{"id":788,"date":"2025-02-20T15:46:29","date_gmt":"2025-02-20T06:46:29","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=788"},"modified":"2025-02-20T15:46:29","modified_gmt":"2025-02-20T06:46:29","slug":"%e7%b2%be%e7%a5%9e%e8%96%ac%e3%82%92%e4%bd%bf%e3%81%a3%e3%81%a6%e3%81%84%e3%82%8b%e5%a0%b4%e5%90%88%e3%80%81%e5%ae%9a%e6%9c%9f%e7%9a%84%e3%81%aa%e6%a4%9c%e6%9f%bb%e3%81%af%e5%bf%85%e8%a6%81%e3%80%81","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/788.html","title":{"rendered":"\u7cbe\u795e\u85ac\u3092\u4f7f\u3063\u3066\u3044\u308b\u5834\u5408\u3001\u5b9a\u671f\u7684\u306a\u691c\u67fb\u306f\u5fc5\u8981\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n
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Today, I will discuss why regular health checkups are necessary for those taking psychiatric medications and how they help prevent potential health complications.

1. Why Are Regular Checkups Necessary for Psychiatric Medication Users?
Regardless of the type of psychiatric medication being used, if you are on long-term treatment, regular blood tests and electrocardiograms (ECG) are essential.

Many psychiatric medications affect autonomic nervous system function and can influence the body\u2019s overall health. Without routine monitoring, some patients may develop serious physical health issues without realizing it.

Some medications also impact cardiovascular function, making ECG testing an important preventive measure. Even if you feel fine, it\u2019s crucial to check your heart health regularly to prevent unnoticed complications.

If you have been out of work or haven\u2019t had a company health checkup for a while, make sure you schedule routine tests. If your doctor doesn\u2019t mention them, ask for them yourself\u2014your health is your responsibility.

2. Potential Health Risks from Psychiatric Medications
\u2460 Metabolic Issues (Blood Sugar & Cholesterol Levels)
Some medications can increase blood sugar levels, leading to insulin resistance or even diabetes.
Weight gain from medications can also cause high cholesterol and fatty liver disease.
Symptoms such as chronic fatigue, excessive daytime sleepiness, and low energy could be related to high blood sugar rather than psychiatric symptoms.
\u27a1 If blood sugar remains high for too long, it may lead to diabetes or unnecessary increases in psychiatric medication dosage due to misdiagnosis.

\u2705 Recommended Tests:

Fasting blood sugar (FBS) & HbA1c (for diabetes screening)
Lipid profile (cholesterol & triglycerides)
\u2461 Cardiovascular Effects (Heart Function & Blood Pressure)
Some psychiatric drugs can prolong the QT interval (a heart rhythm abnormality) and increase the risk of sudden cardiac issues.
Medications like antipsychotics, antidepressants, and stimulants can affect blood pressure and heart rate.
\u2705 Recommended Tests:

Electrocardiogram (ECG\/EKG) (to monitor heart rhythm abnormalities)
Blood pressure monitoring (especially for those on stimulant medications or antipsychotics)
\u2462 Liver & Kidney Function
Many psychiatric drugs are metabolized in the liver or excreted through the kidneys.
Long-term medication use can cause liver enzyme elevation or reduced kidney function, leading to toxicity buildup.
\u2705 Recommended Tests:

Liver function tests (AST, ALT, GGT)
Kidney function tests (Creatinine, BUN, eGFR)
\u2463 Hormonal Imbalances
Prolactin levels can increase due to certain antipsychotic medications, leading to side effects like:
Menstrual irregularities
Breast enlargement (in men and women)
Reduced libido and sexual dysfunction
Thyroid dysfunction can mimic depression and should be ruled out.
\u2705 Recommended Tests:

Prolactin levels (if using antipsychotics)
Thyroid function tests (TSH, Free T3, Free T4)
3. How Often Should You Get These Tests?
Every 3\u20136 months:
Blood sugar & lipid tests (if taking weight-related medications)
Liver & kidney function tests (if on long-term medication)
Every 6\u201312 months:
Electrocardiogram (ECG) (especially for those on heart-affecting medications)
Prolactin & thyroid function tests (if symptoms appear)
4. Summary: Take Control of Your Health While on Psychiatric Medication
\u2705 Regular health checkups are essential for monitoring side effects and preventing health complications while on psychiatric medication.
\u2705 Metabolic issues, cardiovascular risks, liver & kidney function, and hormonal balance should all be monitored routinely.
\u2705 Ask your doctor for tests if they are not mentioned\u2014your health is your responsibility.
\u2705 Many psychiatric symptoms can be linked to physical conditions (e.g., high blood sugar causing fatigue), so don\u2019t overlook body health.

\ud83d\udca1 At Wako Clinic, we conduct regular physical health checkups for our psychiatric patients.
If you are on long-term psychiatric medication, make sure to schedule routine tests and protect your overall health!
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