My mother is being treated for mental illness in chennai. She has been on treatment for ocd for the past 5 years. Past few months she had suffering from manic depressive psychosis. Last week we have consulted another doctor as she wasn't recovering well. Present doctor has not yet diagnosed her illness. She is currently on following medications: loxapax 25 mg (night) loxapax10 mg (morning) oleanz 5 mg (night) tho 2 mg (morning) vincomo (morning) clozapine 50 mg (night) she has been given clozapine yesterday during our consultation. She has been so restless through out the day and behaved differently last night. She had suicidal thoughts before clozapine was prescribed to her. Even though she had suicidal thoughts before ,she was active and was doing her works properly. But now my mother says she will die by not eating food, she says she has become mad and her life has been destroyed. Her thoughts have become so random. She didn't behave this way before and after our last consultation 2 days back, she has started to behave this way. She says she would not go to work and give voluntary retirement. We are not sure why she has started to behave this way from yesterday. Why did the doctor prescribe clozapine? Is it having any bad effect on her behaviour? Is she having schizophrenia? Kindly advice why is it happening this way to my mother.
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Better admit her, perhaps she may be in a acute confusional state perhaps due to multiple drug effects ,so she is restless, speaking irrelevantly. Only after the treatment of acute confusional state ,a mental state examination has to be done and a appropriate psychiatric diagnosis can be done and treatment can be started.
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She needs immediate hospitalisation to see the after effects of the multiple medication along with inhouse counselling be given immediately in the hospital to normalize her anxiety and depressive phase, which I think is in the hostile phase. Right now she is in complete disorientation stat� and needs immediate relaxation therapies alomg with medicine. Thereafter a thorough mse would help in diagnosis and further treatment maagement plan.
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Clozapine is a wonderful drug to treat psychosis. Already she is on an antipsychotic loxapax. Rarely these issues occur with medications, kindly temporarily stop the medicine and consult your psychiatrist again. I am sure he will be able to modify the medications.
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Dear Nagaprasad, It is nice of you to know about your mother's behaviour and diagnosis. Whenever you change the doctor, it is better to take the summary of treatment from the previous doctor. The recent doctor has not yet diagnosed her. It takes time and observation to diagnose mental disorders. OCD symptoms may occur in both bipolar disorder and schizophrenia. Let us wait for the doctor to diagnose your mother's condition. Or request your previous doctor to talk to new doctor so that the diagnosis can be made early. Clozapine by itself will not cause the behaviour of your mother. It is a good drug to prevent your mother from suicide.
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