Suggest Treatment For Severe Fatigue In A Person With Resistant Schizophrenia
Aripiprazole.
Detailed Answer:
Hello
Welcome to HCM.
I have gone through your details thoroughly. I understand your concerns.
The main issues which are bothering your currently are drug induced side effects and insomnia.
It's unfortunate that you have not been informed about the side effects of psychotropic drugs in past.
Almost all antipsychotic drugs can cause weight gain. The two antipsychotic drugs which are relatively safer in this aspect are aripiprazole and ziprasidone. In my opinion, aripiprazole is a better option for you as it does not affect prolactin levels too.
Amisulpride is known to cause prolactin elevation and weight gain in some cases. You can gradually decrease the dose over 2 weeks.
Aripiprazole can increase anxiety and akathisia initially. You can take low doses of Clonazepam simultaneously for short term, to manage both side effects as well as insomnia.
If aripiprazole works for you, it can prove to be a effective treatment option.
As these are prescription drugs, kindly discuss these issues with your doctor and proceed accordingly.
Hope this helps.
Thanks.
1-0-1 (50mg amisulpride) , 1/2 -0- 1/2 (nexito 5 mg restrted...isthere a point to restating ? am i too late...is it better to suffer and get off nexito ...or do i do a slow taper this time?) , (0-0-1/2 lorazepam 1 mg)
i dont think arip is gonna work. didnt work last 4 times. it caused me to be hospitalized forcibly at sh hospital paynkulam after which i became very ill. sleeplesness started after psychiatric treatment there. unless u say arip will get adjussted after 1 month of insomnia aanxiety etc..i dont think i should continue with arip.
how do i get off amisulpride. and to be honest end it with that. i dont want to switch..just do the safest fastest taper. and stop all meds and replace with( diet-psychotherapy-counselling-ayurvedic psychiatry from kottakal- exercise- friends- family is screwed bit i have 3 people who are supportive). just tell me the fastest taper method and what all i should prepare and do to retrain brain to function without the drugs.i know it is going to be hell to stop. is there an inpatient service to stop the meds like in usa? at this point i am looking at 10 yrs of alternative interventions to recover from 10 yrs of psychiatry. i think its doable if i am lucky.
Amisulpride does not cause discontinuation symptoms.
Detailed Answer:
Hi again.
Sorry for late response.
Yes, akathisia caused by aripiprazole is reversible when the drug is stopped.
There is no point in starting nexito again if there are no depressive symptoms.
Amisulpride 100mg is a relatively low dose and discontinuation symptoms with this drug are unusual. I think you can reduce it by 50mg every week.
There are no rehabilitation centers here but your Psychiatrist can help you in this.
You can simultaneously start with alternative treatments like Ayurveda etc.
As these alternative treatments show their effects, your brain will get adapted to work without drugs.
Do keep your doctor informed about this.
I wish you well.
Thanks.