My sister is 29 years she give birth to child last month now baby is 1 month but my sister was a patient of schizophrenia before marriage but from 1 year she stop olanzapine 15 mg medicine without consulting his doctor but now we see symptoms come again in her behaviour so can we start the medicines again because she don't want to go doctor again because she says she is fine can we give this medicine to her in her food so that she get normal and when she get normal we take her to the doctor for consultancy please help we are are very tensed.

Dr. Shreyas PendharkarPsychiatrist13yrs exp

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Schizophrenia medications typically need to be taken indefinitely. They should never be stopped abruptly. Pregnancy & early childbirth period is a high risk time for relapse of schizophrenia, despite continued medications. In general olazapine is a safe medication during pregnancy. Regarding advice of breastfeeding & continued medication, you should consult your psychiatrist. If patient is refusing for treatment, you have to contact your nearest government hospital which will explain the procedure to file appeal in front of regional mental health authority for treatment of non cooperative patients with mental illness.  

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