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Hi, one of my close friend's mom is suffering from auditory hallucinations for the more than a week. Most of her talks/hearings are somewhat related to past conflict. Monday they met homeopathy/ayurveda and they suggested for ayurveda tablets/syrup (saraswatharistam and manasamithira vadagam). She was taking ayurveda tablets for 2 days. Since its getting worst and her health would not allow her to wait for few more days to see the response for homeopathy/ayurveda tablets, wednesday night they met psychiatric in chennai. Doctor suggested (psychosis) for a tablet 'olimelt 5 mg' at night (8-8: 30 pm) for 20 days. If she is not getting sleep still, then they suggested to take 'zolfresh 5 mg' at around 11: 30 pm. 1st day (wed night): took olimelt 5 mg around 10 pm, slept around 1 am and woke up around 8 am. 2nd day (thurs night): thursday day time slept for 30 mins. Took olimelt around 8: 45 pm, did not get sleep till 10: 10, started blaberring/crying after that. So gave zolfresh 5 mg, then slept from 12 am-8 am. 3rd dy (friday night-yesterday): friday day time didn't sleep, took her outside. Took olimelt around 8 pm, had meditation for 45 mins, slept around 10: 15 pm. Woke up by 12 am, and blaberring for an hour. So gave zolfresh 5 mg by 1 am, then slept from 2 am till 8: 30 am. Would like to request experts opinion on the below. - can she take both psychiatric tablet and ayurveda medicines together? Would it help for faster recovery? - any other suggestion for faster recovery (like food habits, yoga, meditation, oil bath. Etc)? - in google, its mentioned that "zolfresh 5 mg" has a side effect of hallucinations. Understand this tablet is for deep sleep, but have a fear about this side effect bec. Our main problem is itself hallucinations only - we are trying our level best to divert her, but sometimes it works, most of the times don't. What to do for that - based on above day by day things, are we in a positive direction or we need to speed up the treatment by getting second opinion? How long her body/brain will take to respond for these tablets? When can we expect the slight positive change on this health issue? - there are other suggestions like consulting neurologist, siddha (parallel treatment), acupuncture. Do you recommend any of those at this point of time or wait for sometime to see the response for current medicines? - which treatment would be the best one for this kind of health issue? Any prompt response would be highly appreciated. Thanks in advance!

4 Doctors Answered
Hi lybrate-user based on the limited information provided by you, she appears to be suffering from acute transient psychotic disorder (atpd), a type of psychosis. Olanzapine is a good and first line medication for such illness. It takes usually 2 weeks to see significant improvement with olanzapine. The things which you can discuss with your psychiatrist is to increase her dose of olanzapine and to substitute zolpidem with either lorazepam or clonazepam. There is no need to start any other treatment simultaneously. I wish her good health!
Dear Puli Bala, Auditory hallucination is a symptom of many disorders. You need to diagnose the disorder before advising treatment. At this age, if hallucination is occurring for the first time, it is more likely to be a medical disorder. Consulting too many doctors of many different systems will not give you faster recovery. i don't know for how many days ayurveda medicines were given. But olimelt was given for 20 days. It means that it will not give recovery in 3-4 days. You need to give for 20 days and get back to the same doctor for the next step. Above 60 years of age, any tablet will be given in a low dose and increased slowly to an effective dose.
1. Only a psychiatrist can help 2. Allopathy is must 3. Take second opinion if medicine is not working 4. It takes time for psychiatric medicine to work at least 14 days 5. You can opt for injections too on advise of psychiatrist.
Any type of hallucinations can be removed by psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication you can contact me for this on Lybrate website thank you.
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