not feeling well

I am suffering with anxiety, tension,over thinking, suicidal thoughts. I'm in shock still now. My loved ones cheated with me badly. I am not able to do anything. I can't focus on my studies. I have 3 PhD entrance exam. But I can't focus. I hate everything. Even me. Please help me out. What should do now?
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