Prothiaden contains dosulepin, a conventional medicine for mood. While Ayurveda offers herbs like Ashwagandha for stress support, there is no direct Ayurvedic substitute that can safely replace dosulepin. Combining Ayurvedic remedies with conventional prescriptions can sometimes cause unexpected drug interactions, affecting how your body processes them. For your safety, it is very important not to stop or alter your dosulepin dose on your own. Please discuss your interest in Ayurvedic supportive care with your prescribing doctor, so they can guide you safely.

You do not necessarily need to avoid milk on an empty stomach, as its effects vary; for some, it can actually help stimulate a bowel movement. Notably, some of your current medications, such as Goldcal (calcium) and Prothiaden (dothiepin), can naturally contribute to constipation. An abdominal CT scan is typically not the first step and is usually unnecessary unless you experience warning signs like severe pain or sudden weight loss. Please discuss your symptoms and medication list with your doctor to find a safe, comfortable solution.

It is very common for constant worry about your health to be a sign of anxiety, which can actually cause or worsen symptoms like restlessness and chest pain. However, because you recently started Prothiaden (dosulepin) and are experiencing chest pain, please contact a doctor promptly to safely evaluate these symptoms. To help manage these anxious feelings and headaches naturally, excellent non-medication options include deep breathing exercises, progressive muscle relaxation, and gentle neck stretches. Cognitive Behavioral Therapy (CBT) is also highly effective for health-related worries. Please reach out to your healthcare provider so they can support you and ensure you are safe.

Numbness in your face and neck is not a typical side effect and should be evaluated by your doctor promptly to ensure your safety. Regarding your acid reflux, dosulepin can sometimes worsen reflux symptoms by relaxing the esophagus. Additionally, certain reflux medications can interact with it. I gently encourage you to contact your prescribing doctor or pharmacist to review all your current medications together. They will help you find the safest, most comfortable balance for your health.

It is very reassuring that your blood tests are normal. Mirnite (mirtazapine), which replaced Prothiaden, can sometimes cause dry mouth. This lack of moisture can occasionally make your mouth more sensitive and prone to irritation or minor sores. Since your doctor has evaluated you and found no serious issues, it is generally safe to continue your medication. Please do not stop taking it suddenly. In the meantime, try staying well-hydrated and using a gentle, alcohol-free mouthwash to soothe your tissues.

Please do not take Ornof or Azithral on your own. These are strong antibiotics that are not used to treat chronic constipation, and taking them unnecessarily can worsen your symptoms by disrupting your healthy gut bacteria. Since Rifagut and your other medications aren't fully managing your symptoms, please discuss this with your doctor. Your symptoms may be related to a functional issue like Irritable Bowel Syndrome rather than an active infection.