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Stopped medicine and behaving violently
Hello Doctor,
This is for my sister. She was diagnosed with schizophrenia 10 years back. Since then she has been taking medication ( sizodon plus and sulpitac).
She takes sizodon plus only in morning after taking food and sulpitac with sizodon at night after dinner.
But since one week she has stopped her medication completely because she had started showing diabetes symptoms after continuing those medicines. So she herself decided to stop consuming her medication. Now we have been repeatedly insisting her to take medicines again but she doesn't listen to anyone. She gets violent at times.
We can notice a change in her behavior. Hardly sleeps, remains irritated and angry always and does whatever she like to do. She says that now she is feeling free. I don't understand what this statement of her really means.
Please help me in this case, how to start giving her medicines again. Please if anyone can help.
Answers (6)
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Hello
I understand and appreciate your concern for the health of your sister. Some of the medications used for treating schizophrenia are associated with increased risk of causing weight gain and diabetes particularly if a person has a family history. Irrespective of it, her mental illness needs to be treated for overall wellbeing of the patient and also for better outcome of diabetes. So the doctor can consider changing treatment.
Next Steps
consult the psychiatrist asap for optimisation of treatment
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Hi
It's better to consult immediately with the psychiatrist.
Need to assess her physical and mental status and restart patient on medications for quick recovery.
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Consult immediately mam
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Dr. Syed Bushra Imtiyaz
Addiction Psychiatrist
6 yrs exp
Srinagar
Hi, I understand both your concern and your sister’s. While it is very important for her to keep taking the prescribed medications for her diagnosed mental health condition but it is equally important to treat any emergent side-effects or any co-morbid health condition.
Since she’ has already stopped the medication, it’s better you consult a psychiatrist immediately so that another medication can be prescribed to her which will not cause or worsen her blood sugar levels.
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Dr. L C Sunda
Psychiatrist
42 yrs exp
Delhi
Hi there,
A detailed medical and psychiatric history is always needed for every case.And also mental status examination is also recommended for every case.
As per your information, she is a diagnosed case of schizophrenia and was settled with medications.
Next Steps
There appears to be a relapse of symptoms of schizophrenia as she has stopped medications.
Medications can cause metabolic syndrome. Diabetes can happen but can be managed by/ or may be addition of other drugs from other group.
Health Tips
There’s need to start the treatment. Take the advice of your mental health professional as soon as possible.
Be positive in your thoughts.
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Dr. Vishal Bhatt
Psychiatrist
4 yrs exp
Rajkot
Hello meed to consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.