HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Schizophrenia. On Olanzapine. Self Medication- On Beer. Thoughts?

Hi! I just read an article on how those with schizophrenia often self-medicate on nicotine or alcohol! I am on 10mgs of olanzapine/day for my schizophrenia (which is in remission), and self-med on a 330ml bottle of beer a day. I recommend the later in moderation for it seems to relax my nerves and enhances feelings well-being. What
are your thoughts on self-medicating behavior? regards: Murray.
Tue, 7 May 2013
Report Abuse
Psychiatrist 's  Response
Hello
Welcome to health care magic.
I appreciate your effort to seek online support.
Self medication is common in schizophrenia patients with nicotine, alcohol and other substance abuse. However, it is not at all recommended as these can worsen the psychosis and secondly can interfere with the effects of medicine. I advise you to stop these as soon as possible and continue olanzapine. Discuss all this in detail with your treating doctor
Hope it helps
Good luck
Regards
Dr. Gourav Monga
Consultant Psychiatrist
I find this answer helpful

 1 user finds this helpful

3 Doctors agree with this answer

Psychiatrist Dr. Ashish Mittal's  Response
Hello,
welcome to Healthcare Magic.

Although patient with psychological problems try to self medicate themselves by different substances like:
-anxiety and depression: alcohol and sleeping pills
-schizophrenia: smoking and alcohol

But it does not mean, it is helpful for them. Such self medication have negative impact on physical and mental health. It also lead to new problem of drug addiction, which can cause relapse of psychological problem like schizophrenia in your case.

Wish you all the best.

Regards,
Dr Ashish Kumar Mittal
www.99doctor.com
I find this answer helpful

 1 user finds this helpful

3 Doctors agree with this answer

Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.......
Thanks for your query. I understand the distress associated with your schizophrenic symptoms. However, you need to understand that use of nicotine/alcohol results in the following problems:
1. Risk of developing substance addiction
2. Relapse/rebound/long term worsening of psychotic symptoms
Hence, use of substance is not part of cure in your case. I would suggest you discuss this issue with your treating psychiatrist so that you can quit substance use. It would also be possible to increase the dosage of your antipsychotic for better symptom control. Wish you good health.
Regards
Dr Sundar
Psychiatrist
I find this answer helpful
Psychiatrist Dr. Srinivasa S.R.R.Y.'s  Response
Hi
Thanks for writing to Health Care Magic
Schizophrenia patients have severe and distressing symptoms. These symptoms temporarily appear to be releived when one smokes or takes alcohol. But the dangers are more. Alcohol and nicotine in the longer run have a very deliterious impact on the health of the patients. Alcohol for example is directly responsible for 60 illnesses called alcohol use disorders. 200 other illnesses have alcohol as one of the causative factor. Nicotine is even more dangerous with high morbidity and mortality. Hence it is not wise to use these substances for self medication. The symptom relief can be achieved by adjusting the dosage of the medication you are using. Also alcohol and nicotine interfere with the action of the drugs you are using. Hence it is better to avoid these substances.
Thanks and regards
I find this answer helpful
Psychologist Dr. K. V. Anand's  Response
Dear
Schizophrenia is a psychic condition which requires medical intervention.
But you did not mention whether it was diagnosed.
As you are mentioning about self medication, is it your imagination?
Any way, you should consult a psychiatric / psychologist for further advice and treatment.
Self medication can always be dangerous.
over and above, alcohol and nicotine may provide temporary relief, but in long term, it is certainly dangerous.
Wish you speedy recovery.
I find this answer helpful
Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Self medication is not good - for any disease...it may even be dangerous...
Also, there is danger of interaction between them
Alcohol has many physical and psychological bad effects... it is addictive.
You have not stated your age, gender, personal habits, family history or co-morbidities
You should stop beer / discuss with your psychiatrist - the dose may have to be adjusted or the drug changed...

Take care
Wishing speedy recovery
God bless
Good luck
I find this answer helpful

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Drug addiction


Loading Online Doctors....
Schizophrenia. On Olanzapine. Self Medication- On Beer. Thoughts?

Hello Welcome to health care magic. I appreciate your effort to seek online support. Self medication is common in schizophrenia patients with nicotine, alcohol and other substance abuse. However, it is not at all recommended as these can worsen the psychosis and secondly can interfere with the effects of medicine. I advise you to stop these as soon as possible and continue olanzapine. Discuss all this in detail with your treating doctor Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist