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Suggest Dosage Of Sulpitac

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Posted on Wed, 7 Oct 2015
Question: i have taking medicine since 1996 many nay varity drugs ,like this respiridone,olazapine,)
clozapine . but any one not response.
(Schizophrenia)

After that i taking prodep 20 mg with sulpitac 150 mg .it is ok 90%. how long time take that medicine for recover my illness?
I have feeling sometime smell & Sweating .
i will increase sulpitac 200 mg with prodep total recover my illness?
Dr lot of medicine drowsiness ? lot of side effects? can i know new medicine have that my desease(Schizophrenia) with out drwsiness?

i took lot of medicine since 1996 like this

prodep 20 mg with orap 2mg after first week total recover my illness. but did not response. increase dosage 4 mg no answer. took that medicine 2 year kind of dosage .but not response.

when olanzapine took one week .recover totaly. start illness 2nd week .after that not response.after taking medicine 1 year continuously no response

respiridone 2mg & clomipramine 25 mg taken.again recover totaly. after 2nd week start again. increase dosage 4 mg & continue 1 year but not response

Clozapine taking six month .it is like other medicine.(citalopam/monorest)

after that prodep 60 mg & respiridone 2 mg but recover end of 1 st week & start illness again.3 year took like this ,not response

now taking prodep 20 mg & sulpitac 150mg per day sines 2 month.it is ok 90% i feeling smell & sweating some time. i will increase my dosage up to 200 mg .is it recover my problem totaly? what is the standard dosage for sulpitac? help me...
doctor
Answered by Dr. Chintan Solanki (35 minutes later)
Brief Answer:
if you improved 100% continue same medicines for at least 3 years

Detailed Answer:
Hello XXXX,

Thanks for writing to us.

From names of medicines you mentioned it is confirmed that you are suffering from schizophrenia. You have been suffering since 1996.

It is very good that you have improved up to 90% with sulpitac (Amisulpride) and prodep (fluoxetine).In schizophrenia such improvement is highly appreciable. Yes you can increase dose of sulpitac up to 200 mg under your doctor's guidance for further improvement.

If I were your treating doctor I would recommend to continue medicines for at least 3 years in same dose as you have long standing history. After that dose can be decreased very gradually. At any time during dos reduction if you feel symptoms are happening better to shift to higher dose from that level and continue probably for more 3 years.

As patients’ with schizophrenia becomes stable with much efforts in my opinion long term treatment should be there to prevent relapse and maintain quality of life.

Smell and sweating are unlikely side effects of amisulpride. If they are started only after starting medicines you need to ask your treating doctor for further evaluation of those symptoms.
Hope I have answered your query, I will be happy to help further.
Regards,

Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (23 minutes later)
hello Dr feeling smell & sweating is my illness. tell me answer for it?

thanks
doctor
Answered by Dr. Chintan Solanki (26 minutes later)
Brief Answer:
feeling smell can be part of your illness

Detailed Answer:
Hi,

Thanks for follow up. Actually second paragraph (part) of your first question was updated later and before that I had already given the answer.

Feeling smell can be olfactory hallucination which is part of psychosis/schizophrenia only. Sweating can be due to some physiological reason (like hormonal diurnal variation, high sympathetic tone) or it can be part of anxiety symptoms of your problem.
Prodep can deal with sweating part and sulpitac can deal with smell.

Prodep is not at all sedative. It rather reduces sleep. It should be used after breakfast in morning.
Sulpitac can cause sedation in few patients but not so much with 150 mg dose.
Optimum dose is 200-400 mg in most of the patients with negative symptoms of schizophrenia. Many of my patients are stable on 50-100 mg dose also. Exact dose is finalized depending upon symptoms and response of the drug in patients.
Any drug for best results should be used for optimum period and optimum time.


Hope this will help. Feel free to discuss further.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Dosage Of Sulpitac

Brief Answer: if you improved 100% continue same medicines for at least 3 years Detailed Answer: Hello XXXX, Thanks for writing to us. From names of medicines you mentioned it is confirmed that you are suffering from schizophrenia. You have been suffering since 1996. It is very good that you have improved up to 90% with sulpitac (Amisulpride) and prodep (fluoxetine).In schizophrenia such improvement is highly appreciable. Yes you can increase dose of sulpitac up to 200 mg under your doctor's guidance for further improvement. If I were your treating doctor I would recommend to continue medicines for at least 3 years in same dose as you have long standing history. After that dose can be decreased very gradually. At any time during dos reduction if you feel symptoms are happening better to shift to higher dose from that level and continue probably for more 3 years. As patients’ with schizophrenia becomes stable with much efforts in my opinion long term treatment should be there to prevent relapse and maintain quality of life. Smell and sweating are unlikely side effects of amisulpride. If they are started only after starting medicines you need to ask your treating doctor for further evaluation of those symptoms. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.