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Asking for Sister, Male, 28 years old, Bilal Gunj Lahore
She is suffering from Phycosis / schizophrenia last 10 years. we have treated alot but end result is negative. currently she is using medicines 1-Risp 4mg, 2-Espremcit 10mg, 3-Ativan 2mg and Kemadrin tablets since one year but she is not recovering.
Thanks for query.
there are many options in this case. First you have to ensure either
patient is taking medicines properly or not. second either adequate dose is
prescribed or not. third what kind of other medicines are use. fourth if
she has not improved despite of all measures, then she may be suffering
from treatment resistant schizophrenia. There is medicine reserved
for treatment resistant schizo, that option can be availed. I will advice
you to consult a good doctor in teaching hospital.
Thanks for the concern, schizophrenia is a psychotic disorder which required long-term treatment, it has two types of symptoms the positive one include hallucinations, delusions, disorganized speech and behaviour and the negative one which includes poor self-care and hygiene, socially withdrawal, apathy( lack of emotions), avolition (lack of motivation) which affects the quality of life, medicines has good effects on positive symptom in comparison to negative symptoms but now novel treatment options are available as dr washdev has mentioned which has good results in positive and negative results as well, in your case I wonder why antidpressant is being given (espramcit) and about antipsychotic (risp ) iw quit good dose but can be build up more and can be augmented with other antipsychotics or can be switch to other antipsychotics but compliance of the patient is very important, apart from that we have to assess the family support and if patient is giving rasponse on medication it is very necessary to engage patient in daily househodl chores, on thing more need to consider the current health status, lab reports and any other medical condition or any other drugs, it is advised to visit a psychiatris to review the diagnosis as well as the treatment option that maximum benefit can be taken
Thank
Dr Aneel Kumar
Member
Sundus Kanwal
Asking for my husband.shadi k start mai wo bilkul achay thy he is MBA age 34 working in a best organisation n m also a banker..kch month se wo bht stressed hen na hi koi financial issue h na kch or msla ab hd ye h k wo itna maarty hen k several times i bleed..kuch baten wo itni abnormal krty hen k mjhe smjh nhi ata inka koi affair nhi or hm joint family mai hen whan b itne koi jhagray nhi nobat seperation tk pe agyi hai wo apne apko justify krne k lyee jhoot tk boldetay hen n baad k khud guilt hota hai unho ne hi mjhse kaha hai k now he needs counselling mai pyar ghussa sb krchuki hun we are blessed with 2 sons..he wants to earn more money jb k hm khush hen wo ab mere 7 se zyada raat dair tk bahar hoty hen jb k hmara relationship b acha rhta h..
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