Brief Answer:
Clonazepam can be reduced one per day

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I am glad to know that he is stable on medication and there is no serious side effects other than increased duration of sleep. Although I will not be able to assist with referral but in regard to medications I feel the clonazepam can be reduced to one tablet 0.5 mg per day rather than the two tablets per day. Although there are multiple medications which cause increased sleep as side effect but I feel clonazepam should be the first choice while withdrawing medication for increased sleep.

I also like to make it clear that considering his diagnosis of schizophrenia and bipolar disorder the prescription is largely rational and there is nothing which can be considered excess other than clonazepam.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

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Brief Answer:
No

Detailed Answer:
Hello,
Thanks for follow up.

Since the medications are effective for him I do not feel there is indication for ECT. In my opinion ECT can be considered if he is aggressive, not showing response to medications or may take his own life or others life.

In case none of these is true I do not think ECT is answer for him.

I hope this answers you further.
If you have any further query, I would be glad to help you.

In future if you wish to contact me directly, you can use the below-mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards.

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