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Home > Alkepin Odt 12.5 MG Tablet > Health Feed

Alkepin Odt 12.5 MG Tablet Health Feed

Health Query

My sister has been suffering from treatment resistant schizophrenia. Recently she started taking ivf treatment, thus stopped taking a medication (clozapine). But recently she started acting very aggressive and can’t recognise me and my mom, and always act weird and aggressive towards us. We have consulted a psychiatrist who prescribed her with sizodon 4 mg. She is reluctant to take the medications and behave aggressively towards us, if we try to give her the medicine. Sometimes she shouts and says delusional things. Please suggest what should we do, as we are also scared that the prescribed medication can harm her ivf treatment. Thank you.

Dr. Abhaya Kant Tewari92%(308 ratings)

MD Medicine, DM Neurology

Neurologist•Panchkula

Hello,
It seems that the diagnosis of schizophrenia has been confirmed and she has placed on medication. there is an urgent need for her to continue the medication and schizophrenia needs to be controlled. IVF can be carried out at the same time. But remember that medication for schizophrenia is must for her. there is no definite proof as yet that resperidone can harm the fetus and it shouyld be used as the benefit to the mother outweighs the risk to fetus

287 people found this helpful

Health Query

What is the difference between unproductively in ocd and unproductive in negative schizophrenia .i have ocd but when it comes to productivity issue I am confused btwn two .i do not bath ,do not brush and my mother is a schizophrenic but I do not have delusion n hallucination. Is it possible that an ocd patient do not bath and do not brush for months? I over come with ocd but my productivity is zero n my mother is also schizophrenic so I want to ask it .my ocd symptoms are ok 70% with clomipramine but productivity is still a big issue. I have tried all scars and stimulants and rpn and oleanz and qutipin but no significant differences in productivity or self care .is it the time to think about clozapine? My psychiatrist is helpless.

Mr. Sadique Bhati90%(339 ratings)

MA Clinical Psychology, Bachelor of Arts...read more

Psychologist•Nagpur

Dear Lybrate user
ocd is a psychological disorder and it has psychological (mental and emotional causes) and many times patients are just managing the issues with medicines as the actual root causes are not resolved. Ocd is related to anxiety and also comes with stress depression and other thoughts and emotions so may be your mentioned problem is related to that only or may be it is some other issue. Consult a good psychotherapist and clinical hypnotherapist for the same and you will see per...more

193 people found this helpful

Health Query

Can we take tab typlin-c with valium 2 mg tav both at one time to psychiatry patients. Symptoms --patients talking too much, about his past things. Repent his past. Too much, sleep well, age 48 years female, taken divorce from her husband. Anxiety, I must should be adjusted with my husband. Now repent. Staying her mother home, her mother economic conditions are good. Anxiety. Feeling insecure, if any tell me anything wrong, so not come out from his home. Regular taking of tab clozapine 50 & valium 2 mg, at night od dose, she sleep well but talking too much, same things she repeated, her home member getting board. Or in trouble. So please advise.

Dr. Pankaj Singh90%(42 ratings)

Fellowship in Neurological Rehabilitatio...read more

Psychologist•Nagpur

This disorder is characterized by irrational anxiety where there is no identifiable situation
linked to the fear. Symptoms include worry about the future, low self-esteem (self-confidence),
inability to effectively cope, need for reassurance, and somatic complaints. This child is preoccupied
with irrational thoughts.
Note: 1) provide cbt and rebt therapy for client. 2) improve self-esteem
3) decrease anxiety
4) elevated anxiety
example - a. Teach relaxation techniques...more

Asked for male, 65 years old from Delhi

Dear doctor we have a patient of schizophrenia having auditory hallucinations (female 34 year) and is taking clozapine 50 mg as prescribed by doctors of Aiims Delhi. Now that the third generation partial agonist are ready we want to shift her to cariprazine. You are requested to kindly reply if this new anti psychotic molecule makes permanent covalent bond with the receptors d2 and d3. Has it permanent effect and can cure the patient of schizophrenia. Please prescribe the dose so that we can arrange from online pharmacy. We will be highly obliged and thankful to you.

Dr. Lokeswara Reddy Pabbathi89%(18 ratings)

MD - Psychiatry

Psychiatrist•Guntur

To my knowledge Cariprazine is not still available in India for prescriptuon. Studies till now have shown its efficacy in negative symptoms but hallucinations are positive symptoms. Clozapine is effective if other drugs have failed. Till now there is no permanent cure for schizophrenia.

