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What Causes Excessive Salivation And Drowsiness While Treating Psychiatric Issues?
Question: Hello Dr. H Sheppe,
I just consulted you regarding my psychiatric problem and you also replied to consult you in your private website.
Because I have been taking medications for three years. There is a huge pile of prescriptions.
I will simply text you the medications in reverse chronological order. If you think I need to scan the prescriptions, I can do so in the follow up.
Initially, the doctor I consuldiagnosed it as F.20.0
As such there was no improvements because of medications. But I had few side effects like salivation in bed, excessive drowsiness (that was the primary reason to stop them as I had to work in the mornings).
One quick observation is that immediately after I stopped medication myself, there was an increase in disturbances (I had a fix of sort), but it slowly came down and now the condition is far better than what it used to be during or before medications.
Below is the list of medications (it includes Risperidone - "Risperdal 4mg tablets" and two times injections of "Risperdal Consta 25mg Deep IM":
Date 02/04/2016
Tab. Sizopin 100mg 2-0-3
Tab. Arpizol / Arip MT 10mg 1-0-1
Cap. Betacap - TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
Cap. Fludac 20mg 1-0-0
Cap. Unicobal -D3 1-0-0
Date 06/02/2016
Tab. Sizopin 100mg 2-0-3
Tab. Arpizol / Arip MT 10mg 1-0-1
Cap. Betacap - TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
Cap. Fludac 20mg 1-0-0
Third Psychiatrist above
27/09/2105
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Cap. Betacap TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
Tab. Depakot 250mg 0-0-1
28/06/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Cap. Betacap TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
Tab. Depakot 250mg 0-0-1
24/05/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 20mg 1-0-0
Tab. Parkin 2mg 2-1-0
09/05/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-1-0
04/05/2015
Tab. Sizopin 100mg 2-0-2
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
26/04/2015
Tab. Sizopin 100mg 1.5-0-2
Tab. Ariphrenz 10mg 1.5-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
12/04/2015
Tab. Sizopin 100mg 1.25-0-1.25
Tab. Ariphrenz 10mg 2-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-0-0
25/03/2015
Tab. Sizopin 50mg 1-0-1.5
Tab. Ariphrenz 10mg 1.5-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-1-0
08/03/2015
Tab. Sizopin 50mg 0-0-1.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
28/02/2015
Tab. Sizopin 50mg 0-0-1
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
08/02/2015
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
Tab. Migrol TR 40mg 1-0-0
20/01/2015
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
Tab. Migrol TR 20mg 1-1-0
16/01/2015
Tab. Sizopin 50mg 0.5-0-1.5
Tab. Ariphrenz 10mg 2-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-0-0
03/01/2015
Tab. Ariphrenz 10mg 0-0-2
Tab. Rispond 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
Tab. Migrabeta TR 40mg 1-0-0
21/12/2014
Tab. Rispond 4mg 0-0-2
Tab. Parkin 2mg 2-1-0
Tab. Migrabeta TR 40mg 1-0-0
06/12/2014
Injection - Risperdal Consta 25mg Deep IM
06/12/2014
Tab. Rispond 4mg 0-0-1
Tab. Parkin 2mg 2-1-0
25/11/2014
Tab. Risperdal 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
18/11/2014
Injection - Risperdal Consta 25mg Deep IM
15/11/2014
Tab. Risperdal 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
Second Psychiatrist above
First Psychiatrist consulted was below
07/06/2014
Tab. Sizopin 100mg 1-0-0
Tab. Asenapt 10mg 1-0-1
Tab. Arip MT 45mg 1-0-1
Tab. Amisant 300mg 0-0-1 50mg 1-0-0
08/03/2014
Tab. Sizopin 25mg 1-0-0 200mg 0-0-1
Tab .Asenapt 10mg 1-0-1
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
07/02/2014
Tab. Sizopin 125mg 0-0-1
Tab. Asenapt 10mg 1-0-2
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
06/01/2014
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Sizopin 50mg 0-0-1
06/12/2013
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
08/11/2013
Tab. Amisant 200mg 0-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 0-0-1
05/09/2013
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 0-0-1
Tab. Ecitane 2mg 1-1-0
03/08/2013
Tab. Arip MT 40mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
06/07/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
08/06/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
25/05/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
11/05/2013
Tab. Arip MT 20mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
Tab. Enervit 2mg 1-0-0
13/04/2013
Tab. Asenapt 10mg 1-0-2
Tab. Fluanxol 3mg 1-0-1
Tab. Ecitane 2mg 1-1-0
28/03/2013
Tab. Asenapt 10mg 1-0-1
Tab. Fluanxol 3mg 1-0-1
Tab. Tridyl 1-1-0
Let me re-write the original query.
