Hi and welcome to Healthcare Magic. Thanks for your question...
Plus is a combination medication which contains Olanzapine
5 mg (which is given for 'psychosis') and Fluoxetine
20mg (which is given for depression
). Lonazep is a medication given for sleep disturbance and anxiety
. Though you have not mentioned the initial diagnosis made at the time of starting the medication, I am presuming that she must have suffered from depressive and psychotic symptoms, which must have been the reason she was put on that particular combination.
Now, you have mentioned that there were no side effects noticed so far with these medication. It is therefore very unlikely that she is suddenly having side effects of Lonazep after being on that medication for about 10 months. Moreover, 0.25mg is a minimal dose and is unlikely to suddenly cause all these symptoms.
The symptoms which she is experiencing, i.e. difficulty in concentrating, lack of interest, lethargy
, excessive sleep, increased appetite, etc. may be depressive symptoms. I would suspect that she may be having a relapse of her depression. I think you should discuss this with your doctor, so that he can assess her in detail to see if she is actually having a relapse of her previous symptoms.
I think it is okay to taper down the dose of Lonazep, because sedative medication are usually advised only for short periods
and can have an addictive potential. Nevertheless, I strongly feel that she needs detailed assessment and further observation in order to be given the correct treatment.
All the best.
- Dr. Jonas Sundarakumar