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Clozapine 100 MG Tablet Health Feed

Asked for male, 57 years old from Solan
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MBBS

General Physician•Mumbai
I will suggest you to continue her ongoing medication and Apart from taking symptomatic treatment I will suggest her to take injection vitcofol 2cc intramuscularly Once a week for five pricks over the buttocks through a health professional
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MBBS, MD - Psychiatry

Psychiatrist•Agra
Lybrate-user: People suffering from schizophrenia should take their medications daily. Occasional use can lead to emergence of symptoms. Clozapine especially is a medication that should only be taken under supervision of a physician with very regular blood work to make sure WBC count (cells that fight infection) are not getting too low.
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MD - Psychiatry

Psychiatrist•Chennai
There is no single drug as good or bad, different people respond to different medications for negative symptoms, so explain the nature of the negative symptoms to the psychiatrist and let him decide based on his experience, your body weight, medical condition, etc. All the best.
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Asked for female, 30 years old from Gorakhpur
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PhD - Psychology

Psychologist•Patna
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Your daughter needs psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication for the permanent solution of psychological problems of mild schizophrenic disorder you can contact me for this on Lybrate website thank you.
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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
it is nice that you are regular in taking clozapine and amisulpride in adequate doses. Please continue them to prevent relapse of positive symptoms of schizophrenia. Apart from tablets, you need psychosocial rehabilitation services to improve your memory and logical reasoning. Please consult a psychiatric social worker or rehabilitation specialist for it. You can also take cognitive remediation therapy. All these may be available in a rehabilitation halfway home or shelter...more
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Asked for male, 61 years old from Bangalore
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MD - Psychiatry

Psychiatrist•Indore
No they are not contra indicated with each other. Generally when clozapine is used, it is used alone in equivalent dose of required antipsychotics for the reason to control symptoms.
Side effects decides about combining two or more drugs generally to reduce side effect of high dose of individual drug.
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MD - Psychiatry

Psychiatrist•Chennai
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Swallow with water, both are not usually given together unless there is shifting from one tablet to another, surprising. Good luck
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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 male, 56 years old from Kolkata
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MD - Psychiatry

Psychiatrist•Chennai
It is compulsory to undergo regular blood test (WBC) when on clozapine. If she does not do, she has to be compelled or the medication, changed. Chance of agranulocytosis is 1% and it is the protocol to do, else no other option, but to change medication. All the best.
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