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Can Bexol DT Be Administered Along With Dinner?
Question: Hello Doctor,
Psychiatrist has prescribed Bexol DT tablet in the morning and Sizodon 3 mg tablet during the day for a Schizophrenia patient. Unfortunately the patient is against taking any medicine. So the parents of the patient are administering the medicines by mixing the medicines in food. But in the process, they are unable to administer Bexol DT tablet in the morning breakfast, they are only administering Sizodon 3mg Tablet during dinner. So, the parents have the following questions :
a. Can Bexol DT tablet be administered at night along with dinner food?
b. What are the side effects of using Sizodon over a long term period?
Kindly provide your valuable advice and oblige.
Regards,
XXXX
Psychiatrist has prescribed Bexol DT tablet in the morning and Sizodon 3 mg tablet during the day for a Schizophrenia patient. Unfortunately the patient is against taking any medicine. So the parents of the patient are administering the medicines by mixing the medicines in food. But in the process, they are unable to administer Bexol DT tablet in the morning breakfast, they are only administering Sizodon 3mg Tablet during dinner. So, the parents have the following questions :
a. Can Bexol DT tablet be administered at night along with dinner food?
b. What are the side effects of using Sizodon over a long term period?
Kindly provide your valuable advice and oblige.
Regards,
XXXX
Brief Answer:
give bexol in food in morning
Detailed Answer:
Hello,
1. Bexol tablet should ideally be given at night. If you can, please try mixing bexol in food in morning time (as you do with resperidone).
2. If patient is reluctant in taking medicine then you can shift patient on long term depot antipsychotics which can be given every once in fifteen days to once every month. They are given intramuscular and are cheap.
3. The usual side effects of resperidone are mild at low dose (1-6mg) and include- sedation, dizziness, increased appetite, increased salivation, or lightheadedness, nausea, sometimes gastritis and reduced eye blinking in some cases. These side effects donot happen to all patients and are usually not troublemsome.
Hope the reply is useful for you.
please ask more questions for further clarifcation.
Dr. Manisha Gopal
MD Neuropsychiatry
give bexol in food in morning
Detailed Answer:
Hello,
1. Bexol tablet should ideally be given at night. If you can, please try mixing bexol in food in morning time (as you do with resperidone).
2. If patient is reluctant in taking medicine then you can shift patient on long term depot antipsychotics which can be given every once in fifteen days to once every month. They are given intramuscular and are cheap.
3. The usual side effects of resperidone are mild at low dose (1-6mg) and include- sedation, dizziness, increased appetite, increased salivation, or lightheadedness, nausea, sometimes gastritis and reduced eye blinking in some cases. These side effects donot happen to all patients and are usually not troublemsome.
Hope the reply is useful for you.
please ask more questions for further clarifcation.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello Doctor,
Thanks a lot for your response. I have few clarifications :
a. in the brief answer, you have advised to administer Bexol DT in the morning. But in the detailed answer, you have mentioned that it is should ideally be given at night. I am bit confused. Need your help pls.
b. You have advised that as the patient is reluctant to take medicine, the patient could be shifted to "long term depot antipsychotics". What are these ?? Are they substitute to (Sizodon 3 mg + Bexol DT) combination? Are they to be injected in muscles (I guess that would be difficult as the patient would refuse to take one !!). Are these available in liquid or tablet form which can be mixed with food?
Your advise would be of great help.
Regards.
Thanks a lot for your response. I have few clarifications :
a. in the brief answer, you have advised to administer Bexol DT in the morning. But in the detailed answer, you have mentioned that it is should ideally be given at night. I am bit confused. Need your help pls.
b. You have advised that as the patient is reluctant to take medicine, the patient could be shifted to "long term depot antipsychotics". What are these ?? Are they substitute to (Sizodon 3 mg + Bexol DT) combination? Are they to be injected in muscles (I guess that would be difficult as the patient would refuse to take one !!). Are these available in liquid or tablet form which can be mixed with food?
Your advise would be of great help.
Regards.
Brief Answer:
bexol in morning& liquid risnia is in market
Detailed Answer:
Hello,
1. Bexol tablet should be avoided after evening hours. Im happy you asked for clatification as i miss typed it . The reason behind giving bexol in mirning is that it may hamper sleep. So, mix it in food in morning or may be in lunch.
2. Depot anti psychotics are given intramuscular but many times we tell that they are multivitamins so that patient accepts them. Later when he gets bettet they accept oral tablets themselves.
These are easy to administer and only need once a month or fortnight dosing; almost no supervision . They are given along with bexol (tablet form) to counter side effects. E.g. of depot are- prolinate, spenzo; the newer ones (of resperidone etc .) - resperidal consta ( costly)
3. Resperidone is easily available in liquid formulation- in name of liquid risnia. This you can use in food- it is colorless, odorless.
Bexol is not available in liquid form.
Hope this clarifies your doubts. Please do ask more questions for further help.
Dr . Manisha Gopal
MD Neuropsychiatry
bexol in morning& liquid risnia is in market
Detailed Answer:
Hello,
1. Bexol tablet should be avoided after evening hours. Im happy you asked for clatification as i miss typed it . The reason behind giving bexol in mirning is that it may hamper sleep. So, mix it in food in morning or may be in lunch.
2. Depot anti psychotics are given intramuscular but many times we tell that they are multivitamins so that patient accepts them. Later when he gets bettet they accept oral tablets themselves.
These are easy to administer and only need once a month or fortnight dosing; almost no supervision . They are given along with bexol (tablet form) to counter side effects. E.g. of depot are- prolinate, spenzo; the newer ones (of resperidone etc .) - resperidal consta ( costly)
3. Resperidone is easily available in liquid formulation- in name of liquid risnia. This you can use in food- it is colorless, odorless.
Bexol is not available in liquid form.
Hope this clarifies your doubts. Please do ask more questions for further help.
Dr . Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Thanks a million for clarifying.
One last question : can Sizodon 3 mg and Bexol DT be mixed in the same food and administered during lunch?
Regards,
XXXX
Thanks a million for clarifying.
One last question : can Sizodon 3 mg and Bexol DT be mixed in the same food and administered during lunch?
Regards,
XXXX
Brief Answer:
can be mixed but may make him sleep
Detailed Answer:
Hello,
One can mix resperidone and bexol in food at the same time but resperidone can cause sedation .
So, if your patient has sleepy effect at 3mg resperidone then you will not be able to give it to the patient in daytime- as he would sleep off...and because of the same he might have difficulty in working and later have no sleep in night time.
But, if he has no sleepiness wth resperidone at present dosage then you can mix them and give in lunch.
I hope the answer is useful for you.
wish you luck.
Dr. Manisha Gopal
MD Neuropsychiatry
can be mixed but may make him sleep
Detailed Answer:
Hello,
One can mix resperidone and bexol in food at the same time but resperidone can cause sedation .
So, if your patient has sleepy effect at 3mg resperidone then you will not be able to give it to the patient in daytime- as he would sleep off...and because of the same he might have difficulty in working and later have no sleep in night time.
But, if he has no sleepiness wth resperidone at present dosage then you can mix them and give in lunch.
I hope the answer is useful for you.
wish you luck.
Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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