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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Autism With Epilepsy And Violence Be Managed And Treated?

Respected dr. keerthi, My elder brother had been diagnosised with autism in the year 1992,he has behavioural problem like restlessnness,very irregular speech,obsession with particular food or thing,epilepsy and getting violent that turns to be fatal and devastating ….he usually gets violent once in a month for 2 or 3 minutes but that is something which becomes devastating.he has got senses,for eg if somebody hides any thing from him ,he is so clever he stops after getting unearthed that thing, Currently he is given encorate chrono 500 twice a day,lobazam 10 once a day,sizodon 0.5 twice a day and serenace drop only wen he gets violent 15 drops each couple of times,that means 30 drops a day… His iq is very low,he is aged 27 plus now,but he understands everything,loves music….the main problem is epilepsy and violence…after the said medications which is given he gets epilepsy twice in 15 days and gets violent quite often without any prior indication…after 3 minutes wen he cools downs he is affectionate on demand….kindly suggest wat to do…….help required Soumyabrata lahiri aged 25,kolkata ,india
Thu, 30 Oct 2014
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Psychiatrist,  's  Response
Hello
I think 1000mg encorate is not controlling his seizures. So the first thing would be to increase the dose of this to 500mg thrice a day. Secondly, encorate itself should be sufficient to control anger outbursts. If not, than sizodone is good option. But i think the dose of sizodone which he is taking is not aapropriate. You should increase the dose to 3mg atleast. And there is no use of giving two antipsychotics (sizodone and serenace) for anger. Also, serenace lowers the seizure threshold and increases the xhances of having seiures.
You can also consult INSTITUTE OF PSYCHIATRY in kolkata.
Thanks.
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How Can Autism With Epilepsy And Violence Be Managed And Treated?

Hello I think 1000mg encorate is not controlling his seizures. So the first thing would be to increase the dose of this to 500mg thrice a day. Secondly, encorate itself should be sufficient to control anger outbursts. If not, than sizodone is good option. But i think the dose of sizodone which he is taking is not aapropriate. You should increase the dose to 3mg atleast. And there is no use of giving two antipsychotics (sizodone and serenace) for anger. Also, serenace lowers the seizure threshold and increases the xhances of having seiures. You can also consult INSTITUTE OF PSYCHIATRY in kolkata. Thanks.