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Treating drug induced phycosis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2280 Questions
User :   I was diagnosed with drug induced phycosis,(marijuana) i was hospalised in mental health ward put on antiphycotics and have been off them for 3 months. i never herd any voices or delusions still till this day. i now have a feeling of nervousness, and i would medicate with marijuana to releive this nervousness in the past what is another avenu to releive these stressors. excluding XXXXX
User :   Hi
Doctor: hi
User :   a bit of a long intro
Doctor: May I know your age and gender?
User :   19 male
Doctor: Since when are you having these nervous spells?
User :   about a month
User :   today was the worst.
Doctor: Are you there?
Doctor: It seems you have moved out of the chat window. Please log in back if you have medical queries
User :   yes
User :   im here
Doctor: Do you have palpitations, sweating associated with your symptoms?
User :   no palpitations, medium palm sweat
Doctor :   Ok
Doctor: Do you have any other medical illness?
User :   no just the drug induced phycosis, no schizopherina
Doctor: Ok
Doctor: Have you seen a doctor for your present problem?
User :   yes i see my doctor once a month since off medication, coming for a second opinion
User :   Ok
Doctor: Let me brief you.
User :   ok
Doctor: Symptoms of anxiety, nervousness are treated by help of medications/ psychotherapy therapy or combination of both, provided other medical causes are ruled out.
Doctor: Other medical causes include, hyperthyroidism, drug withdrawal and so on.
Doctor: The best form of anti anxiety pills are the benzodiazepine group of drugs.
User :   okay
Doctor: If your symptoms are severe, I would suggest you to use these drugs.
Doctor: The dose of the drugs will depend on how severe your symptoms are.
Doctor: Over a period of time, the drugs will be slowly tapered, reduced and stopped.
Doctor: They are the effective means of treating your symptoms/
User :   okay
Doctor :   Along with the medications, follow up with good therapy.
Doctor: This will consist of regular counseling and therapy sessions which will make sure that your symptoms are treated and reduce the urge you have to restarting marijuana.
Doctor: Since your symptoms are only since 3 moths following stopping the marijuana, both these measures will be temporary, provided you follow the medications and the therapy as regularly as possible.
Doctor: Apart from these measures, there are few home measures that are also useful in treating general anxiety symptoms.
User :   okay i have not used marijuana since january this year
Doctor: That's a good progress.
User :   thank you
Doctor: I would suggest you to continue the same, follow up with the drugs (anxiety drugs).
Doctor: The other home measures may not be effective now.
Doctor: However, once your symptoms are reduced both with the therapy and medications, you can add
Doctor: these home measures to your treatment.
Doctor: They will add to the effectiveness of the treatment, thereby reducing your time of treatment.
Doctor: Have you followed what I have suggested?
Doctor: Do you have any other query?
User :   yes i do, is there any other way than medicaton, another strand of marijuana i can use to medicate myself. it worked in the past untill my phycosis
Doctor: Yes, there are, but I doubt the effectiveness of those without the medications.
User :   i have shakes from the medications i have used in the past
Doctor: The side effects of the medications will be low, if take them under supervision of your doctors, than self medications.
User :   okay, what is the name of the strands, that will not induce phycosis
Doctor: Various forms of benzodiazepines (apart from ativan) are available for this purpose.
User :   yes i will definaly do some reaseach on the medications you have told me
Doctor: sorry, i mean what stand of marijuana can i medicate with that will not induce phycosis
User :   ok
Doctor: strand*
Doctor: As this is an online consultations, as I haven't examined you and as I will not be able to monitor you, I cannot suggest you the prescription medications.
Doctor: I also suggest you NOT to try marijuana products for your
User :   present symptoms.
Doctor: as they will lead to problems on your heart and brain.
Doctor: As a doctor, I should not be suggesting you to use marijuana again.
User :   okay, i was wouring what the chemical is that triggers phycosis
Doctor: I would recommend you to consult your doctor and use the anti-anxiety medications which are more safer than any marijuana products.
Doctor: Have you followed what I have suggested?
User :   yes i am going to speak to my doctor about this, final question
User :   Yes, proceed.
User :   i would like to know the chemical in the marijuana that triggerd my phycosis, i understand you canot prescribe this to me but it would help my anxiety, but i do not want to trigger they phycosis and be on anti phycotics, they make me feel like a zombie
User :   Marijuana contains the chemical Cannabis which is the culprit for causing the psychosis.
Doctor: As suggested this chemical has effects both on the brain and heart, triggering the psychosis from its brain effects and palpitations and raised heart rate due to its cardiac effects.
User :   ok, i have been told it is the thc that triggers the phycosis?Tetrahydrocannabinol
User :   The dose of the cannabis in a product and the rate of absorption are the two factors that determine , what effects on has.
Doctor: Cannabis is a broad name and tetrahydrocannabinol is the effective form of this.
Doctor: Have you followed what I have suggested?
Doctor: Do you have any other query?
Doctor: Thanks for consulting me. Please log back if there are any other queries. Bye for now.
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