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What Causes Dizziness And Headaches After Taking Sulpitac?

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Posted on Mon, 2 Mar 2015
Question: I took sulpitac 300 mg from May 2014 because I was getting negative thoughts. Along with that I also took pacitane to remove its side effects. I took it for 8 months and then stopped it in XXXXXXX 2015 because it was not suiting me and it was making me feel sick and had other side effects. After I stopped them I felt a little better but then I started taking arip mt 5 mg and kemadrin 2.5 mg and then again I started feeling dizzy and sick and got headaches. I feel that arip and kemadrin are ruining my brain and I can't think properly the way I used to think before taking the medicines. I feel that I don't need any of these medicines and that I'll be fine without them. If I stop them will I be fine? Because I feel that I was better without any of the medication in May 2015 and that I just needed a bit of counseling and no medicines.
doctor
Answered by Dr. Ravi Soni (52 minutes later)
Brief Answer:
You need evaluation again

Detailed Answer:
Hi, thanks for writing through HCM.

I have read your query and previous questions also and understood your concerns.

I just want to ask that what were the symptoms at the beginning of your distress? Because you are given antipsychotic drugs and you don't seem to have any kind of psychosis.

Give me some details of the symptoms and thought you had at the beginning of the illness. I will give my opinion based on that and also will tell about the possible intervention.

I am waiting for your reply.

You can be fine without drugs but without understanding your illness, I can not advice to stop the drugs.

Wish you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Follow up: Dr. Ravi Soni (19 hours later)
People were irritating me in my school in April 2014 so whenever I was studying I was getting irritated and negative thoughts were coming to me. I didn't know why I wasn't able to study but later I came to know it was because of that. Also whenever I was reading my eyes used to jerk because of which I couldn't study and I thought there was a problem with my brain but actually it was my eyes. But I got my eyes checked in October and I had already started sulpitac 300mg and pacitane 2mg in May and it had too many side effects which made me sick and all. I went to the psychiatrist again in XXXXXXX 2015 and I told him to stop it so he lowered it and finally stopped it. The day I stopped it I felt much better but the next day I had to take arip mt 5mg and kemadrin 2mg and then I started getting headaches and thoughtlessness and again I felt that something is wrong with my brain. I feel I was much better without these medicines and I just needed counseling and if I had got my eyes checked before taking the medicines then I would have been fine. I want to stop these medicines now and I want to ask you if I'll get better without these medicines. Because I have my board exams in 1 month and I need to study and I don't want this illness during this time. I feel I'll be fine without these medicines.
doctor
Answered by Dr. Ravi Soni (3 hours later)
Brief Answer:
Still need more information

Detailed Answer:
Hi, thanks for your reply.

I am still wondering about your basic illness.
I want to ask you few questions.;
1. Who had checked your eyes? ophthalmologist or any other doctor?
2. who had prescribed you sulpitac?
3. What was the diagnosis of the problem, explain to you?

Jerky eye movements is not a psychiatric illness. It can be a tic disorder but I am not sure.

Waiting for the reply.
Regards,
Dr Ravi Soni
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (14 hours later)
My eyes started jerking from March 2014 and I couldn't read because of that. I didn't know what was happening. I went to a counselor and told him I can't concentrate. He told me to go to the psychiatrist for medication. The psychiatrist prescribed sulpitac and pacitane because I told him that I was getting negative thoughts. Actually it was because of jerky eyes because of which I couldn't concentrate(I came to know that later) and not because of negative thoughts. But the medication started in May 2014 and I thought that my eyes would stop jerking because of sulpitac. But they didn't. Then I didn't know what was the problem. I told my parents in October 2014 that my eyes were jerking. They took my to the eye doctor and he prescribed eye drops. Then finally my eyes stopped jerking. But I had already started sulpitac in May 2014 which I already mentioned. So it had already caused so many other problems so I again went to the psychiatrist in December 2014 and told him to stop sulpitac. He stopped it in XXXXXXX 2015 and I felt much better. But then he prescribed arip mt 5mg and kemadrin 2.5mg and then they also are causing many problems. I feel I don't need any of this medication and it was all because of the eyes jerking because of which I couldn't concentrate. Now if I stop the medication(arip mt and kemadrin) will I be fine?I want to get back to the way I used to be before march when I was fine and didn't have any of these problems which I'm facing now because of jerky eyes(which stopped jerking because of the eye drops prescribed by the eye doctor) and because of these medicines. That's why I want to ask you if I stop these medicines then will I be better? And I'm hoping that the effect what these drugs/medicines had on me would go away if I stop them and I hope they don't shorten my lifespan.
doctor
Answered by Dr. Ravi Soni (1 hour later)
Brief Answer:
What do you mean by negative thoughts?

