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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Stuttering, Gained Weight, Confused, Frequent Urination, Bi Polar Disorder. On Zypine, Avaparo. What Now?

My father is taking a mix of -Zypine 10mg 2 at night
- Avaparo 300mg 1 daily
- Lithicarb 250mg- 2 daily

He has become senile and some what demented. When he speaks a least 70% of the time he is incomprehensible and stuttering, he has gained so much weight he is about 105kg and is 49 years old he also sleep walks and does strange things at night time. He is constantly confused and forgets thing all the time. The last few nights he has been smoking weed for his anxiety and has become like a child. He can barley stand straight, barley talk and he just peed in my room on the floor. HELP US PLEASE. He has bi polar also. WHAT IS GOING ON.
Mon, 6 May 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

He is a known case of Bipolar Illness and is taking Lithium carbonate and Olanazapine 20 mg along with Avaparo 300 mg. Olanzapine belongs to SGA group and it has potential to cause metabolic side effects. It can cause altered glucose tolerance,abnormal lipid metabolism, weight gain. The excess weight gain in his case is due to olanzapine only. Smoking weed may cause severe increase in anxiety as well as it may precipitate acute psychosis. I would advise you to take him to a Psychiatrist for expert opinion. His doses of Olanzapine and lithium can be adjusted.

Thanks
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Psychiatrist Dr. Dr.Nehal's  Response
Hi,
Thanks for using healthcare magic.

I have gone through your available history.

Symptoms of your father might be due to
- Side effects of drugs
- Physical causes including neurological, thyroid dysfunction
- Weed smoking
- As a part of worsening in bipolar mood disorder

You should consult your psychiatrist/ neurologist for detailed evaluation.
Treatment will be directed as per cause. Doctor may advise you to go for blood investigations and/or CAT scan.

I hope he will be fine soon.

Thanks.
I find this answer helpful

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Has Stuttering, Gained Weight, Confused, Frequent Urination, Bi Polar Disorder. On Zypine, Avaparo. What Now?

Hello Welcome to HCM He is a known case of Bipolar Illness and is taking Lithium carbonate and Olanazapine 20 mg along with Avaparo 300 mg. Olanzapine belongs to SGA group and it has potential to cause metabolic side effects. It can cause altered glucose tolerance,abnormal lipid metabolism, weight gain. The excess weight gain in his case is due to olanzapine only. Smoking weed may cause severe increase in anxiety as well as it may precipitate acute psychosis. I would advise you to take him to a Psychiatrist for expert opinion. His doses of Olanzapine and lithium can be adjusted. Thanks