Question: HiSir,
I was having headache two years before. Doctor recommend me deveniz-50 two times a day daily. Now I am having less headache as compared to before. Besides D-veniz I am on amisulpride 300 mg a day.
Now, Problem is that I am getting too much sleep 10-11 hours a day. I used to get sleep late in night and getup in afternoon.
When I go for head massage in barber shop. I feel very relaxed and pain goto the eyes. Then ophthalmologist recommend me naxdom related medicine.
Please tell the solution of problems.

For reference
I got hiv negative results but I am confirmed of having aids
A Talk with psychiatrist
In reference I have used aids term of me but I am not sure I am having it. In reference I have not used term of more sleeping.
Sir,
I have undergone some blood tests that reports had already uploaded on site. My lipid profile values all showing high value out of limit.
I am taking sulphitac 200 mg and D-Veniz 50mg two times a day. My weight is now 109 kg and my height is 5' 10".
I am taking psychiatric medicines from last 6 years. Before 6 years I was in college where I got dispute with professors. They are trying to me out of the college. During this time I come in depression and psychosis. I was very sick that time. Doctor has given me some injections and then olanzapine tablets started from 15 mg a day and then doctor reduced it to 1.5 mg a day. My weight increases about 20 kg during this time . Then after some time I got AIDS while done sex in prostitution. Which doctor never tell me. Then after taking olimelt and other medicinEs my weight become 102 kg but now it is stable at 109 kg.

Besides lipid profile problems I have somestimes eye pain And it goes away after taking some health supplement like siooxy, astagold etc.

I have also fatty liver(second grade). Report is shown attached with site.

I have also irritatable bowl syndrome.

I have also undergone chest pain on right chest side four years before which went after taking 15 days medicine of pantocid DSR and krislaw two times a day. And some hizide after that.
Is there a medicine for psychiatric treatment which does not increase weight. I have tried several medicines but suddenly I feel sick.?

I have very low testosterone and high prolactin which I feel due to brain tumour.
Then doctor gave me some tetosteroids and cabgolin. Which I feel he should not give.
Is my tumour growth will be fast after taking this if I have? What have to do now because I have taken that for three months and now I have left it. Nothing is improved in testosterone after taking that.
I am also feeling tense at the moment of loud noise or sometimes when someone speaks loudly. Which some doctor has said me to undergo ecg. Which I will do.

Please suggest me some medicines and suitable treatment.



times aday
Asked by Me , Fri, 2 XXXXXXX 2015
Doctor's reply to your question above...
Brief Answer:
Abnormal prolactin levels are probably due to anti-psychotic medicines

Detailed Answer:
Hello thanks for choosing HEALTH CARE MAGIC for your health related queries

I have read your query and I can understand your concern. You had some issues with professors at college six years back and developed psychotic episode. The doctors prescribed Olanzapine in high doses at that time and which resulted in improvement in symptoms but also resulted in weight gain. You have developed HIV after some time due to unprotected intercourse. You are currently on Amisulpiride 200 mg and Desvenlafaxine 50 mg per day. You got your tests done and levels of Testosterone and Prolactin along with Lipid profile came in abnormal ranges.

Now coming to discussion-

Levels of Prolactin increases with common anti-psychotic medicines. You are taking Amisulpiride and the drug is known to increase weight and hyperprolactinemia. I am afraid the levels of PROLACTIN are not increased due to some tumour in brain. Yes antipsychotics may increase risk of Prolactinoma which is a benign tumourous growth of brain. (I want to know whether you have been diagnosed with some brain tumour or not?)

High prolactin levels affect levels of testosterone. Prolactin results in low testosterone levels. So the reason of your weight gain, abnormal lipid profile and abnormal gonadal hormonal levels is your intake of AMISULPIRIDE.

Then what can be done?

In such case you can discuss with your psychiatrist to prescribe some medicines that is relatively safer. Drugs like ARIPIPRAZOLE can be given in your case. ARIPIPRAZOLE is having minimal risk for weight gain, metabolic syndrome and less effect on gonadal hormones. This will result in improvement of your metabolic parameters and will not make you sick.

You have been given Cabergoline and the drug helps to reduce the size of prolactinoma and improves the concentration of prolactin. This drug will help to improve your levels and should benefit you. As per my opinion you should take this drug and tumour growth will not be fast on taking this drug.

Testosterone will improve your levels of hormone but this may take some time. So there is no need to fear as your levels will improve in some time. The drug will result in improvement in fatty liver also.

