Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

Kaushik, My sister was on cipralex which made he feel very…

Customer Question
HelloCustomerMy sister was on cipralex...
HelloCustomerMy sister was on cipralex which made he feel very flat and miserable and so she came completely stopped using it with the help of half an urbanol sometimes. Her huge anxiety only worsened and so she has now started on Lexamil x 5mg morning and afternoon, with half Urbanol if she needs it. However, she drinks a lot of white wine every evening - easily a bottle - and I think this contributes to her anxiety and feelings of confusion and inability to focus on anything. Can you tell me if it is safe for her to drink just two glasses a night even? I have suggested she cut right down and as it is habitual, I think she is also going to find this very difficult. I suggested a beer instead, lots of water and max two glasses of white wine....Can you advise me in anyway?
I would appreciate it.
Many thanks.
Submitted: 1 month ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 4 hours by:
1/3/2018
Mental Health Professional: Dr. Kaushik, Psychiatrist replied 1 month ago
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,737
Experience: MD Psychiatry
Verified
Greetings.
Welcome to the site.
Well, you see her drinking of wine is not only mitigating the positive effects of lexamil and urbanol and preventing her to achieve the desired relief from her anxiety but also it seems like she has become physically dependent on wine as a result of which her focus, clarity of thought process , judgement, al have become inpaired. So yes the wine is the main culprit here and it needs to be stopped otherwise no amount of good medications will ever benefit her despite she taking them judiciously because alcoholic beverages increase the body's tolerance against such psychotropic medications thereby making them ineffective.
So if she come down initially to two glasses of wine well looking at her present situation where she is finishing off one bottle a day , this will be a relative achievement and a good start in the process of recovery.
So now the home work that she and her supporting well-wishers have to do is to keep her off limits as far as wine consumption is concerned , the limit having been set at 2 glasses per day for 2 weeks followed by one glass per day for next two weeks and then a glass in every two days for entire next month and after that only occasional consumption of wine.
Meanwhile she does this the Present drug regime comprising of lexamil 5 mg twice a day and urbanol to be continued as it is.
I hope this helps.
Wish you all the best.
Please kindly leave a POSITIVE RATING if you are satisfied with the answer.
Regards
Ask Your Own Mental Health Question
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,737
4,737 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
Just been battling with anxiety and I'm trying to not let it
Just been battling with anxiety and I'm trying to not let it win … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
172 satisfied customers
I have health anxiety that I treat with a BCT. However due
I have health anxiety that I treat with a BCT. However due to the coverage and crazy stories I have become obsessed with the flu. I received the shot but as we know its not great this year. I have mys… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
Since childhood I've suffered from general anxiety, but
Since childhood I've suffered from general anxiety, but because mental health issues have a very negative stigma in my family I've never sought treatment. After the recent unexpected death of a family… read more
Bonnie Behee-Semler
Bonnie Behee-Semler
Licenses Psychologist
PhD
9 satisfied customers
Anxiety and depression she's a single mom with two kids,
anxiety and depression she's a single mom with two kids , She'll cry and can't stop , has no money . I've tried sometimes I can help sometimes I can't she's 30 years old and has been like this since s… read more
Linda D.
Linda D.
Master\u0027s Degree
818 satisfied customers
Was on Paxil for 18 years for anxiety/panic attacks. The
Was on Paxil for 18 years for anxiety/panic attacks. The last few years on low dose 12.5 CR Paxil. My wife passed from cancer recently, and when the grief hit, my anxiety skyrocketed again. My primary… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,737 satisfied customers
I have severe anxiety and just was wondering is there any
Hi. I have severe anxiety and just was wondering is there any ideal diet that contributes to your mental health staying well? Thank you.… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
I have always dealt with anxiety off and on. However
I have always dealt with anxiety off and on. However sometimes I get in these spells where my anxiety is all consuming for days or weeks at a time. A recent example would be this past year where I had… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I was diagnosed with social anxiety by my psychiatrist at 16
Hi Dr. Wilson, I was diagnosed with social anxiety by my psychiatrist at 16 years old. Fast forward 6 years, and I feel like I am still struggling. I am always nervous when it comes to social engageme… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,737 satisfied customers
My adult daughter is struggling tremendously with anxiety
My adult daughter is struggling tremendously with anxiety and depression. She is on prozac but it's not helping that much. What is the best way to treat depression and anxiety in your opinion. She doe… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
I have anxiety and recently think it is playing tricks with
Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,698 satisfied customers
I've been taking Prozac and Buspar for some anxiety and
I've been taking Prozac and Buspar for some anxiety and depression. My therapist just added Abilify to help with some lingering depression. At first she was going to add Wellbutrin but decided on Abil… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
I have issues with anxiety. I meet with a behavioral
I have issues with anxiety. I meet with a behavioral therapist and have practices to help with my anxiety, but I'm feeling super anxious with some current ongoing stress that may continue for the next… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
Im struggling with anxiety and depression and i have taken
im struggling with anxiety and depression and i have taken several medications cymbalta cipralax and now i am on a new one i forget what it is called … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
Various diagnosis since 2010; generalized anxiety was the
Various diagnosis since 2010; generalized anxiety was the most popular. PTSD diagnosis in 2016 because of a loss of a child in 2009 as well as the end of my 10 year relationship in 2013. Possible re t… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
818 satisfied customers
Is this a paid service? History of depression and anxiety.
Past 8 months. Relationship problems make it worse.… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,007 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,007 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