hello,
I have read your query carefully and can see that your child is suffering from
schizophrenia and now he is in hyper mode from sometime. His doctor has changed Palido to Elicia recently and you are concerned about his recovery.
What is evident from the treatment regimen you mentioned here is that your child had kind of low mood (
depression) sometimes back for which he was put on
Nexito 30mg (30mg is a high dose for this molecule). . Changing from Palido to Elicia is not a problem as the dose of Palido was low 3mg only and already he is on schizopin 400mg. The problem is why has the doctor changed to Elicia?...If this is done to control hyper mode then I think that the best approach would have been to reduce nexito (the antidepressant, as this could have been the main reason behind the hyper mode which he entered now), and monitoring the results, this could even have been stopped or atleast reduced significantly.
Second approach can be , stopping palido and increasing Diva to 1250-1500mg daily. This would solve many purpose: 1. this being a
mood stabilizer would take care of both low and high/hyper state of mood, 2. this would also control the current hyper state, and 3. this would lately reduce of eliminate the need of both palido/nexito completely.
So, just by changing the drug to elicia dosent appear to be very good option. to control hyper mood, it is better to reduce nexito first and monitor patient closely.
Hope the reply helps you.
Dr. Manisha Gopal
MD Neuropsychiatry