Suggest treatment for agressive behavior due to schizophrenia
increase olanzapine for a while, other medicines are as below
Thanks for writing to us. I can understand your concern.
If your father is confirmed case of schizophrenia at present it is acute exacerbation likely.
He is on 5 mg oleanz. It is good anti psychotic medicine to control anger and to sedate the patient. Optimum dose is 20 mg per day and in some cases it can be given up to 30 mg. At present you can increase the dose up to 20 mg by giving 5 mg in morning 5 mg in noon and 10 mg at night.This will help. Later on when feasible consult his treating doctor , inform about increasing the dose and discuss about other option which I am mentioning below.
If he can not be controlled with oleanz, round the clock cover of benzodiazepine like clonazepam should be added. After stability it can gradually be decreased.
Another option is to add mood stabilizer like valproate which can control such anger.
If I were treating his doctor I would like to add trifluoperazine if he has no possibility of extrpyramidal symptoms.This is good drug to treat suspiciousness which is likely cause of his anger.
If his condition is so much worsened that he can harm to himself or someone the best option is to get him admitted forcefully with help of other relatives/police.
You can ask his psychiatrist for home visit and evaluation also.
Hope I have answered your query, I will be happy to help further.
thank you so much for your advise. wanted to know, can we continue giving stalopalm and parkin along with Oleanz. request if u can just give a descrption which medicine to give and at what time please.
We will try giving him the medicine as per your advice
right now he is taking:
Oleanze - 2.5 mg in nite
Yes continue stalopam and parkin as mentioned below
Thanks for follow up. Thanks for clarification about dosage.
Give Satlopam 5 mg and parkin 2 mg in morning. Oleanz 2.5 mg in morning , 2.5 mg in noon and 5 mg in night for 2 days. If improvement is there in one day continue the same for 5 days and by the time consult his treating psychiatrist.
If no improvement is there increase oleanz up to 15 mg by adding more 2.5 mg in morning and night dose.
If you have clonotril available right now you can give 0.5 mg at night for sleep for a day or two.
I am helping you for acute management.
But you should consult his treating doctor who is aware about his detail history.
Feel free to ask if you have any doubt yet.
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