Hello,

Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     35 year old female
•     on clozaril for 7 years
•     Concern related to: blurring of vision and clozaril use for sleep difficulty

Your question is good but difficult and interesting too. Clozaril is not used for sleep problem but sleep difficulty may occur in other psychiatric illnesses. Many times when symptoms are severe, family members do not tell reason at start of treatment considering best interest of patient.

Clozaril is used in Schizophrenia and also in treatment of resistant cases of Bipolar disorder and psychotic symptoms in other psychiatric illness. Sorry to know but, in most of these illnesses patients lose their ability to identify their illness and symptoms of it. So before thinking about a substitute for sleep medicine or even decreasing clozaril dose, you should have discussion with prescribing Physician so that he can guide you about continuation of clozaril.

Blurred vision can occur with clozaril. But this is occurring very late in your case after years of treatment (7years). So before assuming it as a side effect of clozaril you should have ophthalmological examination and investigation with ophthalmologist advice.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

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