Detailed Answer:
Hi, thanks for writing again.

It is good that your eyes have stopped jerking.
Tell me what do you mean by negative thoughts, you have experienced at the beginning of the illness? Were they regarding beliefs that somebody was about to harm you? Did you hear voices nobody can hear apart from you?

Dis the symptoms of everything is bad in this world? World id going to an end? Did you lose interest in your activities? were you sad? Did you have thoughts of committing suicide?

Tell me which of the above were present?

Drugs can be stopped if you have no symptoms at present but I feel evaluation by a different psychiatrist would be wise before stopping the drugs.

I am waiting for reply.
Regards, Dr Ravi Soni
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ravi Soni (4 hours later)
It all started with my eyes jerking in March 2014. My eyes used to jerk while reading. So I wasn't able to study because of that and so I didn't study. So I did badly in my exam in April which got me very angry and I felt that I had become less intelligent(which was not the case because it was all because if my eyes jerking) and so I started acting dumb and people started making fun of me. I was also very angry with myself because of my marks and the people making fun of me which made me even more angry. I started becoming violent with my parents and started throwing things so I was taken to the counselor who told me to go to the psychiatrist. The psychiatrist prescribed sulpitac 200mg first and later he made it 300mg and also prescribed pacitane 2mg. Before taking these drugs I didn't feel like committing suicide or the world is going to come to an end or anything. I was just getting angry because of my eyes(but I thought that it was a problem with my brain and not my eyes). When I started the drugs they started causing more problems and I couldn't think properly, I got a mask like face, distonia, I started feeling sick(not sad), I had trouble walking(I used to be a very good tennis player before the drugs and after starting them I couldn't hit the ball only) my eyes started jerking even more. Because of all this I didn't feel like living only, I stopped getting laughter and I felt that it was better to die. I got my eyes checked very late in October 2014, the doctor prescribed eye drops, my eyes stopped jerking but all those other problems like dying, feeling sick and all didn't go because I was still taking the drugs. I went to the psychiatrist in XXXXXXX 2014 and told him to stop the drugs because they were causing problems. He stopped those drugs and prescribed arip mt and kemadrin in place of them because I told him all my other problems such as feeling sick and not being able to do things (I didn't know that these were side effects of these drugs till today). Now since I came to know that these are side effects of these drugs, I feel that by stopping arip and kemadrin which are like antidotes I'll feel much better. So will I feel better by doing this? And if I stop them (or even if I don't) will they shorten my lifespan or cause other problems later in my life?
doctor
Answered by Dr. Ravi Soni (2 hours later)
Brief Answer:
Drugs may be stopped

Detailed Answer:
Hi, thanks for writing again.

If your so called anger and other symptoms have stopped then you need not take any drugs at present and concentrate on studies but if you shall not be able to concentrate on studies then you must take psychiatrist opinion and take drugs as per his advice.

Stopping these drugs will not cause any health hazards at present or in the future, so don't worry about that but if the drugs have been started for right reason then stopping these drugs will cause relapse of the symptoms.

