Hello, my sister is suffering from psychosis and little aggressive and the psychiatrist has prescribed oliza 5 mg for few weeks. Problem is we can't give her the medicine directly as she will surely refuse it. Is it ok to crush the tablet and mix with food? Will this affect the working of the medicine? Also, after how many days/week can I expect to see her manic symptom go away? Thanks.

Dr. Raj Kiran DonthuPsychiatrist11yrs exp

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Dear lybrate-user, I understand the situation you are going through. I know it is a tough as a caregiver. But as a psychiatrist patient is given the highest importance. She should be aware that she is being given medication. It would be better that she is told about her problem and with her consent give the medication. You should make an attempt to convince her to take the medications. I would advise you to contact your treating psychiatrist. He/ she would gauge the situation and tell you the appropriate course of action. I know I have not answered your query completely, but I think I gave a direction. Thank you.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear Azhar, Crushing and mixing will not affect the medicine working. But there are mouth melting tablets of Olanzapine 5 mg available in the market. They mix nicely and effective like swallowing the whole tablet. How long it takes for manic symptoms to away - depends on her previous episodes how long it lasted. With or without treatment, the manic symptoms will go away on its own. Olanzapine is to reduce the symptom severity. How many oliza 5 mg, are you giving per day? 

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Dr. P K SukumaranPsychiatrist56yrs exp

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Sizoping25 mg half or one tab at 7 PM along with food She will be alright Dont worry Please read schizophrenia The love and support of family and friends plays an important role in schizophrenia treatment and recovery. If you have a loved one with schizophrenia, you may be struggling with any number of difficult emotions, including fear, guilt, anger, and frustration. You may feel helpless in the face of your loved one?s symptoms, worried about the stigma of schizophrenia, or confused and embarrassed by their strange behaviors. You may even be tempted to hide your loved one?s illness from others. But it?s important to remember that a diagnosis of schizophrenia is not a life-sentence. Recovery is possible, especially with your love and support. To help someone with schizophrenia, it?s crucial you: ? Accept the illness and its difficulties. ? Not buy into the myth that someone with schizophrenia can?t get better or live a full and meaningful life. ? Do your best to help your loved one feel better and enjoy life. ? Pay attention to your own needs. ? Maintain your sense of humor and remain hopeful. While dealing with a loved one?s schizophrenia can be challenging, the following strategies can help you guide your loved one on the road to recovery without losing sight of your own hopes and dreams. Tips for helping a loved one with schizophrenia ? Educate yourself. Learning about schizophrenia and its treatment will allow you to make informed decisions about how best to cope with symptoms, encourage your loved one to pursue self-help strategies, handle setbacks, and work towards recovery. ? Reduce stress. Stress can cause schizophrenia symptoms to flare up, so it?s important to create a structured and supportive environment for your loved one. ? Set realistic expectations. It?s important to be realistic about the challenges of schizophrenia. Help your loved one set and achieve manageable goals, and be patient with the pace of recovery. ? Empower your loved one. Be careful that you?re not taking over and doing things for your loved one that they are capable of doing. Support your loved one while still encouraging as much independence and self-help as possible. 

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Ms. Rachna MishraPsychologist9yrs exp

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Rage is contagious. When you have a temper, it may be difficult to admit there's a problem. You find yourself going from zero to 100. You were calm, and then your partner (or someone else) said something that triggered you. You snap, say something incredibly hurtful, and feel guilty. Before we know it, we go from being the adult in charge to the child having an emotional meltdown. I used to have the same issues. I was always an aggressive child. I was considered a very hot-headed person. I used to get angry at very small things and I used to lose control and use to hurt people in a way or other, sometimes I used to hurt myself too like I used to punch a wall and once I punched it soo hard that I fractured my own hand. Aggression used to eat me up from inside out. Anger is one of the most divisive and destructive forces on the planet and I knew that and I really wanted to change myself. Anger is an emotion and you can?t escape from it but how you handle is what it matters. I finally decided to control my aggression, I tried a lot of courses, read books on aggression management. There are extensive anger management resources for mental health and aggression management techniques are a dime a dozen. But those have generally proven to be quite ineffective for me. I searched on the internet about how can I control my aggression and I read many articles and watched many videos but nothing seemed convincing to me except one article that was posted by teal swan. That article talked about why do I get angry and gave me some tips to make my anger productive or how can I control it. The article made me feel good about myself. Whenever I used to get angry I used to ask myself one question- ?what about that hurt me so bad??. I started following her suggestions and I could see a change within myself. I could feel better. I constantly focused on things that would help me lower down my aggression. I do get angry, you cannot escape from emotion but I do know now how to handle my emotion of aggression, how to manage my aggression. After knowing the mantra to handle my anger everything seems beautiful.  

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