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Schizophrenia treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2347 Questions
Doctor :   hi
Doctor :   how can we help you
User :   hello doctor
User :   are you a doctor
User :   what kind of doctor are you?
Doctor :   Gen Physician
User :   interesting.. who pays you to be here?
User :   this is very usefull service
Doctor :   yes it is
User :   this is a nice chat but i must say it is unusual as it is free
Doctor :   ok
Doctor :   Please restrict your chat to health query right now.
User :   what do u know about schizophrenia?
Doctor :   ok
Doctor :   can you tell me more about the patient
User :   i take 200mg solian a day for it over 4 years i still get episodes
User :   4 episodes so far
User :   sorry 300mg right now
User :   whats your advice?
Doctor :   ok
Doctor :   what is the chemical of the drug
User :   solian is the advertised name
User :   Solian another name is amilsulpheride or something
Doctor :   the generic name pls
Doctor :   ok
User :   yes thats the one
Doctor :   what do you want to know about it

User :   well why am i still getting episodes
User :   does schizophrenia get worse over time?
Doctor :   for how long have you been on this
User :   since 2003 feb
Doctor :   To get a better picture I need this information--

Age: ; Occupation: ; Location:
User :   24.unemployed
Doctor :   at what age were you diagnosed of this disease
User :   at 20
User :   but i wasnt told i had this diagnosis dont ask me why
User :   i have no idea i was told maybe 1 year ago
Doctor :   k
Doctor :   generally the younger age group the
Doctor :   patients have a lot of relapses
Doctor :   especially in men
User :   ive had 1 every year or so
User :   what do u suggest on how to stop them? i dont need statistics
Doctor :   yes the rates vary from patient to patient
User :   statistics is all ive been given for 4 years
Doctor :   long acting halooperidol, reperidone,
Doctor :   'Fluphenazine
Doctor :   are under us to prevent the recrrences
User :   didnt get your last line
User :   i wonder my my doc hasnt put me on them
Doctor :   this will be only kept under chech
User :   also i was prescribed an antidepressent is this any good
Doctor :   they are under research still

Doctor :   the documentation of long term benefits are yet to be seen
User :   so i should take all those medicines or?
User :   halooperridol resperidone
User :   and fluphenazine
Doctor :   one of them and it will be based on your severity
Doctor :   your attending physician will
Doctor :   be the best guide
User :   my physician says ill take solian for a couple more years
User :   is this smart after ive had all those episodes
Doctor :   yes that has long term benifits
User :   like?
Doctor :   The medications that we use to treat it are not magic bullets that fix the symptoms.
Doctor :   they merely control
User :   well its under good enough control now but what if it comes back
User :   also it depends on the dose for me
User :   if iam on a low dose i get relapse
Doctor :   the recurence are to be expected

Doctor :   thats the trend in all the young men having the disease
User :   but it seems it can be avoided
User :   no?
Doctor :   not really the medicine levels have a low range
User :   low range?
Doctor :   if your dose is low you will have an attack
Doctor :   therapeutic range

User :   but why dont i stay on high meds all the time to stop attacks?
User :   high dose
Doctor :   the toxicity of the drug will affect you
User :   what toxicity i thought they were safe?
Doctor :   every drug has its own adverse effects
User :   well id rather die younger and be schiz free do you know what i mean?
Doctor :   thses are associated with yours Weight gain, dizziness, postural hypotension, extrapyramidal symptoms, neuroleptic malignant syndrome. GI disorders and dry mouth. CNS effects. Hyperprolactinaemia (with galactorrhoea, amenorrhoea, gynecomastia, breast pain, sexual dysfunction).
Doctor :   i do get what you are teying to tell me but there are more to look forward to from life
User :   more meds?
Doctor :   didnt get you

User :   what is more to look forward to?
User :   oh from life?
Doctor :   well :)
User :   well i had 1 year attack free it seems like thats the trend
User :   so 1 year then relapse
Doctor :   mostly
Doctor :   so
User :   there is no way out of it?
Doctor :   untill our science develops more

Doctor :   where they find out the genetic basis and find out the treatment
User :   this doesnt sound good
Doctor :   well i only have that much to say
Doctor :   atleast something to look forward too
User :   what is the percentage of attacks for a year
User :   that have it every year
Doctor :   vary from patient to patient

User :   what if i increase meds when it gets close
Doctor :   did mention the adverse effects to you
User :   but iam saying i dont care about them
Doctor :   i understand!!

