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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hallucinations While On Anti-depressants

I m on medication from last 10 years for deperession on 20 mg Escitalopram, Mirtazapine 15 mg but from last 3 months i m feeling hallacination hearing sounds,smell etc my doctor prescribed Resperidone 3 mg but i m not getting relief inspite medication I m upset and always feel that my job,my city,my house is not good. My parents taking care of mine and i m getting all my diets well doing my jobs, getting sleep for 8 hours after lopaz in night. Kindly advice about my medication or any otherthing to do
Mon, 24 Nov 2014
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Psychiatrist,  's  Response
Hello,
It apperas as if your depression is not controlled adequately and due to this you are having psychotic symptoms in form of hallucination. However, as there is altered sense of smell- its better you rule out organicity by getting a brain scan (also as there is no response to resperidone).

Till you get the scan your doctor can either raise the dose of respseridone or shift you to a new one- like: olanzapine etc.

Alongwith these changes: the dose of mirtazapine is hiked inorder to get control over depressive symptoms.

Talk to your doctor about the above mentioned points and proceed further.

wish you good luck and speedy recovery.
Dr. Manisha Gopal
MD Neuropsychiatry

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Suggest Treatment For Hallucinations While On Anti-depressants

Hello, It apperas as if your depression is not controlled adequately and due to this you are having psychotic symptoms in form of hallucination. However, as there is altered sense of smell- its better you rule out organicity by getting a brain scan (also as there is no response to resperidone). Till you get the scan your doctor can either raise the dose of respseridone or shift you to a new one- like: olanzapine etc. Alongwith these changes: the dose of mirtazapine is hiked inorder to get control over depressive symptoms. Talk to your doctor about the above mentioned points and proceed further. wish you good luck and speedy recovery. Dr. Manisha Gopal MD Neuropsychiatry