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What Do Confusion And Difficulty In Doing Routine Activities While On Stresnil Suggest?

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Posted on Wed, 15 Jun 2016
Question: My dad was undergoing treatment for alcoholism. He remained sober..and do no drink. After 9-10 months he thought of stopping medication because he continuously felt weakness, drowsiness and confusion. He didn't wanted any more medicine..so I advised him to gradually decrease and then stop medication..nothing more happened but he felt same things still. Then he again thought of medication.
After explaining the current situation to doctor, he was again prescribed

1. Stablon 12.5mg
2. Baclofen 10 mg
3. Accomprosate 333 mg
Three times a day.

And amizep 12.5 mg once in morning and 2 tablet in night
Stressnil 0.5 mg in night
Rejunex in night.

Now his situation is worse. He is not able to do daily activities.
Goes school on Sunday.
Left the house door open. And was sleeping in open outside room in sunlight today at 10.30 am
Don't react to what we say.
Eat food when we tell him to eat.
Looks confused.
One day he was sitting in washroom for around an hour.
He do things only when we tell him to do. And it is about all the daily activities.
Don't say anything real when we ask what he is feeling.he just don't want to talk or don't have any answer.

Recently we were at some place. Other family members were returning but we didn't find my father after some time. When we get back to the place ,he was sitting there like he came alone or didn't knew that other members returned.
Looks like he is living in a different world unattached from his surroundings.

What all this, please help
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (20 minutes later)
Brief Answer:
there is need to rewrite his prescription

Detailed Answer:
Dear XXXXXXX
Thanks for using healthcaremagic.
I have gone through the details provided in query and understand your concerns.

Many of the symptoms you described indicate that he is receiving more medicine than his requirement. For example I feel there is no need for stressnil for him and it can be discontinued in single attempt. I understand there is risk of rebound insomnia but benefits are more than the risks.

In case this single thing do not help him you can talk to his doctor to get new prescription meeting his needs without any side effects.

I must assure you that the symptoms are just side effects of medications and can be handled with reduced dose.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Thanks for answering and making me relaxed.

You mean these symptoms are most probably because of stressnil . if it is the case, when he will be able to see change after discontinuing stressnil.

If he has withdrawl symptoms then what will be those symptoms after discontinuing stresnil 0.5mg dose.

And how long these will take to go away.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (32 minutes later)
Brief Answer:
These symptoms are most probably due to overmedication

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I do not mean that they are exclusively due to stressnil but it is the most likely culprit. It will be not wrong to say that it is due to combination of various drugs. There are four medicine in his prescription which bring about sleep and poor cognition and stressnil contains two of them.

The second likely culprit is Amizep but we are not supposed to remove two medicine on single attempt.

With current prescription the chances of withdrawal symptoms are very low and even if they occur there will be mild symptoms which can diminish within two-three days on most occasions.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Note: For further guidance on mental health, Click here.

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

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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What Do Confusion And Difficulty In Doing Routine Activities While On Stresnil Suggest?

Brief Answer: there is need to rewrite his prescription Detailed Answer: Dear XXXXXXX Thanks for using healthcaremagic. I have gone through the details provided in query and understand your concerns. Many of the symptoms you described indicate that he is receiving more medicine than his requirement. For example I feel there is no need for stressnil for him and it can be discontinued in single attempt. I understand there is risk of rebound insomnia but benefits are more than the risks. In case this single thing do not help him you can talk to his doctor to get new prescription meeting his needs without any side effects. I must assure you that the symptoms are just side effects of medications and can be handled with reduced dose. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.