Thanks, hope this helps you. Don't hesitate to ask again in follow up question if you have more doubts.
Replied by Dr. Seikhoo Bishnoi , Fri, 2 XXXXXXX 2015
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Sir,
I want to ask one more thing

Doctor has prescribed me Rosuvas 20 mg daily in night for choelstrol reduction(as my cholestrol is at high stage)
Is there any side effects for the tablets? I am asking this because two years before one physician has prescribed me some tablet i dont know the exact name of that, for cholestrol reduction. But my psychiatrist has stopped me to take that.

Please tell me the company name of the tablet of ARIPIPRAZOLE. I will tell that to my psychiatrist and start taking that.

what can i do now for my family; my wife and my son( 1 year old). because i think they will get aids from me? my son and wife never get fever. my wife experience pain while doing intercourse. my son has reflux of milk sometimes.

Please give me some views to treat them also.
Asked by Me , Fri, 2 XXXXXXX 2015
Doctor's reply to your question above...
Brief Answer:
Rosuvas is a safe drug and has few side effects

Detailed Answer:
Hello, thanks for asking a follow up question

Rosuvas is Rosuvastatin and the drug is used in patients with high cholesterol levels. Over all at this dose the drug is safe to use and should not cause serious side effects at 20 mg doses. The drug can cause restlessness, insomnia, depression, constipation, epigastric discomfort, confusion, nausea as side effects. As per my opinion the drug at this dose is safe and you can take the drug without any worries as per your prescription.

Aripiprazole is available as ABILIFY, Arip MT, XXXXXXX Asprito etc brands. You can discuss with your psychiatrist for prescription of the drug.

Use proper protection methods while doing intercourse with your wife. Try to be gentle while doing intercourse. The reasons of pain during intercourse in your wife are probably due to psychologic and emotional reactions. She might have developed fear and this can be causing contraction of pelvic muscles which could cause pain. Get the HIV status of your wife and son checked to rule out infection. Try to talk with her about the illness and explain her that the illness don't pass by mere touching someone or by sharing same house. Try to gain her confidence and she will improve.

Thanks, hope this helps you.
Replied by Dr. Seikhoo Bishnoi , Fri, 2 XXXXXXX 2015
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
It is already tried by my psychiatrist to give me asprito but I not feel well after taking it. He had tried several medicines. Nothing suited to me.

I have done HIV test of my wife it came negative.
Asked by Me , Fri, 2 XXXXXXX 2015
Doctor's reply to your question above...
Brief Answer:
If Aripiprazole didn't work then Asenapine is other option

Detailed Answer:
Hello again

Aspirto is metabolically safer as compared to other antipsychotic drugs. If the drug didnt work in your case then other options are newer drugs like Asenapine, Iloperidone. Asenapine is new drug and it causes minimal weight gain. It doesn't cause prolactin increase so will be safe to use. The drug has comparable efficacy to other antipsychotic drugs. You can discuss with your psychiatrist for these drugs.

If her status is negative then I would advise you to use barrier methods regularly, don't kiss her for long periods of time, avoid any thing that may cause exchange of direct body fluids. Try to protect her from getting infection.

Thanks.
Replied by Dr. Seikhoo Bishnoi , Fri, 2 XXXXXXX 2015
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Sir,
1. Will topaz be helpful for me for weight reduction? Is it not harmful for me?
2 how to handle fear of brain hammerage or vein rupture when somebody talk like that?
3. Should I do pregnant to my wife?
4 asenapine company name are?

Thanks
Asked by Me , Sun, 4 XXXXXXX 2015
Doctor's reply to your question above...
Brief Answer:
Yes topiramate can help you in weight reduction

Detailed Answer:
Hello thanks for asking a follow up question

Yes topiramate can be utilised for weight loss in your case. The drug will also help in stabilising your mood. No the drug will not cause harm to use. It is safe drug and don't cause any serious side effect at prescribed doses.

Fear of brain haemorrhage or vein rupture is due to anxiety only. You are already taking Desvenlafaxine and the drug will reduce anxiety. Relaxation exercises will help to increase confidence and can help you in reducing anxiety. Breathing exercise, yoga, meditation etc are other non medicinal methods to reduce this fear.

No if you have been tested positive for HIV then I will strongly advise you to not to plan for pregnancy in your wife. This will pose danger to her and she will develop infection. Use protection methods during intercourse. Please don't think about making her pregnant.

Sapheris, Sycrest, Asena etc are common brands for drug Asenapine.


Thanks, hope this helps you. If you have more doubts you can ask again.

Take care and wish you a good health.

I have problem of too much sleep.
2nd I have headache.
I want solution of these problems from neurologist.

Sir,
Please do the prescription for medicine related to headache besides naxdom.
What is the reason of headache?
How can I recover from depression ,the reason of more sleeping of me, as told by you that I am in depression.
What is my life expectancy if death will be due to brain hammerhage.