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Schizophrenia , resperidone 4 mg dose - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1775 Questions
User :   I sufferred from schizophernia in the past. I am under resperidone 4 mg on a daily basis. But I started taking only 2 mg in the last week for around four to five weeks. Some time after reducing(on 18/01/2011) the dosage I was told by wife that I am very dull. When given a thought on it I felt that the thought process I am undergoing on 24/01/2010 matched with the thought process I had at the time of suffering.From tuesday I started taking 4 mg. Currently I am on leave fom work as I feel I am not able to concentrate 100% at work. From 24th onwards I want to go back to work. Will this 4 mg dosage get replenished by that time and will I be able to concentrate and work properly by 24/01/2011.
Doctor :   Hi
Doctor :   I
User :   hello
Doctor :   Let me read this query
User :   sure
User :   sir some dates that i mentioned are wrong. I came to know that while i am reading my query
Doctor :   Yes you said you have restarted 4 mg last week?
User :   yeah again i started taking 4 mg from tuesday
User :   before that for around four five days i took only 2 mg
Doctor :   How much were you taking earlier to that?
User :   4 mg
Doctor :   So you switched to 2 mg and took it only for one week, is it not?
User :   yes probably for less than one week i took 2 mg
Doctor :   but you started having some symptoms while taking 2 mg, that is why you shifted back to 4 mg now
User :   right sir
Doctor :   Ok, how are you feeling right now after coming back to 4mg?
User :   i guess little bit better
Doctor :   Clinical stability is more important now
User :   chain of thoughts are reduced but not completely better
User :   ok
Doctor :   Pharmacologically, it is not very clear how much time does it take for medicine ( Risperidone) to acheive good concentration in the blood to control your symptoms
Doctor :   since you have reduced the dose only to half for only few days and restarted the normal dose
Doctor :   I think you should be OK to rejoin the duties
Doctor :   It is still 4 days time to check
User :   yes sir
User :   should i take any immediate couselling or help
Doctor :   Counselling always help
Doctor :   to know about your thoughts
Doctor :   so it is a good idea
User :   pls can you suggest me some good cousellors or pyschiatrist in pune
Doctor :   Let me check
User :   pls sir
Doctor :   Dr.
Doctor :  
User :   in the past there have been some bad experiences because of this illness
User :   i am worried if the same may repeat again
Doctor :   Do not worry,
Doctor :   You have not stopped the medicine completely
Doctor :   hence you should not have those experiences now
User :   that is very relieving
Doctor :   Now the lesson you should learn is, you should never titrate the doses, without the supervision of your treating doctor
User :   yes sir
User :   that too i came to know luckily from my wife. She told be that I am dull for two days
User :   hence i gave a thought for it
User :   other wise i guess it would have been serious. I myself didn't notice these sysmptoms without any inputs
Doctor :   No worries
Doctor :   Just take one session of counselling from the doctor
User :   sure sir
Doctor :   who can guide you how to manage
Doctor :   during such times
Doctor :   Ok?
User :   definitely sir
User :   my cousin is a psychriatrist in u.s. He helped me during these tough times
Doctor :   Touch and Feel counselling is good rather than on phone
User :   can i take a couselling session from any doctor or only from him
Doctor :   Any psychiatrist or Psychologist
Doctor :   whoever is available
User :   sure sir
Doctor :   All the best
User :   can I get in touch wit direcly
Doctor :   yes
User :   thanks a lot for your advice help.nice talking to you
Doctor :   Thank you
Doctor :   Bye for now
User :   bye
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