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Dear Mr. Dhawan, Any particular molecule cant be claimed as superior as response varies from person to person. One agent that is good for a particular person may not work that well for other. However, clozapine is one molecule that is considered superior to all others in resistant cases and is generally given when other medicines fail. Partial agonists such as aripiprazole have a less side effects but sometimes efficacy is found wanting. Your patient will need evaluation and appropriate suggesti...more
Asked for male, 28 years old from Hyderabad
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The excessive salivation may be sue to dental caries and need a dental check up . Other causes are excessive starch intake, gastroesophageal reflux disease, pancreatitis, liver disease, serotonin syndrome, oral ulcers, and oral infections. Medications that can cause saliva overproduction include clozapine, pilocarpine, ketamine, and potassium chlorate.
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Asked for female, 53 years old from Ahmedabad
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Hello,Your daughter is suffering from bipolar disorder and ocd. A thing which is commonly observed in such patients is when they are taking a class of drugs (a typical antipsychotics like risperidone, olanzapine, clozapine), they continue to have ocd symptoms despite taking medicines for the same. Ask your doctor if that could be the case and what can be done about it. Don't alter drug doses on your own. Consult privately for more help. Take care.
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People with disorganized schizophrenia often use the same treatments as those with other types of schizophrenia: medication and counselling or therapy. The most common medication used to treat schizophrenia is an antipsychotic medication. There is no clear antipsychotic drug of choice for schizophrenia. Clozapine is the most effective medication but is not recommended as first-line therapy because it has a high burden of adverse effects, requires regular blood work, and has not outperformed othe...more
Asked for male, 29 years old from Bangalore
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You can taper the medication and plan to stop it and if she recurs with her symptoms than meet a psychiatrist for confirmation.
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Asked for male, 67 years old from Delhi
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MB BS, MD - Psychiatry, MBA - Healthcare...read more
Psychiatrist•Davanagere
Although I am not entirely sure about the benefits of the molecules that you mention, since it is an amino acid there should be no side effects of glycine. If the patient is having auditory hallucination despite being on medication alkepin 200 mg daily, it might be helpful to make dose adjustments or to add augmentative or adjuvant therapeutic measures that target the core symptoms in addition to trying out glycine.
Look forward to hearing from you. If you need help with booking an appointme...more
Look forward to hearing from you. If you need help with booking an appointme...more
Asked for male, 29 years old from Srinagar
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Dear Shahdab,
Nice to know that your brother recovered 80%.
He has to continue Alkepin for life. He has to periodically go for check ups with the psychiatrist for side effect like weight gain, blood counts, diabetes, lipids, etc.
Apart from the tablets, he has to slowly start building skills of socialisation, interpersonal communication, work habits, personal grooming, etc. If he is already working, try and talk to his supervisor about his disorder so that they get counselled about h...more
Nice to know that your brother recovered 80%.
He has to continue Alkepin for life. He has to periodically go for check ups with the psychiatrist for side effect like weight gain, blood counts, diabetes, lipids, etc.
Apart from the tablets, he has to slowly start building skills of socialisation, interpersonal communication, work habits, personal grooming, etc. If he is already working, try and talk to his supervisor about his disorder so that they get counselled about h...more
Asked for male, 32 years old from Rohtak
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Amisulpride, clozapine and certain newer antipsychotics on a particular dosage can act on negative symptoms, which varies between every individual. Combining with psycho-social rehabilitation helps mostly, else medicines alone cannot give full benefits. Despite these sometimes there is no improvement in few.
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Asked for male, 42 years old from Chennai
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Sexual dysfunction is a common condition in patients taking antipsychotics, and is the most bothersome symptom and adverse drug effect, resulting in a negative effect on treatment compliance. It is known that hyperprolactinemia is a major cause of sexual dysfunction. Based on the blockade of dopamine d2 receptors, haloperidol, risperidone, and amisulpride are classed as prolactin-elevating antipsychotics, while olanzapine, clozapine, quetiapine, ziprasidone, and aripiprazole are classed as prola...more
Asked for female, 59 years old from Hyderabad
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Dear lybrate-user,
taking medicines for the long term and no improvement needs a review of diagnosis. Now that we know her counts reduced. We need to know why it is reduced. If it is drug-induced, it will recover after stopping the drug. Bone marrow test will not show that it is drug-induced. But the report will show the type of count reduction, like neutropenia. Except for clozapine, other psychiatric drugs (mirtaz, qutipin and tofisopam) rarely cause low blood count. In clozapine, the psyc...more
taking medicines for the long term and no improvement needs a review of diagnosis. Now that we know her counts reduced. We need to know why it is reduced. If it is drug-induced, it will recover after stopping the drug. Bone marrow test will not show that it is drug-induced. But the report will show the type of count reduction, like neutropenia. Except for clozapine, other psychiatric drugs (mirtaz, qutipin and tofisopam) rarely cause low blood count. In clozapine, the psyc...more
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