My opinion is strictly based on the information you gave to me. Your doctor's advice may vary.

Hope I have answered you query. If you do not have further query then close the discussion and rate the answer.

wish you good health
Regards, Dr Ravi Soni
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Follow up: Dr. Ravi Soni (38 minutes later)
The drugs worsened my concentration so that's why I want to stop them and because of the side effects of kemadrin and arip which I'm taking now. Will the positive effects which the drugs had in me for 8 1/2 months go away if I stop them? I want it to go away because I was fine the way I was before March and before taking them and I want to get back to it. And what are the functions and side effects of kemadrin 2.5 mg and arip mt 5mg?And I stopped getting angry because the jerky feeling in my eyes went away because of the eye drops and I'm only waiting to to stop them when I visit the psychiatrist next because I feel that I'll be fine without them
doctor
Answered by Dr. Ravi Soni (1 hour later)
Brief Answer:
You shall be fine

Detailed Answer:
Hi, thanks for writing again.

Arip is a brand name of the drugs named Aripiprazole which is a antipsychotic drugs used in the treatment of psychosis [a kind of psychiatric illness in which a person loses connection with reality] and also in extreme aggression and irritability. Constipation; dizziness; drowsiness; headache; light-headedness; nausea; restlessness; stomach upset; tiredness; trouble sleeping; vomiting etc are it's common side effects.

Kemadrine is a brand name of the anticholinergic drug procyclidine which is commonly used to prevent side effects of antipsychotic like akathisia, dystonia, extra pyramidal symptoms, dyskinesias. Common side effects of this drug are dryness of the mouth, mydriasis, blurring of vision, giddiness, lightheadedness, and gastrointestinal disturbances such as nausea, vomiting, epigastric distress, and constipation.

Visit the psychiatrist and follow his advice.

Hope I have answered your query. If you do not have further question then close the discussion and rate the answer.

Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (20 minutes later)
What do you mean by "when a person loses contact with reality"? Because when I started taking sulpitac something like that started happening. I didn't know what was going on in my life when I was taking sulpitac and when I stopped I felt much better and I knew what was going on. I feel I don't have any psychiatric illness, it was just because of the eyes jerking.
doctor
Answered by Dr. Ravi Soni (5 minutes later)
Brief Answer:
It is a part of illness

Detailed Answer:
Hi, thanks for writing again.

Psychotic person believes in things that is not true like somebody is conspiring against him, somebody would kill him, Believes that is not plausible in this world, hears voices that is not heard by others.

Meet your psychiatrist and tell him the details and ask about the drugs, whether you should take it or not?

Hope I have answered your query. If you do not have further question then close the discussion and rate the answer.

wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (9 days later)
I visited my psychiatrist 2 weeks ago, he told me not to stop the medicines, but I insisted I want to stop them. He told me to take them but I didn't. I felt much better after stopping the drugs but I told him that I will go to a different psychiatrist and take opinion from him. I visited another psychiatrist yesterday, he said that I should not have been given all these drugs. He said that I was just anxious and checked my pulse and said that it was high. He said that my old psychiatrist gave these drugs to treat the symptoms, not the diagnosis. He said that the diagnosis was that I am anxious. He prescribed despol 25mg and clonotril 0.25mg. I've started taking them from yesterday night. All the side effects of sulpitac, pacitane, arip and kemadrin have gone such as mask like face, dryness of mouth, losing contact with reality etc. I stopped getting laughter and stopped crying and my face was expressionless while taking sulpitac. All this has gone away but these drugs have caused permanent problems- I feel that I've got a thought disorder and I can't think properly the way I used to think last year before taking these drugs. Sulpitac has ruined my brain and my intelligence. Whenever I try to study I just don't feel like studying because I'm worried about my life and my life is more important than my studies. Sulpitac has ruined my way of thinking and I didn't have this thought disorder before taking it, it started 3 months after taking it. Can you give my some advice about this and tell me your opinion on this and tell me if I've actually got a thought disorder or I'm just thinking that I've got it but actually I've not? Because I'm very worried about this and I feel that this has ruined my life totally and I'm still a young teenager and I'm very upset that I took these drugs.
doctor
Answered by Dr. Ravi Soni (14 minutes later)
Brief Answer:
Side effects of sulpitac are not permanent

Detailed Answer:
Hi, thanks for writing again.

