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Suggest Alternative Medication For Schizophrenia
Question: Dr lot of medicine drowsiness ? lot of side effects? can i know new medicine have that my desease(Schizophrenia) with out drwsiness?
i took lot of medicine since 1996 like this
prodep 20 mg with orap 2mg after first week total recover my illness. but did not response. increase dosage 4 mg no answer. took that medicine 2 year kind of dosage .but not response.
when olanzapine took one week .recover totaly. start illness 2nd week .after that not response.after taking medicine 1 year continuously no response
respiridone 2mg & clomipramine 25 mg taken.again recover totaly. after 2nd week start again. increase dosage 4 mg & continue 1 year but not response
Clozapine taking six month .it is like other medicine.(citalopam/monorest)
after that prodep 60 mg & respiridone 2 mg but recover end of 1 st week & start illness again.3 year took like this ,not response
now taking prodep 20 mg & sulpitac 150mg per day sines 2 month.it is ok 90% i feeling smell & sweating some time. i will increase my dosage up to 200 mg .is it recover my problem totaly? what is the standard dosage for sulpitac? help me...
Current Medications
now taking prodep 20 mg & sulpitac 150mg per day sines 2 month.it is ok 90% i feeling smell & sweating some time. i will increase my dosage up to 200 mg .is it recover my problem totaly? what is the standard dosage for sulpitac? help me...
i took lot of medicine since 1996 like this
prodep 20 mg with orap 2mg after first week total recover my illness. but did not response. increase dosage 4 mg no answer. took that medicine 2 year kind of dosage .but not response.
when olanzapine took one week .recover totaly. start illness 2nd week .after that not response.after taking medicine 1 year continuously no response
respiridone 2mg & clomipramine 25 mg taken.again recover totaly. after 2nd week start again. increase dosage 4 mg & continue 1 year but not response
Clozapine taking six month .it is like other medicine.(citalopam/monorest)
after that prodep 60 mg & respiridone 2 mg but recover end of 1 st week & start illness again.3 year took like this ,not response
now taking prodep 20 mg & sulpitac 150mg per day sines 2 month.it is ok 90% i feeling smell & sweating some time. i will increase my dosage up to 200 mg .is it recover my problem totaly? what is the standard dosage for sulpitac? help me...
Current Medications
now taking prodep 20 mg & sulpitac 150mg per day sines 2 month.it is ok 90% i feeling smell & sweating some time. i will increase my dosage up to 200 mg .is it recover my problem totaly? what is the standard dosage for sulpitac? help me...
Brief Answer:
Treating schizophrenia without drowsiness
Detailed Answer:
Thanks for your excellent question.
Let me begin by congratulating you for taking your medication. These medicines do often have side effects, but by taking them you are keeping yourself healthy and staying as well as you can be. This is great news.
Let's talk about the medications you have been on in the past and currently.
Prodep (fluoxetine) - This is an SSRI antidepressant. It typically does not cause drowsiness, and has very few side effects. It can be increased to a maximum dose of 80mg daily.
Orap (pimozide) - This is a typical antipsychotic. It can cause drowsiness and extrapyramidal symptoms (EPS) like stiffness.
Risperdal (risperidone) - This is an atypical antipsychotic. It can cause drowsiness but is much less likely to cause EPS. It can cause weight gainb. Rarely, prolactin (a hormone in the blood) can be elevated.
Clomipramine - This is a tricyclic antidepressant. It can definitely cause drowsiness, and dry mouth.
Clozapine - This is an antipsychotic. It is the most effective medicine available for treatment of schizophrenia. However, it also has several side effects including drowsiness, salivation, increased heart rate, and requires frequent blood monitoring for small risk of agranulocytosis, a decrease in the white blood cell count.
Sulpitac (amisulpride) - We don't use this drug in the United States where I practice, but it is an effective atypical antipsychotic. This appears to be a good choice for you because it also functions as an antidepressant. Also, it is one of the least likely antipsychotics to cause sedation, so this is also good for you. It can contribute to sweating, but this effect should decrease over time. The standard dose is 800mg daily. This appears to be a good choice for you.
I hope this was helpful to you.
Dr. Sheppe
Treating schizophrenia without drowsiness
Detailed Answer:
Thanks for your excellent question.
Let me begin by congratulating you for taking your medication. These medicines do often have side effects, but by taking them you are keeping yourself healthy and staying as well as you can be. This is great news.
Let's talk about the medications you have been on in the past and currently.
Prodep (fluoxetine) - This is an SSRI antidepressant. It typically does not cause drowsiness, and has very few side effects. It can be increased to a maximum dose of 80mg daily.
Orap (pimozide) - This is a typical antipsychotic. It can cause drowsiness and extrapyramidal symptoms (EPS) like stiffness.
Risperdal (risperidone) - This is an atypical antipsychotic. It can cause drowsiness but is much less likely to cause EPS. It can cause weight gainb. Rarely, prolactin (a hormone in the blood) can be elevated.
Clomipramine - This is a tricyclic antidepressant. It can definitely cause drowsiness, and dry mouth.
Clozapine - This is an antipsychotic. It is the most effective medicine available for treatment of schizophrenia. However, it also has several side effects including drowsiness, salivation, increased heart rate, and requires frequent blood monitoring for small risk of agranulocytosis, a decrease in the white blood cell count.
Sulpitac (amisulpride) - We don't use this drug in the United States where I practice, but it is an effective atypical antipsychotic. This appears to be a good choice for you because it also functions as an antidepressant. Also, it is one of the least likely antipsychotics to cause sedation, so this is also good for you. It can contribute to sweating, but this effect should decrease over time. The standard dose is 800mg daily. This appears to be a good choice for you.
I hope this was helpful to you.
Dr. Sheppe
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Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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