Navigating Medication Challenges in Schizophrenia Treatment

Q: Navigating Medication Challenges in Schizophrenia Treatment

Hello, internet user： It is recommended to continue collaborating with your trusted physician. <br>The effectiveness of long-acting injections and oral medications is comparable, or even better (since there is no issue of forgetting to take the medication), making it a good optio

Medication issues

Hello, doctor.
Since April 2018, I have felt that something is not right with me.
I have been obsessively thinking about past events or forcing myself to think about things, which has made me very unhappy upon waking up, and I realized that I was in trouble because of my compulsive thoughts.
In April of the year before last, I was diagnosed with simple schizophrenia, but I did not experience hallucinations or delusions.
The doctor prescribed me non-branded Aripiprazole, which I took for two weeks, and then I switched to Risperidone.
After three weeks, I noticed improvement, and by the sixth week, my condition was quite good.
Everything was fine until February 2020, although in February, due to poor grades and the high tuition fees of a private university, my parents asked me to take a break from school.
I was very upset at that time, which caused my condition to worsen.
In June, I went for a military service physical examination; my mother did not want me to enlist, but I wanted to.
After a re-examination, I changed doctors.
The new doctor prescribed me Quetiapine, but I became unhappy afterward.
On June 25, 2020, I took a large amount of Risperidone in the middle of the night and was then taken to the emergency room.
After that, I started to become unstable, often shouting, and I would undress at home.
I suspected that it was due to taking too much medication.
In October 2020, I was hospitalized and switched back to Aripiprazole, but I gradually became even more unhappy.
In March 2021, I suggested to my doctor to switch back to Risperidone, but the doctor said I needed to receive a long-acting injection for two weeks.
I was hospitalized again, but my condition did not improve, and I was switched back to Aripiprazole.
I suspect that it is because I have not been taking the oral medication.
As of now, I still feel numb towards life, with physical coordination issues and cognitive difficulties.

Quan Ge, 20~29 year old female. Ask Date: 2021/06/23

Dr. Wu Enliang reply Psychiatry

Hello, internet user: It is recommended to continue collaborating with your trusted physician.
The effectiveness of long-acting injections and oral medications is comparable, or even better (since there is no issue of forgetting to take the medication), making it a good option.
Dr.
Wu Enliang.

Reply Date: 2021/06/23

More Info

Navigating medication challenges in the treatment of schizophrenia can be a complex and often frustrating journey for both patients and their families. Your experience highlights several key issues that many individuals with schizophrenia face, particularly regarding the management of medication, side effects, and the overall impact on quality of life.

Firstly, it is essential to understand that schizophrenia is a multifaceted mental health disorder that can manifest in various ways, including cognitive symptoms, emotional disturbances, and behavioral changes. The treatment typically involves antipsychotic medications, which can help manage symptoms but also come with potential side effects. In your case, it seems that you have been prescribed several different medications over time, including non-brand medications like Anlifu and Risperidone, which can lead to confusion and uncertainty about their effectiveness and side effects.

One of the significant challenges in managing schizophrenia is the trial-and-error nature of finding the right medication and dosage. Each individual's response to medication can vary widely, and what works for one person may not work for another. This variability can lead to periods of instability, as you have experienced, especially when switching medications or adjusting dosages. It is crucial to maintain open communication with your healthcare provider about your symptoms and any side effects you may be experiencing. This dialogue can help your doctor make informed decisions about your treatment plan.

In your situation, it appears that you have experienced fluctuations in your mental health, particularly during times of stress, such as academic pressures and personal challenges. Stress can exacerbate symptoms of schizophrenia, and it is essential to have coping strategies in place. Engaging in therapy, support groups, or mindfulness practices can be beneficial in managing stress and improving overall well-being.

Regarding the side effects you mentioned, such as feeling emotionally numb, uncoordinated, or "dumb," these can be common with certain antipsychotic medications. Some individuals may experience what is known as "negative symptoms," which can include a lack of motivation, emotional flatness, and cognitive difficulties. It is essential to discuss these symptoms with your doctor, as they may indicate that your current medication regimen needs adjustment. Sometimes, adding an adjunctive medication or switching to a different class of antipsychotics can help alleviate these side effects.

Moreover, the concern about the long-acting injection versus oral medications is valid. Long-acting injections can provide more consistent medication levels and may reduce the risk of non-adherence, but they can also come with their own set of challenges. If you feel that the injections are not working for you or are causing distress, it is essential to communicate this to your healthcare provider. They can work with you to explore alternative treatment options that may better suit your needs.

Lastly, it is vital to prioritize self-care and support during this journey. Surrounding yourself with understanding friends and family, engaging in activities that bring you joy, and seeking professional help when needed can significantly impact your recovery. Remember that managing schizophrenia is a long-term process, and it is okay to seek help and advocate for your needs throughout this journey.

In conclusion, navigating medication challenges in schizophrenia treatment requires patience, open communication with healthcare providers, and a willingness to explore different treatment options. Your experiences are valid, and seeking support from mental health professionals, family, and friends can help you find a path toward improved mental health and well-being.

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