It is good that you have been advised to stop the drugs. The side effects of sulpitac is not permanent and it usually goes away within a week of stopping it.

I feel that you are very much anxious about studies and your future and that is why you are feeling negativity and thinking in that way. You will be fine. Don't worry, just concentrate on studies.

Stress and worry can lead to depression and depression causes difficulty in concentration. That is what you are experiencing. Just take the drugs prescribed to you by your psychiatrist and you shall feel better within 15 to 20 days. Depsol is a brand name of the drug imipramine. It is a good drug but it causes many side effects.

I suggest you to visit your psychiatrist and ask for safe drugs like escitalopram, sertraline, paroxetine etc. These drugs are SSRI antidepressant drugs which will help you in improving your concentration and reducing the stress level.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health and bright future ahead.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (1 hour later)
But what about this thought disorder? I feel light headed and empty from inside. I feel that there is no information in my head and I feel my brain is totally empty. And I can't even think properly. Like while studying I don't know what to think about and when someone is talking to me I don't know what I should think about. Like I just see his lips moving and i feel blank from inside and confused and I don't actually listen to what he's saying. All this started 3 months after sulpitac and pacitane started and it's still not gone. I stopped sulpitac 1 month ago. And while taking sulpitac I used to get thoughts like what is the point of life? I felt like dying and I didn't feel like living and I felt I have the worst life(this was while taking sulpitac but now it's gone after I stopped it). Do I have a thought disorder? Has sulpitac caused it? Or do I just think that I have a thought disorder but actually I don't ? And my brain is giving me trouble. I feel that I've got a brain ache(not head ache). I feel that everyone else thinks in a different way than me and I feel that I need to get a brain surgery done. Now what do I do about all this? I used to be my class topper in my 9th standard but now in my 10th standard I started failing because of these drugs:(
doctor
Answered by Dr. Ravi Soni (13 minutes later)
Brief Answer:
It is because of the anxiety

Detailed Answer:
Hi, thanks for writing again.

All your symptoms of light headedness, empty mind, poor concentration are because of the anxiety, stress and depression.

You do not have thought disorder. It is anxiety and depression in which person can have these symptoms. Sulpitac has not caused this. It is a psychiatric illness and you need to take drugs prescribed to you. When you think that you have thought disorder, it is only making it worse but actually you do not thought disorder. Rumination about something or repetitive thinking about having a disorder makes it more severe and worse.

When you regularly take the drugs prescribed to you, you will find that it was just a anxiety.

Sometimes detachment from the world, one's own mind, lack of interest in everything, loss of hope and worth occurs in depression. You will be alright by taking antidepressant drugs. depsol is antidepressant drug. It will help.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (45 minutes later)
Okay and when will these drugs be stopped? My board exams start on 26th February and I have to visit the new psychiatrist who prescribed despol and clonotril like 12 days before they start. And how/why do you think I got this illness? That also during the most crucial time of my life- the board exams? I had confidence that I will top the board exams but sulpitac made me lose it. I'm trying my best to top but I have all these problems while studying that's why I'm asking you what to do. I was also in bad company in school who used to bully me in April last year before starting these drugs. And will I be cured? If yes, then in how much time?
doctor
Answered by Dr. Ravi Soni (11 hours later)
Brief Answer:
It depends

Detailed Answer:
Hi, thanks for writing again.

It depends upon the clinical judgement of your psychiatrist that how long you will tale the drugs. After complete recovery drugs are continued for 3 to 4 months. In my patient I usually continue drugs for 6 to 8 months.

