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Apiz 5 MG Tablet MD Health Feed

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I am in depression and a lot of exam stress as I am a medical pg aspirant and a doctor, I am using few medications, bupropion 300 mg, lamotrigine 200 mg, venlafaxine 37. 5 mg, aripiprazole 5 mg, pacitane 2 mg, rabeprazole and ondansetron, these r prescribed drugs by a psychiatrist but I myself take. Few medications since 4 years to help with my studies, stimulants (legal ones) to be specific, modafinil 200 mg, selegiline 5 mg, caffeine 220 mg, and the problem now is I never smoked in my life, although I used to drink one year before, only one year I used to drink, was a social occasional drinker and never had cravings and have been alcohol free since a year, but now although I never smoked before, I feel like smoking to relieve my stress despite taking so many drugs, I am still suffering, feel like crying and lack of motivation to study unless I take stimulants, so smoking cravings without even smoking ever before is my problem, I don't know why?, I was maybe a bit influenced by looking at movies and my friends all around me who smoke whenever they r stressed out, which helps with them actually, maybe I thought smoking a bit might relieve stress and make me motivated a bit so I start studying again, can any psychiatrist can help me with this problem? And explain why I am having cravings ?(note: the bupropion I am using is for depression not for smoking cessation), please help me find a solution, I would take a consult as well if somebody who r addiction specialist who can help me with my problem and explain what I am going thru, thank you.

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M.B.B.S, MD - Psychiatry

Psychiatrist•Ghaziabad
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Its probably due to social learning from your intimate environment where you would have seen people taking about/ experiencing stress and smoking simultaneously. Other probable reason is the use of stimulants which usually provokes tolerance with time and as you are taking stimulant at a fixed dose so the brain might have demanding for some stimulant and it knows that nicotine is one of them. I believe you are on a cocktail of medications both self prescribed and self medicated, the latter ones ...more
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I'm suffering from. Bipolar disorder, I take oxetol xr 150 mg single dose on alternate days. My situation has improved from past 10 years. I was diagnosed at the age of 12 with acute transient psychosis later I came to know that it's bipolar disorder. I usually had relapse once in 2 year or 1 year. Currently im taking maintenance dose i.e oxetol xr 150 mg. As a kid I have been always bright in my studies and sports. Medicines that have worked for me are encorate ,dicorate ,aripiprazole whenever I had relapse these medicines dosage have been increased and slowly within 2-3 months I have become normal. I personally feel that I should always take the maintenance dose. I'm working more than any average person, currently working as senior data scientist in mnc. I have done good in sports as well ,played state level tournaments. My current concern is my weight ,i want to maintain a healthy weight my height is 5'7 and my weight is 84. I want to maintain a healthy weight. I'm thankful to the suggestion given by my family psychiatry because of his suggestions and remedies only I have achieved everything in my life. Any suggestions and remedies to maintain a healthy weight will be appreciated. My current dosage is single oxetol xr 150 on alternate days. Is it possible to maintain a healthy weight with this dosage or not? Any ways to at least loose 10 kg weight with this medicine. Please help on this. Thanks in advance.

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Psychologist•Chennai
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For reduce weight you have to follow food diet and exercise. Walking is the best exercise. Avoid oily food and more fruits and vegetables soup.
584 people found this helpful
Asked for male, 42 years old from Anantapur
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Sir/ madam I am sekhar my age is 42 jam suffering from chronic dysthymia, chronic anxiety tension, chronic insomnia, chronic fatigue syndrome, overactive bladder from 20 years. Jam taken all scars, snris, .but no cure. All scars include vortixitine jam stomach upset, loose stool. Do discontinued. Venlafaxine so sleepy, lethargy,libido, desvenlafaxine no working. I am taking duloxetine, divalproex 500, olanzapine2. 5,clonazepam for 1 year so I got a prediabetes, grade 2 fatty liver. So I discontinued .now I am taking tab deveniz100, zolfresh10 mg from 3 months. But not working very well. Jam taken quetiapine (very sleepy, aripiprazole (insomnia). Jam fear to brutan 150 because I am taking 180 ml whisky monthly twice maybe seizures doubt so 10 days I discontinued. My prediabetes ,grade 2 fatty livercause duloxetine, divalproex,clonazepam, antipsychotic sir/ madam? Is it right sir. Now I want to take duloxetine, bupran,zolfresh. Mel at on in is headache. I'm in village doctor available 200 k.m.i consult many psychiatrist.

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MBBS, MD - Psychiatry, MBA - Healthcare

Psychiatrist•Davanagere
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I'm sorry to hear about the difficulties you're facing with your health. Managing multiple chronic conditions like dysthymia, anxiety, insomnia, chronic fatigue syndrome, and overactive bladder, along with the side effects of various medications, can be extremely challenging. Here are some points to consider based on the information you've shared:
medication side effects and interactions: it's clear that you've experienced a range of side effects from different medications. This is not uncom...more
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Asked for male, 21 years old from Solan
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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.

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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 female, 40 years old from Kolkata
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Diploma in Psychological Medicine, MBBS

Psychiatrist•Ludhiana
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As your mother is diabetic, we can not continue olanzapine for long term.
We need to change olanzapine to safer antipsychotic like aripiprazole or Amisulpride.
Thank you
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MD Psychiatry, MRCPsych, CCT in General ...read more

Psychiatrist•Visakhapatnam
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Aripiprazole is unlikely to cause hairfall, unless if you are on other medications which may have it as a side effect. There are local applications as well as oral tablets, but it is best to see a dermatologist before starting on specific medications.
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MBBS, DPM

Psychiatrist•Bangalore
Dear lybrate-user,
as I have already answered, schizophrenia needs long term maintenance dose of tablets. Relapses are worse to treat. You have not had any relapse since you were continuously on tablets. Your doctor is reducing the tablets, its dose and to less powerful tablets like aripiprazole. Let your doctor decide how long you will be on 15 mg. Since you don't have much side effect with aripiprazole, why don't you take it till the doctor decides the maintenance dose and tablet.
265 people found this helpful
Asked for female, 26 years old from Mumbai
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MBBS, Diploma in Psychological Medicine

Psychiatrist•Panchkula
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Dear Sir, low doses of Aripiprazole can help in managing elevated Prolactin levels during to Soltus. Please discuss things with your daughter's treating Psychiatrist before initiating or stopping any medications. Hopefully she will have a complete recovery.
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