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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Have Excessive Glares And Abnormal Behavior. Prescribed Risdone. Have Side Effects. Reason?

I am 21 yrs boy having excessive glares and abnormal behavior(Anger, violent behaviour, isolated from outside world, internet addiction ) My parents took me to the opthalmologist , he checked my eyes & reported that my eyes are absolutely normal and that this problem is due to functional disorder and advised to consult a neuropsychiatrist. So my parents consulted an neurophysician along with me. He prescribed me anti psycotic drugs like risdone forte, olimelt, trazine, etc. After taking medication for 6months i got relief from psychological problem but increased glares. therefore doctor prescribed additional medicines like depakote/trioptal, levipride and rivotril. after taking these medicines other additional problems like headache, nausea , sensations in head and anxiety have developed. Please advice medicine or reason as to why these problems have started.
Mon, 25 Nov 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

First of all, we need to make a clear-cut diagnosis for your symptoms. This may require investigations such as MRI brain and EEG.

At present, you are on too many medications, including for psychiatry disease, epilepsy and migraine. Whether you require all these or not, has to be decided.

Some of your symptoms are side effects of your correct medications.

Please discuss these issues with your doctor.

I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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Psychiatrist Dr. Manisha Gopal's  Response
Welcome to HCM!

After reading your question carefully I find that you had glares and some problematic behavior, for which doctor gave you some antipsyhcipotics, (you have not metioned any dosages here)...The meds helped in psychipologocal issues but increased glares..then you were shifted to sodium valporate, leveteracteam, etc which have finally lead to weight gain, headaches, nausea , anxiety..and depression.

From my clinical experience I feel that as you had improvement with resperidone and olanzapine...then these second round of medicine should not have been given...At least they do not work for " glares" ; more so because they have more side effects and are started when there is no response or very less response with previous medicines in controlling the problem.

The headaches, nausea., may be weight gain also, anxiety ect., are related to depakote, leviteracetam.I think you should meet a psychiatrist and get your self interviewed in detail, if he feel he may change the medicines. You may need to undergo some tests also to see if liver, kidney and blood reports are ok.

If your glares have increased please do see an Opthalmologist again. It does not appear to be related to any psychialogical problem...moreover it is increasing.

for the time till you meet eye doctor, I have find that glares sometimes reduce by using dark glasses..if you want you can try them out!

Do not get disturbed, the new problems are most likely related to the side effects of the drugs you are taking and will stop after revising the treatment.

it is not possible, nor will it be wise to give you any drug without interviewing you in detail..this may actually do more harm than helping you.

So, please see a psychiatrist in person and get well!

Feel free to ask more queries
Dr. Manisha Gopal.

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Have Excessive Glares And Abnormal Behavior. Prescribed Risdone. Have Side Effects. Reason?

Hi, Thank you for posting your query. First of all, we need to make a clear-cut diagnosis for your symptoms. This may require investigations such as MRI brain and EEG. At present, you are on too many medications, including for psychiatry disease, epilepsy and migraine. Whether you require all these or not, has to be decided. Some of your symptoms are side effects of your correct medications. Please discuss these issues with your doctor. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/