My name is Vijay. I have been suffering from a continuous mental / psychiatric / other (which I am not sure) issue. Please help me on this.
Outline:
About in 2008, after I graduated from Johns XXXXXXX University in USA, I started getting weird disturbances that someone was actually controlling me and not allowing me to do focus or concentrate on anything. I was continuously suffering from such a disorder which aggravated and I lost my job due to inactivity or lack of focus or interaction with anyone. I continued to stay alone for a year before I got back to XXXXXXX in 2010. I had to resist the external control which was not allowing me to think / take rest / remember / interact with anyone. I felt (and still feeling) a solid band that presses on my forehead always. I consulted lot of psychiatrists and they prescribed lot of medicines which were of no help (For example I was prescribed Scizopine about five in a day).
Later about a year back, I decided to fight it back myself (stopped all the medications), thinking there is nothing controlling me and focus on my day to day activities with strong determination, now there is a great improvement as I feel relatively better.
But as time is passing really fast that I need to be competent / keep learning / interact better to keep myself stable professionally and also keep up good with my family.
Real challenge is actually remembering things, this solid band of pressure on my forehead is actually stopping me from staying calm (I feel restlessness always), memory issues, "fast breathing", unable to sit in a place for long, unable to focus, unable to interact (If I am talking to someone, while in the discussion I totally LOSE CONTEXT of what I was talking, stay blank and this happens everytime). This can be termed as short term memory loss but I did MRI and other scans and my medical reports are perfectly normal.
I dont know what is going on. Please suggest me on this.
I just consulted you regarding my psychiatric problem and you also replied to consult you in your private website.
Because I have been taking medications for three years. There is a huge pile of prescriptions.
I will simply text you the medications in reverse chronological order. If you think I need to scan the prescriptions, I can do so in the follow up.
Initially, the doctor I consuldiagnosed it as F.20.0
As such there was no improvements because of medications. But I had few side effects like salivation in bed, excessive drowsiness (that was the primary reason to stop them as I had to work in the mornings).
One quick observation is that immediately after I stopped medication myself, there was an increase in disturbances (I had a fix of sort), but it slowly came down and now the condition is far better than what it used to be during or before medications.
Below is the list of medications (it includes Risperidone - "Risperdal 4mg tablets" and two times injections of "Risperdal Consta 25mg Deep IM":
Date 02/04/2016
Tab. Sizopin 100mg 2-0-3
Tab. Arpizol / Arip MT 10mg 1-0-1
Cap. Betacap - TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
Cap. Fludac 20mg 1-0-0
Cap. Unicobal -D3 1-0-0
Date 06/02/2016
Tab. Sizopin 100mg 2-0-3
Tab. Arpizol / Arip MT 10mg 1-0-1
Cap. Betacap - TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
Cap. Fludac 20mg 1-0-0
Third Psychiatrist above
27/09/2105
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Cap. Betacap TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
Tab. Depakot 250mg 0-0-1
28/06/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Cap. Betacap TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
Tab. Depakot 250mg 0-0-1
24/05/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 20mg 1-0-0
Tab. Parkin 2mg 2-1-0
09/05/2015
Tab. Sizopin 100mg 2-0-2.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-1-0
04/05/2015
Tab. Sizopin 100mg 2-0-2
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-2-0
26/04/2015
Tab. Sizopin 100mg 1.5-0-2
Tab. Ariphrenz 10mg 1.5-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
12/04/2015
Tab. Sizopin 100mg 1.25-0-1.25
Tab. Ariphrenz 10mg 2-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-0-0
25/03/2015
Tab. Sizopin 50mg 1-0-1.5
Tab. Ariphrenz 10mg 1.5-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 2-1-0
08/03/2015
Tab. Sizopin 50mg 0-0-1.5
Tab. Ariphrenz 10mg 1-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-1-0
28/02/2015
Tab. Sizopin 50mg 0-0-1
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
08/02/2015
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
Tab. Migrol TR 40mg 1-0-0
20/01/2015
Tab. Ariphrenz 10mg 2-0-0
Tab. Sulpitac 100mg 0-0-1
Tab. Migrol TR 20mg 1-1-0
16/01/2015
Tab. Sizopin 50mg 0.5-0-1.5
Tab. Ariphrenz 10mg 2-0-0
Tab. Migrol TR 40mg 1-0-0
Tab. Parkin 2mg 1-0-0
03/01/2015
Tab. Ariphrenz 10mg 0-0-2
Tab. Rispond 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
Tab. Migrabeta TR 40mg 1-0-0
21/12/2014
Tab. Rispond 4mg 0-0-2
Tab. Parkin 2mg 2-1-0
Tab. Migrabeta TR 40mg 1-0-0
06/12/2014
Injection - Risperdal Consta 25mg Deep IM
06/12/2014
Tab. Rispond 4mg 0-0-1
Tab. Parkin 2mg 2-1-0
25/11/2014
