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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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On OLIMELT. Given Through Food. Not Given Regularly. When Should The Medicine Be Discontinued And Stopping It Will Cause Any Trouble?

My daughter is 27 years old. SHE HAS BEEN PRESCRIBED TO TAKE OLIMELT. She does not take. WE give through food 5mg. She never leaves past. She may appear alright for few but she continuously dwells past and doubts me on every thing. Problems she is facing for last 7 years but did not take medicines. Only for last 2 years she is on medicines but frequently these are discontinued by my wife thinking she is alright.These are started when problems are faced by my wife also from her. WE are extremely worried as we are also getting older and dont know what to do? How to discontinue medicine and when? Whether she will be alright?
Fri, 5 Jul 2013
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  User's Response
I would suggest that you have a repeat appointment with your doctor.
5 mg of Olanzapine (Olimelt) is a starting dose and a higher dose may be required. It is important to be regular with the medications in her case. Even when her symptoms are controlled we may have to give a regular dose of medications to prevent recurrence of symptoms.
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Psychiatrist Dr. Anjana Rao Kavoor's  Response
Hi,

From the history you provide, you have been irregular with medications and your daughter has a long standing illness which has been relapsing (symptoms appearing) and remitting (symptoms resolving) very often. Dwelling on the past (?preoccupation with a certain content) and suspiciousness are symptoms of the disorder which means she is not symptoms free even on medications. Which means you need to visit her doctor and optimize the dose to try and resolve her symptoms. Once she gets better you can try to educate her about the illness and then she may start taking medicines by herself. But this will take some effort from your side.

If she remains symptom free for a few years (which will now take long since the ilness was not treated properly) the doctor may choose to reduce the dose and stop it. But the current concern is her acute symptoms.

Please consult the doctor before stopping and starting the medicines. It is not a right practice since It can worsen the prognosis of the disorder.

Hope this helps,
Dr A Rao
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Psychiatrist Dr. Dr.Nehal's  Response
Hi,
Thanks for using healthcare magic.

As she has still symptoms like doubts or suspiciousness , she is not completely cured still.
You should not give olanzapine irregularly as it may not help her.

You should take her to psychiatrist for detailed evaluation and management. Doctor may increase the dose of olanzapine or may switch over to different drug like risperidone or aripiprazole depending upon the evaluation and side effect profile.

Doctor may advise you to go for counselling and insight oriented psychotherapy for giving insight regarding her illness.

You should not omit drugs without consulting psychiatrist.

Thanks.
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On OLIMELT. Given Through Food. Not Given Regularly. When Should The Medicine Be Discontinued And Stopping It Will Cause Any Trouble?

I would suggest that you have a repeat appointment with your doctor. 5 mg of Olanzapine (Olimelt) is a starting dose and a higher dose may be required. It is important to be regular with the medications in her case. Even when her symptoms are controlled we may have to give a regular dose of medications to prevent recurrence of symptoms.