Asked for male, 18 years old from Chennai

I am 21 years old male. While studying in college 1st and 2nd year college I studied well. In the starting of 3rd year, I went to hostel. In the hostel, anyone didn't allow me to study and misused me and they stole my things. As a result ,I got many arrears and I think why they are doing such a things to me. And I often get unwanted thoughts of suicide and I get shooting pains and unwanted shaking of body. I suffered a lot. I also have feeling that someone is watching me and controlled by someone. Then by saying to parents we went to a psychiatrist and he said that I have some mood disorders and preferred medicines such as clozapine etc. Then,whenever I went to hospital he put intramuscular injection that is Invega Sustenna. This is continued for 1 year. Due to these medications I have side effects such as dry mouth, weight gain etc. I get dreams about the friends who misused me. After taking these medicines I get unwanted thoughts but not frequently as before. How to get complete rid of unwanted thoughts? Can I stop taking medicines? Whether the side effects will go away? If not there is a solution in Ayurveda?

Dr. Saul Pereira94%(49777 ratings)

Reparenting Technique, BA, BEd

Psychologist•Bangalore

You are being treated for schizophrenia and it is a serious mental disease. Although this is a long time and you will probably remain so on medication you must still persevere. Schizophrenia is a very complex and difficult disease to treat, even with medication. All psychotropic medicines have side-effects: that is inescapable. But I suspect that you are depending entirely on medication when in reality you need to combine it with counseling or therapy. In therapy you will learn a lot of coping m...more

Asked for male, 59 years old from Guruvayoor

My Son 24 years, early very shy, and fear to face any groups, even driving, we have consulted many psychologists and psychiatrists, mostly diagnosed that avoidance psychology & depression, around 2 years of treatment mood improve medicines plus scholar talks, no changes, while these days last Dec 2017, suddenly started a hearing sound his throat & psychiatric hospital admitted, first day loosed his memory, while 2 days was violent shouting with ugly words he never used, psychiatrist found schizophrenia due to avoidant physiology strong, many medicines was resistive for him, now Clozapine 200 mg, plus Aripiprazole 10 mg while this medicine, involuntarily muscle movements and epilepsy symptoms showing, now taking Valprol CR 300 twice a day with above medicines, present he is laying and stay at home only, no moving out or any activity, any contacts care of these type patients to bring them social active? South India, Kerala? Expecting your early reply.

Dr. Vinod Kumar Goyal90%(229 ratings)

MBBS Bachelor of Medicine and Bachelor o...read more

Psychiatrist•Nadiad

Thanks it seems to be a case of mixed. Schoaffective disorder with psychological problem.
It n eeds to be assessed with psychologist n then cousneling of the parents on the way of handling. By chnaging the communication as per the age of the child.& then psychotherapy to the child for ventilation .& if required latest therapy with RTMS therapy can be given. For early recovery.

