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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experienced Psychosis, Being Treated With Soloquin. Will Its Sedative Effect Wear Off ?

My son who is a computer programmer and Masters of IT student travelled to the UK from Australia & his antipsychotic drug Solian stopped working on the flight over. He experienced psychosis and spent some weeks being treated with other drugs. He has now been admitted to a high care facility and being treated with Soloquin. My question: Soloquin is an older drug and seems heavily sedative with sometimes severe side affects. Will the sedative affect wear off so he can resume his life? Is there a more modern drug that would help him?
Thanks AAAA
Mon, 26 Aug 2013
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Psychiatrist,  's  Response
Hello,
First of all you should maintain him on regular medicines and follow ups with psychiatrist. The longer is duration of untreated psychosis, harder it gets to treat.
Then coming to drugs Soloquin contains Clozapine, which is though older but it is by far the most potent anti psychotic agent currently available. Sedation would wear off gradually over a period of time and side effects should not be a problem if you keep monitoring for them regularly and have a good diet and exercise plan for him. He should be able to work and encouraged to once his symptoms are under control.
There is another drug Aripiprazole which does not cause sedation and side effects are minimal. Then there are newer drugs such as Iloperidon, Asenapine, Amisulpride (Solian) which are options which you can discuss with your psychiatrist.
Hope it is helpful. Feel free to ask any more queries. Take care.
Regards.
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Psychiatrist,  Dr. Indrayani Inamdar's  Response
hi margaret, welcome to healthcare magic, though more sedative older antipsychotics are considered more effective in acute psychosis. as your son achieves psychological stability, the meds can be tapered and SDA antipsychotic can be added, which remains in the best jujdment of the treating psychiatrist. the aim of treatment remains bringing the patient to full functional capabilities. . hope this helps. regard dr inamdar
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Experienced Psychosis, Being Treated With Soloquin. Will Its Sedative Effect Wear Off ?

Hello, First of all you should maintain him on regular medicines and follow ups with psychiatrist. The longer is duration of untreated psychosis, harder it gets to treat. Then coming to drugs Soloquin contains Clozapine, which is though older but it is by far the most potent anti psychotic agent currently available. Sedation would wear off gradually over a period of time and side effects should not be a problem if you keep monitoring for them regularly and have a good diet and exercise plan for him. He should be able to work and encouraged to once his symptoms are under control. There is another drug Aripiprazole which does not cause sedation and side effects are minimal. Then there are newer drugs such as Iloperidon, Asenapine, Amisulpride (Solian) which are options which you can discuss with your psychiatrist. Hope it is helpful. Feel free to ask any more queries. Take care. Regards.