Thank you doctor jagadeesan for your valuable reply regarding my father's auditory hallucinations & delusion but as my father was started on zaporil 45 days back, right now he is taking zaporil 50 mg, vertin 8 mg, oleanz rt 15 mg, pacitane 2 mg 3 tablets per day so my query is, what are the side effects it causes & whether these 3 tablets are necessary for him because my father is feeling very tired & is having body pain also & dry mouth.& also please tell me why he is having these hallucinations, delusion because already he is having dystonia problem (neck pulling backward and tremors & stiffness in his right hand) from 2 yrs.

Dr. Prof Jagadeesan M SPsychiatrist19yrs exp

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He is having delusions and hallucinations due to neurotransmitter (chemicals) changes in the brain which is the seat of mind, controlling thoughts, emotions and perceptions. All medications carry side effects and they need to be monitored. We have to weigh the risks and benefits of treatment. Dry mouth, tiredness all can caused by the medicines which you need to convey to the treating psychiatrist. The treating psychiatrist seems to be doing a good job going for zaporil and adjusting others. Kindly attend the review and do the blood tests as advised. Even after achieving adequate, tolerable doses with zaporil, if symptoms are not under control, which happens very rarely, other measures can be considered. Good luck. T.  

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