Asked for male, 21 years old from Solan

Dear Sir, My daughter, aged 27 years is suffering from schizophrenia for the last 11 years and is under regular treatment at PGI, Chandigarh since September, 2007. She was prescribed various set of medicines during the course of treatment. She is presently taking Skizoril 200 mg and Tryptomer 25 mg daily. As the symptoms persist, doctors say that she would have to take medicines indefinitely. Though my daughter is average in studies, she spends maximum time glued to books (just staring) and often looses cool on the petty issues, if things are not going as per her liking. She is very introvert and has no friends, even girls. She used to go to her educational institution alone and did not have any interaction with her classmates. She is M.A. In English. She does not like watching T.V. Programmes and using mobile (smart phone). She confines herself to her room and did not like sharing meals in dining room in the company of family members. Sometime she speaks with herself. She is self centered and sometimes envies even her siblings, when she observes them to be getting favorable treatment or they are excelling in their studies and other activities. She loves eating fast foods and enjoys travelling in the company of parents but not with others. She enjoys attending social gatherings like wedding parties. She gets irritated often and do not hesitate to speak loudly and makes ungraceful gestures to parents. She is lazy by nature and avoids doing even petty household works like cooking, washing and ironing clothes etc. She is very casual about her appearance and is not fascinated by good dresses. She often suspects her old classmates and others for conspiring against her. She also suspects her mother and thinks that she (mother) is always conspiring against her. Nevertheless, she never forgets to bring gifts for her on her birthday, mother’s day etc. She is a confused lot and her long and prolonged allopathic treatment has not brought any favorable results. Please guide, whether alternative therapies like CBT, ECT, meditation, Homeopathic treatment etc. Could treat her completely or partially. I discussed about these with her doctor (senior consultant of the rank of Associate Professor) at P.G.I. Chandigarh but he said that these are not effective therapies. Clozapine therapy worked very well for few years but now it's effect is getting reduced. My daughter has gained weight and has become dull. She has lost interest in every thing except eating. She had stopped reading newspapers and had lost interest in preparing for competitive exams. Etc. She has become quarrelsome and in fact has become a big problem for family as every one is disturbed by her behavior. Doctor (her consultant) at P.G.I. Chandigarh do not offer any alternative therapy and only advises for increasing the dose of clozapine. I took her to NIMHANS Bangalore for better treatment. She was examined thoroughly by the senior doctors there and I was advised to get her admitted in the ward (one attendant allowed) for 15 days to one month for observations and further tests. The doctor has prescribed clozapine 200 mg and Sizodon 3 mg (my daughter was earlier on Sizodon 15 mg for three years and she developed tardive dyskinesia and as a result she was prescribed clozapine). NIMHANS doctors said that alternative therapies would also be tried once she starts taking treatment from them. I am in a dilemma since Bangalore being a far off place it would not be possible for me to travel to that place frequently for follow up. In the meantime. I also consulted a private psychiatrist at Chandigarh, who after examining her and undertaking psychological tests/blood test (her hydroxyvitamin d was found abysmally low (8.60 ng/mL)(at PGI, this test was never conducted) prescribed sizopin 225 mg, ariphrenz 5 mg, escipra 10 mg and pyrocal d3 (for vitamin d deficiency. Now I am at crossroads and do not have any idea to choose which treatment (institute) to pursue for better recovery of my daughter. Prolonged treatment at PGI Chandigarh has not yielded desired results (PGI doctors have hectic schedule due to heavy rush of patients and obviously the institute follows conventional approach). In view of this kindly guide me which of the above treatments best suits my daughter for optimal results. Thanking you in anticipation.

Mr. Saul Pereira94%(49777 ratings)

Reparenting Technique, BA, BEd, Transact...read more

Psychologist•Bangalore

You are describing behaviours of a typical paranoid schizophrenia. The NIMHANS visit should have been followed up since they are very thorough. However, I quite understand your plight in terms of distance. Anyway, CBT is a must and must used in tandem with medication. The more a person with this disease with draws, the more internal they become. The internal world of a schizophrenic is a house full of crazy ideas and notions. This must be prevented at any cost. If she likes parties and functions...more

Asked for male, 57 years old from Solan

Sir, My elder daughter, age 24 years is a patient of schizophrenia and is under treatment at PGI Chandigarh for the last 10 years. Presently she takes clozapine 200 mg single dose daily. Her problem is somewhat controlled but not totally cured. My younger son aged 17 years ,who is presently studying in class 12th (Non Medical stream) is quite intelligent and is presently taking coaching for Joint Entrance Exam of Engineering stream. His problem is that while he is quite at ease with Maths and Physics, he does not fare well in Chemistry. In weekly coaching/school test he does not fare well in Chemistry. Whenever, his results are out he is quite upset and gives up studying other subjects also. He does not want to go school/coaching institution and quarrels with his mother. When scolded for this, he becomes abusive and makes illogical arguments. However, after some time all is normal and he agrees to go to school/coaching institution . He does perform well in studies but again he is not consistent with his studies for the reasons mentioned above. Sometimes he is so optimistic that he he boasts of cracking IIT exam. But gives up easily when confronted with non performance. His lifestyle is somewhat similar. Sometimes, he cares well for his outlook, dress etc. But on another occasion, he does not care about his personal hygiene also. This issue was also discussed by me with Consular of my daughter at PGI Chandigarh, who asked me to bring my son for check up as soon as it is possible, but the problem is that my wife differs with me and says that our son has no psychiatry problem and it is just a behavioral problem and that would subside with the passage of time. She also fears that taking our son to PGI Chandigarh would make him dependent on medicines (with side effects) life long , as is the case with our elder daughter. Here in this context, I would request you to kindly advise me the right course. Thanking you.