Psychiatric illness can occur to anyone, nobody is immune to it. You have it, does not mean that you are defective. Even XXXXXXX XXXXXXX developed depression.

You need t focus on studies now. YOU should make a schedule of your reading as per your important subjects and exam pattern. You need to make quick revision of whole syllabus.

Yeah, complete recovery is possible. YOU need to think positively and become optimistic. Don't think negatively and don't be anxious. It will help you.

Sometimes this will resolve rapidly within a month but sometimes it may take 3 to 4 months for complete resolution. Take regular follow up from your psychiatrist. Don't stop drugs on your own.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Follow up: Dr. Ravi Soni (2 hours later)
Yeah.. I already made my time table and schedule but I'm not able to follow it. I worked very hard for 4 hours making it but now when I sit down to study I'm not able to study because I feel that I'm going to die or collapse. I feel empty minded. I don't feel sad but I just feel that I'm going to die or collapse. And this feeling started 3 months after I started pacitane last year(I was studying for my exam last year and I was very stressed because of this problem that I'm going to die) and it's still not gone. My health is more important than my studies and only if I have good health then I can study properly. From outside I'm very healthy, I'm very good looking, my height is 6 2", I'm a regular gymmer(now I've temporarily stopped because of boards) but my mind is not healthy. This feeling that I'm going to die any moment and I'm empty minded keeps worrying me and I'm not able to study. I don't feel sad, I just feel I'm going to die or collapse any moment. Now what do I do about this?
doctor
Answered by Dr. Ravi Soni (7 hours later)
Brief Answer:
It is a part of depression

Detailed Answer:
Hi, thanks for writing again.

As I have already told you that all of these symptoms are because of the anxiety and depression. Depression itself colors one's perception defectively and in a negative way, because of this all the symptoms are occurring. You are not going to die, because anxiety and depression does not cause death, it causes faulty thinking and drugs are the solution.

You have to take antidepressant drugs and keep yourself busy.

You are just anxious and that is why you can not concentrate on studies. Drugs will help in concentrating. The effects can start as early as 7 days.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (1 hour later)
But I don't feel depressed or sad... I just feel that I'm going to die or collapse. So what do I do about this? And whenever I try to study or read nothing goes into my head. My mind feels empty and I think about other things. I'm just looking at the words and staring at the book. And if I try to study I can't keep my mind open. I feel that my mind is closed and empty. And because of all this I'm not able to study so I don't follow my time table and it was a total waste making it. What do I also do about this?
doctor
Answered by Dr. Ravi Soni (1 hour later)
Brief Answer:
Just take drugs for few days

Detailed Answer:
Hi, thanks for writing again.

I can not explain each and every thing to you on this conversation but you have experienced for the first time and the symptoms of depression or anxiety varies from person to person. So, when you are a student, you are more worried about your studies and therefore you require your mind working properly. SO, you experienced the predominant symptoms of empty mind and losing oneself.

Symptoms are always varying and depends upon the person's priorities, you have study as a priority so you have symptoms related to it.

These symptoms do not go like fever and it will take lots of patience and trust over oneself to get out of it. You may not improve before your board exams, I fear that.

You can take help of psychotherapy for better results. Now I feel that you need consultation in person with your psychiatrist and ask for solution. Drugs will help but take time.

