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What Causes Weakness And Drowsiness While Treating Alcoholism?

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Posted on Tue, 21 Jul 2015
Question: my dad is having treatment for alcoholism. he was taking fluoxetine , topimarite and clonazepam. the problem is he feels too much weakness and sleepy. he always sleeping on bed..can we give him some injection or medicine so he doesnt feel weakness?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (49 minutes later)
Brief Answer:
Please answer the following

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

Before I can answer please provide following details.

1. Age of the patient
2. Height and weight
3. Any medical conditions other than alcohol dependence? If yes treatment details of today as well as in past
4. Amount of alcohol intake these days?
5. When the last alcohol intake? Day and amount?
6. Amount of alcohol intake before starting treatment
7. Dose of medications?
8. Duration of treatment? whether regular or irregular
9. Any additional symptoms like crying, sadness, hopelessness, tremors, seizures, confusion etc?
10. Previous treatment details for alcohol if any and their response
11. Any other substance abuse?

I will answer you following your reply.
Thanks and regards

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (14 minutes later)
age 50,
height 5,3
weight 65
nowdays nothing or just 1-2 peg
before trearment 2-3 quaters
since 2 month treatment
haloperidol 0.5mg, neocalm 30 mg, clonazepam 0.5mg, last month included fluxetine 20 mg and topamax 50 mg.,...
other issues were...violent after drink and meaningless talk....and depression...few times crying also
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (36 minutes later)
Brief Answer:
The weakness may be due to topamax or due to clonazepam

Detailed Answer:
Hello,
Thanks for reverting back with more details.

From the available history it seems there is need to review his treatment. Since he continues to take alcohol along with medications there is need to stop either medication or alcohol.

You can talk to your doctor to stop clonazepam as it has minimal role for a person who continues to take alcohol. I understand his intake is reduced but it needs complete stop for alcohol.

In addition topamax may cause weakness. If he is taking it on daytime it can be shifted to night time after talking to your doctor.

There is also need to reduce dose of neocalm as it is highly sedative.

Whatever you decide it should be after consulting your doctor with reference to my answer.

I hope this helps you.
Thanks and regards
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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What Causes Weakness And Drowsiness While Treating Alcoholism?

Brief Answer: Please answer the following Detailed Answer: Hello, Thanks for using Healthcaremagic. Before I can answer please provide following details. 1. Age of the patient 2. Height and weight 3. Any medical conditions other than alcohol dependence? If yes treatment details of today as well as in past 4. Amount of alcohol intake these days? 5. When the last alcohol intake? Day and amount? 6. Amount of alcohol intake before starting treatment 7. Dose of medications? 8. Duration of treatment? whether regular or irregular 9. Any additional symptoms like crying, sadness, hopelessness, tremors, seizures, confusion etc? 10. Previous treatment details for alcohol if any and their response 11. Any other substance abuse? I will answer you following your reply. Thanks and regards