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Refract 100 MG Tablet Questions

For Schizophrenia, I am on Trinicalm plus and Sizopin. My question is :- Is Diabetes at risk with Clozapine? Thanks.

Dr.K V Anand 93% (34418ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
For Schizophrenia, I am on Trinicalm plus and Sizopin.
My question is :- Is Diabetes at risk with Clozapine?
Thanks.
Dear Lybrate user. I can understand. Recent reports have raised the concern that clozapine increases the risk for diabetes mellitus. Accurate pharmacoepidemiologic data on whether such a hazard exists and its magnitude are needed to enable clinicians and patients to make proper treatment decisions about clozapine. I suggest you to consult your psychiatrist for more clear insight. Take care.
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Is schizophrenia patient take 100 mg lozapin thrice a day he/she have sexual problem (like no interaction, no physical relationship with husband and other) and any other problems like this.

Dr.Krishna Murthy 92% (548ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Hyderabad
Side effects occur to all medications and sexual side effects may occur to Clozapine , that should not mean to stop medications if patient is responding to treatment. Please discuss with your doctor who prescribed Clozapine. Thanks
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I have been taking sizopin25 (clozapine) and distress-ec (escitalopram & clonazepam) for the last 20 years. Also I took revocon 25 (tetrabenzine) for 2 months. I am 52 years old my problem is-my jaw locks while sleeping.

Dr.Himani Negi 94% (22230ratings)
BHMS
Homeopath, Chennai
Hi dear a homeopathic constitutional treatment will give you best results naturally You can easily take an online consultation for further treatment guidance Medicines will reach you via courier services
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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.

Dr.Saul Pereira 93% (49507ratings)
Reparenting Technique, BA, BEd, Transactional Analysis
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, take her to many of them. Since she is comfortable with the parents, take her to places to visit wilfully to expose her to more social stimulus and thus get her out of her internal world: this is going to be key to recovery. There will be delusions of persecution and suspicion over everyone including family and other trusted ones. Paranoids are specifically tormented by abnormal fear. What they do however is that instead of dealing with that fear, they escalate anger over it and act violent. They are extremely sensitive to rejection or the anticipation of it. Their thinking can be quite illogical and distorted. They imagine everything with suspicion and withdraw into themselves. They must be put on medication and a lot of occupational therapy and intense psychotherapy are needed to mitigate the symptoms. I suspect that your daughter suffers from a severe case of rejection and many of the behaviours are indicative of one suffering the Rejection Issue.
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Hi Sir, I am 19 years old I am already taking sizopin 25.And Now I got pregnant.Please suggest Is there any issue?

Dr.Devdatt Laxman Pitale 90% (11ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Obstetrics and Gynecology), FMAS.Laparoscopy
Mother and Child Care,
Hi Sir,
I am 19 years old
I am already taking sizopin 25.And Now I got pregnant.Please suggest Is there any issue?
Pregnancy can be continued but under the care of Gynaecologist and a medical specialist. As your pregnant I would suggest you to be on tablet folic acid 5 mg twice daily from now.
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I am on venlor xr 150 mg 1-0-0 for depression and anxiety & sizodon plus 0-0-1 & sizopin 100 mg 0-0-1 for schizophrenia. There is moderate relief. Of late, there is a speculation on putting me on fluanxol 1-0-0 and 3 mg 0-0-1 with the intention that one drug takes care of the above mentioned three illnesses in one shot. If this is true, then with some titration (deletions or updations) in the above mentioned list, can I go in for fluanxol? Please confirm. Note: there is no self-medication as I have taken this in the past.

Ms.Harsharan Kaur Randhawa 90% (76ratings)
MA Guidance and Counseling, Pursuing PG Diploma in Counseling and Family Therapy (PGDCFT) , Post Graduate diploma in counseling and Family Therapy
Psychologist, Noida
I am on venlor xr 150 mg 1-0-0 for depression and anxiety & sizodon plus 0-0-1 & sizopin 100 mg 0-0-1
for schizophren...
Dear user anxiety and depression can best be treated successfully if along with medicines, you also take counseling. Medicines alone will not be fully effective. Our distorted thoughts are the root cause of stress, anxiety, depression. Counseling take care of our distorted thoughts and helps you to focus on the positives in your life. So, you should seek counseling for better results.
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My brother in law has psychological problem since childhood now he makes too much noise at home. He is 35 years old. We are giving him lozapin100 mg in the evening.is it ok?

Dr.Venkatraman Ravi 90% (1493ratings)
B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
My brother in law has psychological problem since childhood now he makes too much noise at home. He is 35 years old. ...
Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 4 drops of Holly + 4 drops of Impatiens + 3 drops of Vervain + 3 drops of White chestnut + 3 drops of Vine. Mix these with 100 ml water and drink it every night once before sleeping. If any problems consult me online.
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I AM SUFFERING SLEEPLESSNESS ON DURING MORE YEARS, TAKE DRUGS, ie, sulphitac and clozapine and zolfresh.

Dr.Sunil V 91% (2176ratings)
MBBS
General Physician, Mumbai
I AM SUFFERING SLEEPLESSNESS ON DURING MORE YEARS,
TAKE DRUGS, ie, sulphitac and clozapine and zolfresh.
Dear, it is best not to depend on sleep medicines for sleep disturbance as in long run, they lead to dependency and increased disturbance. Never rely on alcohol for sleep. Some people use alcohol to help them sleep, but that's not a good idea. At first, drinking alcohol may make you sleepy and help you fall asleep. But when you drink alcohol, you are more likely to wake up later in the night and have a hard time falling back asleep. This can leave you feeling tired the next day. The following tips help one to easily get into sleep: a) have bath regularly in evening after coming from work or before going to bed. B) do not engage mind in active work or stressful talking at night before bed time. C) do not engage mind in too much of computer work in night before bed time (for example, do not do stock market work in night). D) do not read or view illicit or pornographic material at any time preferably. E) do not take heavy meals in night. Best is to have heavy breakfast, lighter lunch and lightest dinner to maintain stomach rhythm which affects sleep. Vegetarian diet is best for good sleep. F) do not over engage mind in television in night. G) do not smoke cigarette, chew tobacco, tobacco containing masala, or similar intoxicants which can disturb rhythm of mind and disturb sleep cycle. H) no tea or coffee in night (preferably cocoa and caffeine containing drinks should be totally avoided for best results). I) listen to relaxing music and even then if you do not get sleep, then hear soothing stories or nice talks from our rich vedic literature. You may stream audio music and talks. J) read books which not only calm the mind but also nourish the thinking process, such as from our rich oldest vedic literature.
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My father is on sizopin 50 mg since 1993. I want to get a medical document relating to that.

Dr.Saranya Devanathan 97% (3272ratings)
MBBS, DPM
Psychiatrist, Bangalore
My father is on sizopin 50 mg since 1993. I want to get a medical document relating to that.
Dear lybrate-user, please get back to a psychiatrist nearby to get your father diagnosed as treatment resistant schizophrenia. The psychiatrist may prescribe sizopin again after few blood tests (if ok). That will be the medical document.
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