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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Paranoid Schizophrenia

i am diagnosed with paranoid-scyzophenia and they just starrted me on taking 5mg s twice a day, alsomwith cogentin twce a day I don t like it;toomany side effects and cause tardive diskonesia. what is the safest drug for my disorder that doesent have dyskenesia side effects? I am on cogentine to help neutralze this brain disorder? thanks...
Tue, 13 Feb 2018
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Psychiatrist,  's  Response
Hello! Welcome to HealthcareMagic!

I have gone through your question and understood your concerns. As per your history, given presently, your suffering with schizophrenia with drug induced tardive dyskinesia(TD). TD occurs in 5% patients treated with anti-psychotics. If I were your treating psychiatrist, I would advise you to:

1) Stop present anti-psychotic completely.
2) Continue tab Cogentin.
3) Start anti-psychotic with less or no TD : my first choice would be Clozapine. After Clozapine, Quetiapine or Aripiprazole are the next choices.

Hope that clarifies your concerns. Thank you for the query.

Take care

Regards,
Dr. Bhagawan Rajana, Psychiatrist
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Suggest Treatment For Paranoid Schizophrenia

Hello! Welcome to HealthcareMagic! I have gone through your question and understood your concerns. As per your history, given presently, your suffering with schizophrenia with drug induced tardive dyskinesia(TD). TD occurs in 5% patients treated with anti-psychotics. If I were your treating psychiatrist, I would advise you to: 1) Stop present anti-psychotic completely. 2) Continue tab Cogentin. 3) Start anti-psychotic with less or no TD : my first choice would be Clozapine. After Clozapine, Quetiapine or Aripiprazole are the next choices. Hope that clarifies your concerns. Thank you for the query. Take care Regards, Dr. Bhagawan Rajana, Psychiatrist