Since your brain scan last year was completely normal, it is highly unlikely that these headaches are caused by a brain tumor. It is very common for headaches to return once protective medications?like Cardimol plus, Elfolin, sertraline (Serta), and amisulpride?are stopped or adjusted. You likely do not need another MRI right now. I gently recommend consulting your doctor to discuss restarting or adjusting your treatment plan safely.

Severe gas, headaches, and high blood pressure (around 150/97) can sometimes be linked to stress, anxiety, or depression, but they may also have physical causes such as acidity, diet issues, or uncontrolled BP. If you have only had about 20% improvement after 9 months of treatment, it would be a good idea to review your treatment plan with your doctor or seek a second opinion. Medicines for depression should not be stopped suddenly, as this can worsen symptoms. Along with medication, lifestyle changes such as regular exercise, good sleep, stress-management techniques (like meditation or breathing exercises), and avoiding very spicy or gas-forming foods can help. A gastroenterologist or psychiatrist may help adjust your treatment so you get better relief and gradually reduce dependence on medicines under medical guidance.

Her symptoms?especially the 10 kg weight loss, floating stools, and racing heart?suggest her current treatment may need adjusting, or there could be an underlying issue like malabsorption that needs further investigation. While Serta (sertraline) is helpful for anxiety and IBS, it can sometimes cause digestive side effects initially, and 1.5 months may not be enough, or it might not be the right fit. Please schedule a follow-up with her doctor or a gastroenterologist soon. They can run blood or stool tests to ensure she gets the right diagnosis and relief.

It is completely natural to want to protect your baby. Serta, which contains the generic medication sertraline, is one of the most thoroughly studied and commonly prescribed antidepressants during pregnancy. It is generally considered to have a favorable safety profile, even for pregnancies achieved through fertility treatments. Managing your mental health is incredibly important for both your well-being and your baby's. Please do not stop or change your dose without speaking to your doctor. I highly recommend discussing your treatment plan with your obstetrician or fertility specialist to ensure you feel fully supported.

Anxiety, depression, and sleep problems often need long-term management, and it is common for symptoms to return if medicines are stopped suddenly. These medicines should only be reduced gradually under a doctor's guidance. The best approach is a combination of treatment methods, including regular follow-ups with a psychiatrist, counseling or therapy, good sleep habits, regular exercise, stress-management techniques such as meditation or breathing exercises, and maintaining a healthy routine. With proper medical guidance and lifestyle changes, many people are able to control symptoms well.

It is completely understandable to feel frustrated when changes to your treatment affect your memory and daily work. Your previous regimen of D veniz (desvenlafaxine) and Anxazap (oxazepam) was simpler. Your new combination adds Serta (sertraline), mirtazapine, and clonazepam. Clonazepam and mirtazapine are known to cause drowsiness and mild forgetfulness, which likely explains your symptoms. To understand your primary diagnosis, I highly recommend discussing your symptoms and history with your psychiatrist. They can review these medications, safely adjust them to reduce cognitive side effects, and clarify your diagnosis. You don't have to struggle through this; your doctor can help you find the right balance.