Questioning me about your illness is not going to help you, I believe.
I have given enough knowledge and insight about your thoughts, anxiety, stress and depression. Now on your part you need to be focused on studies and regular follow ups.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ravi Soni (7 hours later)
I took my dosage of clonotril and dispol yesterday in the night, I'm feeling much better. My light headed XXXXXXX and empty mindedness has reduced a lot. But I only slept for 4 1/2 hours so that means that these drugs take away my sleep. So far they haven't caused any other side effect except for dryness of mouth(but it is less than kemadrin which used to cause excessive dryness). Will they cause any other very bad side effect later which will be during my boards? Because sulpitac and pacitane started causing their side effects 3 months after starting them. But I'm still feeling little confused and not conscious of what I'm doing. Now what do I do about this? I have taken 3 dosages up till now each night. But I'm still upset(not sad) that I have to take drugs and drugs are not good for health and I'm hoping that they will not shorten my lifespan or ruin my life later or anything. Is there any other solution for this illness instead of drugs such as going to the gym? And I'm also upset that my old psychiatriast gave me wrong drugs like sulpitac and pacitane which I took for 8 months and made me loose contact with reality, gave me weird and very negative thoughts and made me very confused. It was like wasting 8 months of my life.The feeling that I'm going to die or collapse has also reduced.

Yeah...you were right... It was depression and anxiety which was the problem. Now I'm feeling perfectly normal...all my negative thoughts have gone, I've forgotten about sulpitac, my brain stopped paining, my lightheartedness and empty mindedness have gone totally, I don't feel that I'm going to die, I stopped feeling I have the worst life and now I'm able to focus properly on my studies, I can keep my mind open and I have confidence now that I will top. I just wanted to ask you that dispol and clonotril will not cause very bad side effects during my board exams, right? Because sulpitac and pacitane were making me feel sick and confused while writing my preliminary examination and I don't want these new drugs to cause anything like that while writing my boards. Also, should I tell my parents to tell the principal of my school that I'm on anti depression drugs? Because people in my school were wondering why I was behaving in a strange manner in the past few months.. They don't know it was this psychiatric illness..
doctor
Answered by Dr. Ravi Soni (7 hours later)
Brief Answer:
Drugs won't cause any serious side effects

Detailed Answer:
Hi, thanks for writing again.

These drugs depsol and clonotril will not cause any significant side effects. There are no other options aprt from drugs but psychotherapy will help. Combination of drugs and psychotherapy will give better results.

I feel you should at least inform your parents about the illness and drugs. Whether to inform the school principal or not depends on you and your parents.

You will be fine, just believe in yourself.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ravi Soni (5 days later)
I've been taking the drugs daily but again I've started feeling empty minded and my brain is giving me trouble. I also feel week physically and I don't feel like doing things. Only on 1 day which is 2 days after I took the drugs I felt perfectly normal but now all these problems have again started happening. Now what do I do about this? Because of these problems I'm not able to study and I'm worried that later these should not cause problems the way sulpitac and pacitane did. Because even sulpitac and pacitane made me feel little better on the 1st day I took them but in the long run they caused so many problems like akathesia, acute confused state etc and were the wrong drugs so I stopped them. So will these new drugs (despol and clonotril) make me again feel fine and happy later after continuously taking them like they did on that 1 day (2 days after I took them) or they will cause problems?
doctor
Answered by Dr. Ravi Soni (6 minutes later)
Brief Answer:
These drugs will make you better

Detailed Answer:
Hi, thanks for writing again.

These drugs are different from the previous ones and the actual beneficial effects for which they have been given to you, usually appears after 10 to 15 days. Initial improvement is a placebo effect.

So, in my opinion take these drugs regularly and wait for the beneficial effects. They have been given for different reason and they are not same to previous drugs. So don't worry and have a faith.

These drugs won't cause problems but will give beneficial effects.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ravi Soni (19 minutes later)
What is a placebo effect? And I just researched about ariprazole that it has a serious side effect-neuroleptic malignant syndrome which is life threatening. And I've taken ariprazole for 25 days so I'm hoping that I don't get that. Will I get that? And I am visiting my new psychiatriast the day after. So do you have anything to say what I should tell him about these drugs? And I only feel like sleeping these days and I continuously get dry mouth, dry skin and feel week physically. Is that a side effect of despol and clonotril?
doctor
Answered by Dr. Ravi Soni (34 minutes later)
Brief Answer:
You will not get NMS

Detailed Answer:
Hi, thanks for writing again.

