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How To Control Psychotic Behaviour?
Hello Doctor, My father who is 60 years old recently underwent surgery for CSDH(Chronic Subdural Hematoma) both burrhole and craniotomy performed. After surgery he is able to walk and do his own works perfectly. But he has some behavioral changes like opposing medication. He feels that somebody going to hurt him with medication. To control this we went to psychiatrist, he gave us zolfresh 10mg and some other medicines.Prior to these medicines we used to give Gabapentine 300mg, Eptoin 100mg for neuro. When we started the medication upto 10 days he is fine but after that he became fully drowsy gradually, after one month he is not able sit also. Last week we took scan neuro doctors saying perfectly alright. Both sodium and potasium levels are normal. But still in fully drowsy state. Please suggest us what to do.
Thanks,
Grani
Thanks,
Grani
Tue, 27 May 2014
Hello,
Your father has had good response to psychiatric meds initially. You have not given details of those meds apart from zolfresh. But whatever he had been reciving- the dosage must be revised now and zolfresh should be stopped completely.
As he is already sleepy all day long, please take care that he does not have fall and get injured ( which is very common in sleepy elderly patients).
When ever there is such abnormal behavior after a surgery: antipsychotics are given for sometimes and later are tapered and stopped. The patient is kept under observation and meds can be started in low dose if there is any need(usually there is no need for long term psychiatric meds).
So, please meet his psychiatrist again and discuss his present condition and get the meds revised.
He will sart showing response in few days after the dosage is revised.
wish you good health
Dr. Manisha Gopal
MD Psychiatry
Your father has had good response to psychiatric meds initially. You have not given details of those meds apart from zolfresh. But whatever he had been reciving- the dosage must be revised now and zolfresh should be stopped completely.
As he is already sleepy all day long, please take care that he does not have fall and get injured ( which is very common in sleepy elderly patients).
When ever there is such abnormal behavior after a surgery: antipsychotics are given for sometimes and later are tapered and stopped. The patient is kept under observation and meds can be started in low dose if there is any need(usually there is no need for long term psychiatric meds).
So, please meet his psychiatrist again and discuss his present condition and get the meds revised.
He will sart showing response in few days after the dosage is revised.
wish you good health
Dr. Manisha Gopal
MD Psychiatry
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