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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Was Given A Date Rape Drug. It Has Missed His Mind. Now He Has A Metal Illness. Talking Abnormally. How To Manage?

I need to know what to do to help my husband he was gaven a Date rape drug by his Ex-girl friend and it has missed his mind up he now has a mental illness. and is now on Depakote Sprinkles and Respdial 3mg. here lately he has been getting very Anger screaming out at me and saying things that don't make any since. like talking about people that he has not seen in years and things that he thinks has happen which have not really happen. I don't know how to handle him anymore and need to know what to do to help.
Wed, 6 Nov 2013
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Psychiatrist 's  Response
Thankyou for writing to HCM!

From your question it looks that your husband has a psychotic illness, he is on depakote sprinkles and resperidone 3 mg but still has suspiciousness and talks out of context. dosage of depakote is not mentioned.

from my clinical experince I can say that either the dosage of the medicine is low or may be he is not taking it regularly.
so, if you are sure of compliance, it will be very helpful to increase th dose of resperidone to 4mg - 6mg in a day.
along with it , I have seen colonazepam 0.5-1 mg effective in case when patient is difficult to manage /gets very angry/unable to sleep, on as and when required basis.

It is advisable to get sodium valproate levels done, to ensure that the sprinkles are providing adequate amont of drug in body or not.

Please donot loose hope, it is not at all difficult to manage such cases, what is needed is dose adjustment and make sure he takes the medicine daily and he will start behaving normally once again.

You have said that your husband developed this illness after he was given date rape drug, and he has the memory lapse of that time. Well, it is rather difficult to say that one time use of that drug lead to his disorder, it appears more of a coincidence. Althemore, it has no effect over his managment, so, even if it is, giving medication will solve the problem.

While the patient is on resperidone, it is advisable to check for increased salivation or some kind of involuntary movements, rigidity of limbs, they may occur develop due to drug. if it does happen, let your doctor know. these are totally curable.

please see a psychiatrist nearby and discuss the problem and get the blood levels done.
Hope the answer helps you
feel free to ask more queries.
Dr. Mnaisha Gopal
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Was Given A Date Rape Drug. It Has Missed His Mind. Now He Has A Metal Illness. Talking Abnormally. How To Manage?

Thankyou for writing to HCM! From your question it looks that your husband has a psychotic illness, he is on depakote sprinkles and resperidone 3 mg but still has suspiciousness and talks out of context. dosage of depakote is not mentioned. from my clinical experince I can say that either the dosage of the medicine is low or may be he is not taking it regularly. so, if you are sure of compliance, it will be very helpful to increase th dose of resperidone to 4mg - 6mg in a day. along with it , I have seen colonazepam 0.5-1 mg effective in case when patient is difficult to manage /gets very angry/unable to sleep, on as and when required basis. It is advisable to get sodium valproate levels done, to ensure that the sprinkles are providing adequate amont of drug in body or not. Please donot loose hope, it is not at all difficult to manage such cases, what is needed is dose adjustment and make sure he takes the medicine daily and he will start behaving normally once again. You have said that your husband developed this illness after he was given date rape drug, and he has the memory lapse of that time. Well, it is rather difficult to say that one time use of that drug lead to his disorder, it appears more of a coincidence. Althemore, it has no effect over his managment, so, even if it is, giving medication will solve the problem. While the patient is on resperidone, it is advisable to check for increased salivation or some kind of involuntary movements, rigidity of limbs, they may occur develop due to drug. if it does happen, let your doctor know. these are totally curable. please see a psychiatrist nearby and discuss the problem and get the blood levels done. Hope the answer helps you feel free to ask more queries. Dr. Mnaisha Gopal