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Suggest treatment for schizophrenia

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Posted on Thu, 17 Dec 2015
Question: Hello
My mom is having some mental problem, she is suffering from schizophrenia but she doesn't accept her condition.
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Answered by Dr. Seikhoo Bishnoi (33 minutes later)
Brief Answer:
Other options of treatment are also available.

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. First of all I'd like to tell you that Schizophrenia is a psychotic mental disorder. In most of patients of schizophrenia insight is not seen. Insight is awareness about the illness or in simple terms patients with lack of insight never accept their illness and they deny treatment most of the times. This is the reason she is not accepting the medicines.

In paranoid schizophrenia patients develop suspiciousness against any person and mostly against closed ones. They might feel that other members of house are against them or sometimes even feel that their problems are caused by family members. So very strict and calculated approach is needed to give medicines to them. The family members or caregivers should not be very humble and in the same time should not be very indifferent to them. Excess closeness or care may be mistaken as invasion of personal space of patients. So try to remain relaxed and try to give her medicines.

If this doesn't work then other option is to give medicines by mixing with food. She has been given dispersible tablets of Haloperidol which is a good medicine. But since this is not resulting in improvement then other option is to change medicine. Other medicines especially second generation antipsychotics as Risperidone or Olanzapine can be used. Risperidone is available in liquid form and can be given by mixing with food or even water. The medicine is colourless and odourless. You can discuss with her doctor for these medicines.

If that also doesn't work then other option is to give her long acting injectable antipsychotics. Fluphenazine, Haloperidol, Risperidone etc drugs are available in long acting injectable forms and these medicines provide effective control for 2-4 weeks. Fluphenazine and Haloperidol injections are also very cost effective and are safe. Risperidal consta is long acting injection of Risperidone but is costly. You can discuss with your doctor for these medicines and can choose best for her. You have to take her forcibly to doctor once for injections but with time she will become compliant to treatment.

Thanks, I hope this helps. Please don't hesitate to ask again for more doubts.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5187 Questions

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Suggest treatment for schizophrenia

Brief Answer: Other options of treatment are also available. Detailed Answer: Hello thanks for asking from HCM for your health related queries I can understand your concern. First of all I'd like to tell you that Schizophrenia is a psychotic mental disorder. In most of patients of schizophrenia insight is not seen. Insight is awareness about the illness or in simple terms patients with lack of insight never accept their illness and they deny treatment most of the times. This is the reason she is not accepting the medicines. In paranoid schizophrenia patients develop suspiciousness against any person and mostly against closed ones. They might feel that other members of house are against them or sometimes even feel that their problems are caused by family members. So very strict and calculated approach is needed to give medicines to them. The family members or caregivers should not be very humble and in the same time should not be very indifferent to them. Excess closeness or care may be mistaken as invasion of personal space of patients. So try to remain relaxed and try to give her medicines. If this doesn't work then other option is to give medicines by mixing with food. She has been given dispersible tablets of Haloperidol which is a good medicine. But since this is not resulting in improvement then other option is to change medicine. Other medicines especially second generation antipsychotics as Risperidone or Olanzapine can be used. Risperidone is available in liquid form and can be given by mixing with food or even water. The medicine is colourless and odourless. You can discuss with her doctor for these medicines. If that also doesn't work then other option is to give her long acting injectable antipsychotics. Fluphenazine, Haloperidol, Risperidone etc drugs are available in long acting injectable forms and these medicines provide effective control for 2-4 weeks. Fluphenazine and Haloperidol injections are also very cost effective and are safe. Risperidal consta is long acting injection of Risperidone but is costly. You can discuss with your doctor for these medicines and can choose best for her. You have to take her forcibly to doctor once for injections but with time she will become compliant to treatment. Thanks, I hope this helps. Please don't hesitate to ask again for more doubts. Take care