Placebo effects is a psychological effect of a tablet like multivitamin, antioxidants. These drugs do not have any real drugs but because of the soothing effects of having a medication for a problem, psychologically a person started getting better.

These side effects are of depsol but it will improve with time. You can decrease the dose of clonotril because it can cause sleepiness.

Ask for newer antidepressants like escitalopram, when you shall visit your psychiatrist. Escitalopram has lowest side effects potential and safest among all antidepressants.

Hope i have answered your query. if you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ravi Soni (32 minutes later)
Okay and what about cipralex? My old psychiatriast had also prescribed cipralex along with arip and kemadrin. I took half the tablet on 5th XXXXXXX for 1 day but it just had too many side effects so I called him and he said to stop it. It was causing excessive yawning, constipation, erectile dysfunction, fever, vomiting, overactiveness, increased heartbeat, restlessness, fatigue, drowsiness etc. Should I start cipralex again or I should go for escitalopram? And if I take escitalopram will I have to take any other tablet with it? Because it is for both depression and anxiety so I won't have to take a separate tablet for each. And are there any drugs (such as antidepressants) which have not even a single side effect and are very costly and are imported and not made in India? I would want to go for those ones which are imported and have no side effects (not even a single one and not even a bit).
doctor
Answered by Dr. Ravi Soni (13 hours later)
Brief Answer:
Escitalopram is different from cipralex

Detailed Answer:
Hi, thanks for writing again.

Cipralex is citalopram while escitalopram is newer version of the same molecule with less side effects. You won't experience the side effects with escitalopram.

In my patient I would have started with escitalopram 10 mg at night. There is no need for any other drug.

There are no such drugs which has no side effects, escitalopram is the most advanced and safe drug available. There are newer drugs like vortioxetine and vilazodone but they have significant side effects and are not available in XXXXXXX

Every drug has a side effects, drugs without side effects are made till date. So follow the advice of your psychiatrist and take escitalopram without thinking much. Drug import is not possible and affordable.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Follow up: Dr. Ravi Soni (9 hours later)
I just got to know why I'm feeling that I have this thought disorder, I feel I'm less intelligent, not able to focus on studies and all. My old psychiatriast gave me pacitane last year when I was only 15 and sulpitac. Pacitane was the thing which caused all these problems. 3 months after I started it, it made me develop delirium and very acute confusional state. I didn't know what was going on, I felt I was an alien and not a human being, my attitude towards everything changed. For example, while writing my exam paper in October I was feeling like an alien and I didn't know what I was doing, I was behaving abnormally, and because of all this I felt like committing suicide during my exam. I was totally confused and I didn't even know that I was confused. The way I used to treat things, everything changed, the way I used to look at things, my attitude towards everything changed. All this made me fail those exams and it was giving me thoughts that "why is the world like this"and all. Even while studying I was totally confused and when I stopped pacitane in January I became little conscious of what I was doing and stopped feeling like an alien and again felt that I was a human being. But the way I used to think about things, that is my attitude towards things has still not become normal the way it used to be before taking pacitane. I feel it has ruined my intelligence and people keep asking me what happened to me, why I suddenly started failing in studies and I feel ashamed to tell them that it is because of pacitane. Now what do I do about this delirium side effect of pacitane? Is it permanent? And it has even made me less intelligent (not less intelligent, it has changed my attitude towards everything and I am totally confused while I am studying and that is why I am not able to understand what I am studying). What do I do about all this? And why did my old psychiatriast give me amisulpride and ariprazole? They are used to treat schizophrenia and bipolar disorder and I didn't have either of them and now I feel that sulpitac has made me schizophrenic. And another side effect of sulpitac is Parkinson's disease and I'm worried that I will get it because I took it. Will I get it? And I am already very angry about all this and I'm not happy with my life because of what pacitane did to me
doctor
Answered by Dr. Ravi Soni (12 hours later)
Brief Answer:
You need proper treatment

Detailed Answer:
Hi, thanks for writing again.

