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Paranoid schizophrenia, using Ativan 2mg and Risperdal 2mg - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
User :   Hi, I am diagnosed as paranoid schizophrenic patient in 2003. Later I used several medications. Now since more than 3 years I am using Ativan 2mg and Risperdal 2mg after breakfast and before bedtime daily. Some doctor prescribed me Pacitane 2mg to come out of the dosage of Ativan and Risperdal in morning. Can you suggest how long should I stick to Pacitane before stopping the dosage in morning?
Doctor :   Hi
User :   Hi
Doctor :   I am Dr
User :   Good morning
Doctor :   Hi
Doctor :   May I know your age please /
Doctor :   ?
User :   35 years
Doctor :   Ok.
Doctor :   Have you started using Pacitane
User :   Yes today.
User :   I had Risperdal along with it
User :   I skipped only Ativan.
Doctor :   Was it prescribed by your treating Psychiatrist or a friend ?
User :   different psychiatrist local to my residence.
Doctor :   Ok.
Doctor :   Ativan and Pacitane are interchngeable as long trem usage of a single drugs also has some adverse effects.
User :   I suffer with dementia and severe constipation because of the long years of using ativan and risperdal.
User :   does pacitane have any withdrawal effects?
Doctor :   But I would suggest you to discuss with your psychiatrist about it before usage, as Pacitane has some more side effects.
User :   i was on pacitane for sometime but my doctor discontinued it after sometime.
User :   he is very far from my place so couldn't meet him.
Doctor :   Pacitane Side Effects: 1.Atrial fibrillation, 2.Crepitations, 3.Electrocardiogram qt prolonged, 4.Electrocardiogram st-t change, 5.Hypotonia,6. Hypoventilation, 7.Insomnia, 8. Loss of consciousness
Doctor :   So if you have any of these side effects he might have suggested you to stop it immediately.
User :   Ativan?
User :   i don't have them now with pacitane.
User :   only minor headache and little stomach pain which has gone away.
Doctor :   The most common side effects associated with lorazepam are sedation (15.9% of patients), dizziness (6.9% of patients), weakness, and unsteadiness. Other side effects include a feeling of depression, loss of orientation, headache, and sleep disturbance.
Doctor :   Ok.
User :   so you suggest me to continue with Ativan 2mg o-x-o and Risperdal o-x-o, right?
Doctor :   Stopping Ativan suddenly might cause withdrawl symptoms.stopping therapy suddenly may produce seizures, tremors, muscle cramping, vomiting, and sweating.
Doctor :   Ativan is much safer to Pacitane , but if you do not have any side effects than i suggest you discuss with the previous psychiatrist and ask him to slowly wane the dosage of Ativan and switch ovet to pacitane if you are fine with it.
Doctor :   I would prefer Ativan to Paciatne, if I were to treat you.
User :   Ok.
User :   i am comfortable with the earlier dosage Ativan 2mg o-x-o and Risperdal 2mg o-x-o, but i am scared of dementia and constipation.
User :   because i already see those symptoms
Doctor :   No Please do not worry about constipation.
Doctor :   Have lots of veggies and fresh fruits and juices , bring a change in your life style if you do have a sedentary life style.
Doctor :   Constipation has become a universal phenomenon because of oily diets and junk foods.
User :   ok.
Doctor :   And about dementia, try to be active , involve in chatting/speaking with friends, discussing all the old things and try to be proactive , it is more of psychological training that is required.
User :   ok sounds practical.
Doctor :   If I do not read or brush up my same old book for 3 yrs, I might forget all the medical knowledge.
User :   hmm :D
Doctor :   It si not dementia, but that is how our short term and long term memory sircuits work.
User :   ok
Doctor :   Dementia due to organic cause like Alzheimers or Picks is different, So please do not worry.
User :   ok then since u r saying Ativan is preferable to Pacitane. i will stick to my old dosage then.
User :   is there a better cure to my problem in future. one time surgery to solve my problem forever.
Doctor :   Yes , but do discuss the same with your treating psychiatrist
User :   what is it?
Doctor :   No surgery can help you, it is not a somatic problem.
User :   i will ask my doctor?
Doctor :   About my advise, please discuss with your psychiatrist as he might be the best person as he has been seeing you physically since long.
Doctor :   About alternative therapies /
Doctor :   ?
Doctor :   May I know you re from which place ?
User :   Hyderabad
Doctor :   There is a .
Doctor :   It is P.
User :   ok
Doctor :   It is 140 acre yoga,naturopathy set up in the nature's lap.
Doctor :   please visit it once or visit and they would be very helpful.
User :   ok sure
Doctor :   Do you have anything else to ask and that I can help you with ?
User :   no thanks.
User :   discussion was helpful and informative
Doctor :   Thank you for consulting me.
User :   thanks.
Doctor :   Take care, bye for now.
User :   bye
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