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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Mental Health Problem

hi Sorry for not mailing up about sisters details for a longer time.We are exteremely sorry for it. I would like to bring to your notice about changes in her daily activites. 1. She has become restless i.e she wants to go out of home everytime 2. The habit of lying in past is same, she is unable to forget the things in past 3. Shivering of hands have increased. 4. No interest in works.(earlier she used to watch TV and study but that is not there now) 5.No strenght in her body, but the moment she gets her irrritated her strenght in body is doubled 6.Want to talk to other people but while talking to other she looses her way and goes to past, 7 Normally sound sleep but somedays she stays awake whole night 8.She constantly speaks of thing that all have stolen her things 9 She is quiet irritated to her big brother and in response of it she take action her against bhabhi 10 Pain in hand and legs 11 She wants her interefernce in others work or living style Medicine going on Nexcito 30 1-0-0 Kemdrin 1-0-0 Sodium Valporate 1200 0-0-1 Clonezepam 2mg 0-0-1 Serenus 10 0-0-1 Kindly advise what next can be done
Thu, 7 Aug 2014
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Psychiatrist 's  Response
Hi,
Though your detailed question appears to be the continuation of an earlier letter and lacks important facts like age and duration of illness, I believe you will find my answer useful.
1.Does her frequent going out is for a motive or does it appear to be wandering?
2.Not forgetting past is a good sign as it shows her memory is intact despite multiple medications.
3. Shivering of hands is a concern, which can probably be due to the side effects of some drugs which will require a consultation.
4 to 10 are abnormal behaviors which will have to be addressed by your consulting Psychiatrist in the very next visit. (Probably you can ask for an earlier appointment)
My suggestions to you are:
1. Is she suspicious towards others?
2.Is she talking to unfamiliar people?
3.Is her water intake poor?(If not you can make sure that she is properly hydrated)
All the above drugs (Not sure about Kemdrin-is it spelled right) are psychiatric drugs in optimal doses, but they can sure be adjusted after seeing your psychiatrist. I would suggest you to continue giving them in the prescribed dose till the appointment, maintaining adequate water intake.
Hope I have answered your queries. Do write if you need further clarifications


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Suggest Remedy For Mental Health Problem

Hi, Though your detailed question appears to be the continuation of an earlier letter and lacks important facts like age and duration of illness, I believe you will find my answer useful. 1.Does her frequent going out is for a motive or does it appear to be wandering? 2.Not forgetting past is a good sign as it shows her memory is intact despite multiple medications. 3. Shivering of hands is a concern, which can probably be due to the side effects of some drugs which will require a consultation. 4 to 10 are abnormal behaviors which will have to be addressed by your consulting Psychiatrist in the very next visit. (Probably you can ask for an earlier appointment) My suggestions to you are: 1. Is she suspicious towards others? 2.Is she talking to unfamiliar people? 3.Is her water intake poor?(If not you can make sure that she is properly hydrated) All the above drugs (Not sure about Kemdrin-is it spelled right) are psychiatric drugs in optimal doses, but they can sure be adjusted after seeing your psychiatrist. I would suggest you to continue giving them in the prescribed dose till the appointment, maintaining adequate water intake. Hope I have answered your queries. Do write if you need further clarifications