I am giving you final answer. Talking to me online with limited information won't help you. I shall give opinion and guidance about what to do but the illness needs to be evaluated properly by a psychiatrist. As you are a student and on the edge of final exam, I don't want you to waste time in asking me online, I here suggest you to go home and tell everything to your parents and visit a psychiatrist with him with all the records of the treatment.

If you feeling low, lack of confidence and helpless then you need urgent intervention. More you think about your illness it gets worse.

Now there is nothing more that I can help you by this conversation. It will not give you any benefit.

Hope I have tried my best to help you. This is not simple depression and needs further and detailed evaluation. Whatever I have told you is in your best interest according to me.
Wish you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Ravi Soni (26 minutes later)
But is this delirium which pacitane develops permanent or just temporary till I take it only? And I am visiting my new psychiatriast today. And escitalopram won't help? Because you said it is not simple depression. So I will have to take other drugs also?
doctor
Answered by Dr. Ravi Soni (14 minutes later)
Brief Answer:
That is why I ask detailed evaluation

Detailed Answer:
Hi, thanks for writing again.

You do not have simple depression. You ruminate the things repeatedly and that is your problem. When the person is knowledgeable and literate, it makes things worse. Don't try to treat yourself with your knowledge and help from internet, it will make your illness worse.

Escitalopram give some support but you need other drugs as well. It depends on your psychiatrist.

Illness is not permanent, it is curable and that is why I am asking for proper treatment and not to waste time in asking online.

If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Ravi Soni (6 hours later)
I visited my new psychiatrist today, he said that I don't have any psychiatric illness, it is just anxiety which is the problem which is causing depression. He told me to stop worrying that I will get Parkinson's disease and all and to stop thinking about my past about all that sulpitac, pacitane, ariprazole and all. He said that all the effects they caused were all temporary effects and to forget about them and to only think about my future. He continued despol 25mg and clonotril 0.25mg and said that after my boards get over, that is 23rd March, I can stop the drugs. What is your opinion about all this? And 2 days after I started despol and clonotril I felt perfectly normal, my anxiety had gone away but now it's come back. I was feeling fresh and happy that day but now I am not feeling the way I was feeling that day. I'm feeling tired, drowsy, and unfresh. Why is this happening? I thought that I would feel fresh and happy throughout till I take those drugs because they made me feel like that that day. My psychiatrist also told me to go for a walk daily.
doctor
Answered by Dr. Ravi Soni (37 minutes later)
Brief Answer:
Same thing I was telling you for so long

Detailed Answer:
Hi, thanks for writing again.

Whatever your psychiatrist told you today was told by me to you before repeatedly. The reason behind calling it as not simple depression was your rumination and thinking about one thing over and over, which is breaking your concentration over studies.

So, now follow his advice and do as he suggested today.

In my opinion, he is right that you are anxious and that is making all problems. The anxiety is severe.

Exams does not mean that you should study all day long, it means study and read with concentration and also do some recreational activities in between. Walking will help you. Stop thinking that you have any illness or the previous drugs have caused any permanent damage. Stop reading about this on internet. Concentrate on studies.

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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What Causes Dizziness And Headaches After Taking Sulpitac?

Brief Answer: You need evaluation again Detailed Answer: Hi, thanks for writing through HCM. I have read your query and previous questions also and understood your concerns. I just want to ask that what were the symptoms at the beginning of your distress? Because you are given antipsychotic drugs and you don't seem to have any kind of psychosis. Give me some details of the symptoms and thought you had at the beginning of the illness. I will give my opinion based on that and also will tell about the possible intervention. I am waiting for your reply. You can be fine without drugs but without understanding your illness, I can not advice to stop the drugs. Wish you good health.