Tab. Risperdal 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
18/11/2014
Injection - Risperdal Consta 25mg Deep IM
15/11/2014
Tab. Risperdal 4mg 0-0-1
Tab. Parkin 2mg 1-1-0
Second Psychiatrist above
First Psychiatrist consulted was below
07/06/2014
Tab. Sizopin 100mg 1-0-0
Tab. Asenapt 10mg 1-0-1
Tab. Arip MT 45mg 1-0-1
Tab. Amisant 300mg 0-0-1 50mg 1-0-0
08/03/2014
Tab. Sizopin 25mg 1-0-0 200mg 0-0-1
Tab .Asenapt 10mg 1-0-1
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
07/02/2014
Tab. Sizopin 125mg 0-0-1
Tab. Asenapt 10mg 1-0-2
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
06/01/2014
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Sizopin 50mg 0-0-1
06/12/2013
Tab. Amisant 200mg 1-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
08/11/2013
Tab. Amisant 200mg 0-0-2
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 0-0-1
05/09/2013
Tab. Arip MT 45mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 0-0-1
Tab. Ecitane 2mg 1-1-0
03/08/2013
Tab. Arip MT 40mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
06/07/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
08/06/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
25/05/2013
Tab. Arip MT 30mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
11/05/2013
Tab. Arip MT 20mg 1-0-1
Tab. Asenapt 10mg 2-0-2
Tab. Fluanxol 3mg 2-0-1
Tab. Ecitane 2mg 1-1-0
Tab. Enervit 2mg 1-0-0
13/04/2013
Tab. Asenapt 10mg 1-0-2
Tab. Fluanxol 3mg 1-0-1
Tab. Ecitane 2mg 1-1-0
28/03/2013
Tab. Asenapt 10mg 1-0-1
Tab. Fluanxol 3mg 1-0-1
Tab. Tridyl 1-1-0
Let me re-write the original query.
My name is Vijay. I have been suffering from a continuous mental / psychiatric / other (which I am not sure) issue. Please help me on this.
Outline:
About in 2008, after I graduated from Johns XXXXXXX University in USA, I started getting weird disturbances that someone was actually controlling me and not allowing me to do focus or concentrate on anything. I was continuously suffering from such a disorder which aggravated and I lost my job due to inactivity or lack of focus or interaction with anyone. I continued to stay alone for a year before I got back to XXXXXXX in 2010. I had to resist the external control which was not allowing me to think / take rest / remember / interact with anyone. I felt (and still feeling) a solid band that presses on my forehead always. I consulted lot of psychiatrists and they prescribed lot of medicines which were of no help (For example I was prescribed Scizopine about five in a day).
Later about a year back, I decided to fight it back myself (stopped all the medications), thinking there is nothing controlling me and focus on my day to day activities with strong determination, now there is a great improvement as I feel relatively better.
But as time is passing really fast that I need to be competent / keep learning / interact better to keep myself stable professionally and also keep up good with my family.
Real challenge is actually remembering things, this solid band of pressure on my forehead is actually stopping me from staying calm (I feel restlessness always), memory issues, "fast breathing", unable to sit in a place for long, unable to focus, unable to interact (If I am talking to someone, while in the discussion I totally LOSE CONTEXT of what I was talking, stay blank and this happens everytime). This can be termed as short term memory loss but I did MRI and other scans and my medical reports are perfectly normal.
I dont know what is going on. Please suggest me on this.
Brief Answer:
Private Consultation
Detailed Answer:
Hello, and thanks very much for reaching out to my direct private service.
The diagnosis F20.0 confirms my original suspicion that you have schizophrenia. I have reviewed your medication history and list very carefully.
I strongly recommend you resume Sizopin and work closely with your psychiatrist to slowly increase the dose. Schizophrenia is a chronic illness that may do well for a while without medication but will actually need continuous medication treatment to prevent relapse and hospitalization. Sizopin is the most effective medication available for treatment of schizophrenia, but the dose you were last taking (100mg) is likely too low. At a higher dose I would expect full and lasting resolution of symptoms.
Dr. Sheppe
Private Consultation
Detailed Answer:
Hello, and thanks very much for reaching out to my direct private service.
The diagnosis F20.0 confirms my original suspicion that you have schizophrenia. I have reviewed your medication history and list very carefully.
I strongly recommend you resume Sizopin and work closely with your psychiatrist to slowly increase the dose. Schizophrenia is a chronic illness that may do well for a while without medication but will actually need continuous medication treatment to prevent relapse and hospitalization. Sizopin is the most effective medication available for treatment of schizophrenia, but the dose you were last taking (100mg) is likely too low. At a higher dose I would expect full and lasting resolution of symptoms.
Dr. Sheppe
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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