User :   are u saying the high meds wont stop another attack
User :   lets say i increase them a lot in 1 year
Doctor :   nope but their adverse effects will create new problems

User :   i dont think the problems are that bad
Doctor :   only untill you have them
User :   the schiz itself will kill me sooner
Doctor :   people live with it like diabetics
Doctor :   or may be hypertensives
User :   what does that mean?
Doctor :   its a disease like any other
User :   offcourse but diabetics dont kill themselves
Doctor :   yes
User :   i dont think youre right on the 1 year thing
User :   there must be a way to avoid it
Doctor :   like
Doctor :   ok
Doctor :   well the expert will be the better person to help you with it
User :   you have an expert on this chat?
Doctor :   but the relapses vary from one patient to the other

Doctor :   no we dont have an expert on the chat
Doctor :   we could fix an appointment for you with him
User :   how do i find this expert?

Doctor :   that will be a paid servce
Doctor :   you could look into the portal
Doctor :   on our home page
Doctor :   search your doctor

User :   whats the site?
Doctor :   WWW.WWWW.WW
User :   ok thank you but dont go away i have more questions
Doctor :   ok pls tell me
User :   whats the specialists name in my area?
User :   it doesnt have to be my area
User :   the best one
Doctor :   you are from
Doctor :   it will be a Psychiatrist

Doctor :   we dont have info pertaining to that place well you still have to look for the Psychiatrist

Doctor :   I am sending you a feedback form now. Please take a moment to give your valuable opinion so that we can continuously improve our service.Please inform me after you have filled it. I will be waiting for you
User :   so you only have shrinks
Doctor :   "shrinks"?
User :   psychtrists
Doctor :   he will be your specialist

User :   yes i already have a psychtrist but iam looking for one that can solve my problem
Doctor :   ok

User :   is there such a man?
User :   women?
Doctor :   your disease is such

Doctor :   can i send you the form now
User :   send me any form you like
User :   finished
Doctor :   will that be it or could we fix
Doctor :   an appointment with the Psychiatrist
Doctor :   for you here
User :   tell me about the doctors u have there do they fix this problem of relapses?
Doctor :   they will try their best

Doctor :   to help you
User :   look doc i dont need to go to bangalore india to have this answered it seems u are just making money here
Doctor :   no thats not what we intend to its your call any way

Doctor :   there is the NIMHANS one of the premiere institutes run by Govt so you can
User :   who is your best specalist in india?
Doctor :   estimate the cost
Doctor :   confirm your particulars pls we mail it to you

Doctor :   YYYY@YYYY

Mobile : 0000
User :   mobile is wrong
Doctor :   the mail id remains the same
Doctor :   YYYY@YYYY we will mail it across
User :   what are you mailing?
Doctor :   the particulars of the doctor
Doctor :   that you need to consult
Doctor :   ru there
User :   yes
User :   havnt recieved anything
Doctor :   Is there anything else I can help you with?
Doctor :   the team dealing with it is different they will get in touch with you
Doctor :   shortly

User :   sounds promising
Doctor :   ok then will that do
User :   how will they get in touch with me email?
Doctor :   yup
Doctor :   thats why i confirmed it
User :   so you cannot talk any longer?
Doctor :   We have a long queue of patients waiting to get medical advise.
User :   i have more questions trust me i will be an enteratiaining patient
Doctor :   pls tell me
User :   can you tell me more about the statistics
User :   and what medidinces etc can help
Doctor :   the medicines i had mentioned in our conversation
Doctor :   haloperidol, reperidone, 'Fluphenazine
User :   y these medicines but not solian?

Doctor :   the statistics for India are different from your nation
Doctor :   thats the one which you are already on
User :   how so?
Doctor :   the case load varies the treatment course varies the ratio of male to female with the disease is different
Doctor :   the age group here is different
Doctor :   so there will be a lot of variations in stats
User :   so your stats for young onset is 1 year relapses
Doctor :   young age of onset the relapse rates are high thats what i mentioned
User :   but the long term recovery is better?
Doctor :   yes
User :   how can that be?
Doctor :   thats the nature of the disease course that it takes
Doctor :   studies have revealed so
User :   ok
Doctor :   Is there anything else I can help you with?
User :   what is the statistics for someone that has had 4 relapses to relapse again in 1 year
User :   thats me offcourse
Doctor :   what in the statistics are you looking into
User :   well a pattern or something
Doctor :   as i said it is highly variable form the factors that i mentioned

User :   aha iam listening
Doctor :   and stats are not tabulated based on one patient
User :   for now what should i ask my specilist
Doctor :   its the trend that by and large the whole population follows
Doctor :   didnt get you
User :   what is a good question to ask my specialist to get optimum treatment
Doctor :   you will need to briefly explain
him your case
Doctor :   he will guide you further
User :   he has treated me for about a year
User :   he has everything on me from 4 years back
User :   say if u had the illness what would u ask him
Doctor :   you could have a talk with him regarding the pogress of your disease

Doctor :   the prognosis of my condition

Doctor :   We have a long queue of patients waiting for our service.Thanks for consulting Health care magic. Bye for now
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