Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I am currently taking

Customer Question
Clomipramine200mg(OCD)--Risperidone4mg(delusions)--Cymbalta60mg(depression) and Clonazepam0.5mg(panic)and I...
I am currently taking Clomipramine200mg(OCD)--Risperidone4mg(delusions)--Cymbalta60mg(depression) and Clonazepam0.5mg(panic)and I have taken these meds for about 4years and I have experienced severe weight gain and sexual problems(erectile dysfunction).I need to know which medicine is causing these problems and please suggest an alternative medication that I can take
Submitted: 8 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 1 hour by:
4/5/2009
Mental Health Professional: Dr. Kaushik, Psychiatrist replied 8 years ago
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,721
Experience: MD Psychiatry
Verified
Hi there,

Welcome to Just Answer !

Well, actually there are two medications in your current treatment regime which could have caused weight gain and sexual dysfunction , these are Risperidone and Cymbalta , both of these are known to cause weight gain and sexual problems as their side effects , but risperidone is even more likely candidate as being an atypical anti psychotic , like other atypical anti psychotics , it is known to cause weight gain and sexual problems. actually these two reasons are good enough reasons to discontinue atypical anti psychotics.

I am mentioning below a few links which will throw more light on weight gain and sexual problems arising out of risperidone and cymbalta .

http://www.rxlist.com/risperdal-drug.htm ( see Side Effects )

http://en.wikipedia.org/wiki/Risperidone#Side_effects

http://www.rxlist.com/cymbalta-drug.htm (see Side Effects)

http://en.wikipedia.org/wiki/Duloxetine#Adverse_effects

So, i suggest you discuss this with your doctor and decide on how to stop these drugs , as these drugs need to be stopped very gradually in order ro avoid Discontinuation or Withdrawl Symptoms , which is seen if these drugs are stopped abruptly , without tapering their doses initially.

Also, i would suggest , that in place of these two drugs , you can use a Good Mood Stabilizer such as Lithium or Valproate , in order to prevent delusions and for depression, plus you are already placed on clomipramine which is a TCA anti depressant , also used in Depression.

So, you shall be placed on a reviewed regime which goes by this -- Clomipramine and clonazepam , to be contnued , and Lithium or valproate to be added as 1 MOOD STABILIZER . This regime should be discussed with your doctor , and then you shall start on it. This will surely take care of your present symptoms and will not cause side effects like weight gain and sexual dysfunction.

I wish you best of health.

I hope my answer serves your query according to your satisfaction.

Please press the ACCEPT button , if you are satisfied with the answer , as only then i will be credited for my service.

Warm Regards...
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,721
Experience: MD Psychiatry
Verified
Dr. Kaushik and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,721
4,721 Satisfied Customers
Experience: MD Psychiatry

Dr. Kaushik is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I take 30mg Oxazipam (Serapaz) for panic disorder. My
I take 30mg Oxazipam (Serapaz) for panic disorder. My doctors are away because of Christmas and my attacks have been strong. I have found Lorazipam (1mg=15mg Serapax or 2mg =Serapax) to be unsuitable.… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,721 satisfied customers
I had horrible side effects on Lexapro- worst panic attack
I had horrible side effects on Lexapro- worst panic attack of my life and insomnia for 24 hours. My body felt very jittery and wouldn't calm down. I am very sensitive to medication so I was on 2.5 mg … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I am having panic attacks could you please help me. About 7
I am having panic attacks could you please help me … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I have been suffering from severe anxiety and panic attacks.
i have been suffering from severe anxiety and panic attacks. I use to get them a long time ago and now they are back full force!!! ii can hear my heartbeating in my ear and I am ready to go over the e… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have been on Lorezpam for panic attacks since 2000. I was
I have been on Lorezpam for panic attacks since 2000. I was diagnosed with a panic disorder. In 2014 I had knee replacement surgery and had problems. I take Vicodin 5/375 for my knee pain 3 per day. I… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I suffer from social anxiety, insomnia, panic attacks, and
Hi, My name is***** suffer from social anxiety, insomnia, panic attacks, and ocd. I had a doctor for a while, when i had health insurance. I lost my insurance, and she changed practices and can't see … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I'm suffering from severe explosive anger, panic attacks,
I'm suffering from severe explosive anger, panic attacks, axiety through the roof. It is totally consuming my family. I've tried everything and the doctors and therapist just not helping me. C … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I have been having severe panic attacks. I am currently
I have been having severe panic attacks. I am currently waiting to hear back from PA schools and I haven't slept in 5 days. what do i do. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I have really bad panic attacks and cant control myself and
I have really bad panic attacks and cant control myself and i have really bad anxiety and can't even go out in public with thinking people are laughing at me … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I have anxiety disorder and panic attacks. Lately when I get
I have anxiety disorder and panic attacks. Lately when I get worked up or irritated if I yell or feel anger I almost instantly get a dizzy feeling like I will faint or something. One of my biggest sym… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I am having panic attacks. I cannot get to my therapist
I am having panic attacks. I cannot get to my therapist right now. I am not suicidal. I need someone to talk to now. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I have been prescribed xanax 1 mg for panic attacks while
i have been prescribed xanax 1 mg for panic attacks while the zoloft starts working in my system. i was taking 2 a day for about a week, and i have taken .5 as needed for almost three weeks now. most … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I have bad panic attacks and need my medicine. About fifteen
I have bad panic attacks and need my medicine JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse? Customer: About fifteen yea… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,721 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
My Dr. prescribed alprazolam 0.5 mg prn for panic attacks
My Dr. prescribed alprazolam 0.5 mg prn for panic attacks that I get, I also have lupus and at times have high anxiety that affects my BP. The dose is 0.5 mg p.r.n. and I get 30 pills for 6 months. Th… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x