Dr. Saul Pereira94%(49777 ratings)

Reparenting Technique, BA, BEd

Psychologist•Bangalore

The counselor could be right for some reasons and your wife could be right for other reasons. The timing of the problem your son manifests is very significant and something has to be done. The reason I say this is that he is in his late teens and this is the last time his issues will come up looking for a resolution goaded by hormonal imbalances, particularly testosterone. If you do not take care of it now, he will have permanent negative features and those will grow over time and will become se...more

Asked for male, 22 years old from Mumbai

I have schizophrenia and I don’t feel like to do regular exercise nowadays. On 29th october 2021 and 1st november 2021, a psychiatrist diagnosed me 3 times with schizophrenia and prescribed me second line of treatment (sizopin – clozapine 25 mg at 7 pm and amisulpride 100 mg - freq. 1 0 2) but I did’t start the allopathic treatment for schizophrenia and opted for natural home remedies, and watching sandeep maheshwari videos for positive affirmations. Is there cure for schizophrenia? Is recovery possible? Does medicines useful for schizophrenia? If yes, then which one? Ayurveda/unani, homoeopathy, or allopathic? If no, then what about psychological counselling? Many schizophrenia patients are taking antipsychotic medicines for 10 – 12 years but not relief. Any comment on this? I think medicines alone cannot treat schizophrenia because medicines cannot alter behaviour. Is schizophrenia a lifelong mental health issue? What are the causes of schizophrenia so that the root cause treatment can be find out? Clinical psychologist advised me not to watch negative programs like c.i.d, crime patrol and saavdhaan india. Which foods should be avoid in schizophrenia case patient? What should a schizophrenic person do to improve his/her condition? I am 22 years old male as of 2021. So am I too young to diagnose with schizophrenia? Why there are no lab tests to diagnose schizophrenia? Why so many doctors’ perspective/opinion about schizophrenia differ? Why some of the antipsychotic medicines for schizophrenia banned in some places? Is there a high chance of suicide for schizophrenia patients after the treatment because after the treatment, they may feel guilty and thus prone to suicide? Am I right or am I right? At the most, what will happen to a schizophrenic people who is not receiving allopathic treatment? Awaiting your reply. Thank you. Regards, xavier siby moorkattil (extc engineering student at x.i.e. College, mumbai)

Dr. Abhaya Kant Tewari92%(308 ratings)

MD Medicine, DM Neurology

Neurologist•Panchkula

Hello,
the medicines for scizophrenia are effective and it needs supervision and follow up for control. Its not to be taken lightly. Yes definitely in addition to medicines, non drug approach is also important and is part of treatment. Schizophrenia ias a serious disorder and can be controlled by medicines, though the medicines have to be continues for long time. As you are in mumbai many psychiatric departments in top colleges or hospitals are available to you. I suggest you go to a medical...more

299 people found this helpful

Asked for male, 22 years old from Visakhapatnam

I am shaik ismail from visakhapatnam I think I misdiagnosed as schizophrenia .it han been 3 years when it started .before 4 years I am normal and im school topper used to over study in the mid of night and severely sleep deprived .next after few days I became calm not talking to anyone habituated for overstudy and some problem started like reduced functioning of brain and sometimes felt like brain stopped functioning in the middle of time upto 30 minutes became very worried not able to read hand shivering while writing and again started functioning .marks severely decreased .then consulted psychiatrist gave amisulpride then after public exams started risperidone &amisulpride ,brain functioning slowly got reduced, one day forgot to take tablets. Then suddenly everything stopped ,my feelings gone ,cognitive ability gone, thoughts stopped, memory reduced, imagination stopped, cannot understand books, this continued upto three years now. I tried all antipsychotic, antidepressants,ect ,combinations nothing worked. I think I am misdiagnosed .can you tell me what I have .i think this is neuroleptic induced deficit syndrome .now what to do .also clozapine monotherapy please tell me whether I am misdiagnosed ,i have negative symptoms of schizophrenia (doctor said. Is this neuroleptic induced deficit syndrome. Or schizophrenia I also think I have dopamine deficiency. I used risperidone, olanzapine,clozapine, quetiapine,lurasidone, blonanserin,amisulpride, ziprasidone,aripiprazole, and ssri ,snri, bupropion many more nothing worked. I am not even going to college because I am notable to study. I have compulsive buying disorder .buying costly items at cheap rates .getting scammed online frequently. I even have nerve problem in the neck linked to my concentration and reading. Difficulty reading, no memory, anhedonia ,poverty of speech ,poor thinking, I failed intermediate education.

Dr. Saranya Devanathan93%(3842 ratings)

MBBS, DPM

Psychiatrist•Bangalore

Dear Shaik,
All your symptoms are symptoms of schizophrenia. In schizophrenia, there is dopamine deficiency. All the tablets that you have taken are to correct that deficiency. May be because of the tablets you don't have positive symptoms. Negative symptoms need to be treated with psychosocial methods. Unfortunately you may be having treatment resistant schizophrenia. How much clozapine for how long you have taken? Talk to your doctor on effective dose of clozapine and psychosocial rehabili...more

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