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Suggest Treatment For Depression

Posted on Tue, 22 Apr 2014

Question: hi my mom is suffring from depression . following are the symptoms , once she become imotional at that time she will cry a lot and one she become hiper then too fighting with family. she is speaking too much lie in every matter. and try to showing her self as good and what ever she saying and doing has to be good. as of now we are taking help of phsycestric and following tabs he has suggested namely feliz s plus,longifene, zapnap 1 kindly guide to handle this situation

Answered by Dr. Abhishek Kapoor (13 minutes later)

Brief Answer: With medicine she would improve. Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. Emotional instability, crying spells, easy irritability etc are part of depression and such symptoms would improve with continuous treatment. Usually duration of treatment depends upon the severity and duration of illness. If this is her first episode, then chances of getting improvement with feliz is high. You have to just wait for the response of the antidepressant. With medication, these symptoms would settle down. Just co-operate with her and no need to say any absurd word or to fight with her. Gradually with feliz, she would get her normal behavior. Please tell the duration of illness and dose of feliz. How long has she been taking this drugs? so i could give some more suggestion. Regards Dr. Abhishek Kapoor Psychiatrist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Abhishek Kapoor (10 minutes later)

actually she is depression patient since last 5 years and before that we are consulting a different psychiatrist and he was giving 3 to 4 tabs for a time for slipping during that 3 years she has also tried to suisied with taking higher dose of pills. Then we have change the psychiartrist and then after situation is under control he has suggested 3 tabs for a night namely depran forte,zapnap 2,pramipex 0.5. but from last 2 to 3 months situation is very crucial as my wife is also pregnet and she is not able handle such a situation. yesterday we have visited the doctor i have explain him about the situation he has suggested 3 tabs feliz s plus 1 time at night, zepnep 1 - 1 time at night and longifene 3 times in a day.

Answered by Dr. Abhishek Kapoor (20 minutes later)

Brief Answer: Increase the dose of escitalopram Detailed Answer: Hi Thanks for your trust on me. Depran and feliz, both are same drugs and consist of same medicine escitalopram. Depran forte consists of escitalpram 10 mg and feliz s plus consists of 5mg escitalopram. I think, she needs higher dose of antidepressant. Better to give her depran forte twice a day, means 20 mg of escitalpram in a day. You can carry on zepnep and longifene as advise. She needs time to improve, so be patient. In case, you are thinking, it is difficult for you to handle her, you can think about get her admitted in a hospital. Rest you can discuss with her psychiatrist. In case, you need further dose, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Abhishek Kapoor (15 minutes later)

she is doing too much work in the home inspite of having servent, wash all the unnecessary cloths , wash the bartan and wack up early in the morning e.g 5 to 6 am due to this her weight is going down to 48.5 kg. So suggest what can we do other than medicine to take care about herself.how to handle the situation by taking mental care ? and also guid me books name from I can get the ideas to handle such a situation

Answered by Dr. Abhishek Kapoor (6 hours later)

Brief Answer: She may be in manic episode Detailed Answer: Hi Now the symptoms, you have mentioned, are towards hypomanic episode. Mania is a mood disorder which is characterized by abnormally elevated arousal energy level. Other symptoms include elevated irritability, less need for sleep, goal-motivated behaviour, increased energy, hyperactivity, increase work output and metabolism increase etc. Your mother is showing most of above symptoms. In that case, her antidepressant should be stopped and mood stabilizer or antipsychotic should be started. Better to consult a psychiatrist for proper mental status examination, otherwise her condition could aggravate. You can handle patient only by regular medications and proper follow up. Such kind of patients need longer follow up, so consult a psychiatrist as soon as possible. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar