Long-Acting Injections: A Solution for Schizophrenia Treatment?

Q: Long-Acting Injections: A Solution for Schizophrenia Treatment?

Hello： The active ingredients in long-acting injectable antipsychotics are actually the same as those in oral medications, so it is advisable to first find an oral medication that suits you before switching to a long-acting injection. <br>The benefit of the new generation of long

Long-acting injectable medication

If medication treatment is not successful, would injectable forms of treatment be more effective? I am referring to schizophrenia.
Additionally, if someone frequently watches adult films and becomes overly aware of their genital sensations, leading to feelings of embarrassment, what should they do? I'm concerned about this in public settings.

Dan, 30~39 year old female. Ask Date: 2021/05/22

Dr. Wang Yaoting reply Psychiatry

Hello: The active ingredients in long-acting injectable antipsychotics are actually the same as those in oral medications, so it is advisable to first find an oral medication that suits you before switching to a long-acting injection.
The benefit of the new generation of long-acting injections is that they can be administered once a month or once every three months, enhancing convenience and alleviating the issues associated with oral medications.
They also improve upon common side effects seen with traditional medications, such as weight gain and menstrual irregularities.
Additionally, long-acting injections help maintain stable drug concentrations in the body over time, making them suitable for patients who have difficulty remembering to take their medications.

Regarding the awkward physiological reactions in public, it may indeed be somewhat related to watching adult films.
You might consider reducing the frequency of viewing such content, and also reflect on whether it is related to your symptoms of schizophrenia.
It is recommended to discuss this matter thoroughly with your physician during your follow-up appointment.
I hope this answers your question :)

Reply Date: 2021/05/22

More Info

Long-acting injections (LAIs) have become an increasingly important treatment option for schizophrenia, particularly for patients who struggle with medication adherence. These injections are designed to release medication over an extended period, typically ranging from two weeks to a month, which can help maintain stable drug levels in the body and reduce the risk of relapse associated with missed doses.
One of the primary advantages of LAIs is that they can improve treatment compliance. Many individuals with schizophrenia may forget to take their oral medications regularly, leading to fluctuations in drug levels and potential exacerbation of symptoms. By using LAIs, healthcare providers can ensure that patients receive their medication consistently, which is crucial for managing a chronic condition like schizophrenia.
However, the effectiveness of LAIs compared to oral medications can vary based on individual circumstances. Some patients may respond better to LAIs due to the steady release of medication, which can lead to more stable symptom control. Others may not experience significant differences in their symptoms. It is essential for patients and their healthcare providers to monitor the effectiveness of the treatment and make adjustments as necessary.

Regarding the side effects of long-acting injections, they can include sedation, which may lead to drowsiness, especially after the first few doses. Other potential side effects can include muscle stiffness or rigidity, weight gain, and metabolic changes. It is important for patients to discuss any side effects they experience with their healthcare provider, as adjustments to the medication or dosage may be necessary.

In your case, if medication treatment has not been successful, transitioning to a long-acting injection may be a viable option. However, it is crucial to have an open dialogue with your healthcare provider about your treatment history, current symptoms, and any concerns you may have. They can help determine the best course of action tailored to your specific needs.

As for your concerns about feeling embarrassed in public due to sensations related to watching adult films, this is a common issue that many people face. It is essential to understand that sexual feelings and arousal are natural human experiences. However, if these feelings are causing significant distress or interfering with your daily life, it may be beneficial to speak with a mental health professional. They can provide strategies to manage these feelings and help you navigate any anxiety associated with them.

Cognitive-behavioral therapy (CBT) is one approach that can be effective in addressing anxiety and unwanted thoughts. CBT focuses on identifying and changing negative thought patterns and behaviors, which can help reduce feelings of embarrassment or anxiety in public situations. Additionally, mindfulness techniques can help you stay grounded in the present moment and reduce anxiety about your thoughts and feelings.

In summary, long-acting injections can be an effective treatment option for schizophrenia, particularly for those who struggle with medication adherence. It is essential to work closely with your healthcare provider to determine the best treatment plan for your individual needs. If you are experiencing distress related to sexual feelings, consider seeking support from a mental health professional who can help you develop coping strategies and address any underlying concerns.

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