
What Causes Excessive Sleepiness While On Olanzapine?

medicine should be continued until his exams are over
Detailed Answer:
Dear XXXXXXX
Thanks for contacting me again. Yes I have record of previous communication and I read it again before answering your current query.
You again have narrated history well. It is good that your son is on fine track and going well in his studies. I mentioned in our previous discussion that medicine should be continued for at least 3 months after complete improvement. Here I would like to give you two options if I were his treating doctor.
1. Olanzapine 2.5 mg is very low dose and no significant side effects will be there even if he continues for long. As he is preparing for highly competitive exams and doing well I would not like to disturb (though chances are rare that after stopping the medicines he would have any problem) at all by stopping the medicines though he is completely improved and 3 months have passed. Better to continue until his all exams are over. Later on you can reduce to 2.5 mg half tablet for a month and then stop.
2. Here again I would not like to stop the medicine. But I would suggest taking half tablet of 2.5 mg if he is completely fine since 3 months. He can continue this half tablet until exams are over and then can completely stop the medicine. By chance (I think less than 0.1% chance) if he feels any discomfort for more than 3 days after reducing to half tablet he can again take full tablet.
I would like to stop the medicines in similar cases in general when person is stable by reducing the dose half but I just do not want to take very rare risk in his case as he is preparing for higher studies.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.


I think medicine can be stopped gradually
Detailed Answer:
Hi XXXXXXX
Thanks for clarification about his exam timing. Sorry for delayed response.
Olanzapine at 2.5 mg does not cause any significant side effects.
One just needs to measure weight every month and fasting blood sugar every 6 months.
After reduction of dose he may feel discomfort in form sleep disturbance, low mood, fatigue and lack of concentration. Chances of the same are less than 10%. And these symptoms gradually reduce on their own in 2 days. If he feels symptoms for more than 3 days with same potency we can restart the previous dose and can reduce dose later on.
His diagnosis is almost confirmed that it is drug induced psychosis. After stopping the medicines rare chances that he may have any problem.
If I were his treating doctor I would like to reduce dose to half tablet of 2.5 mg after a month. And this dose can be stopped after 2 months. During this reduction I think there will be no problem. I have suggested continuing medicines in first answer as I thought exams are there within 6 months.
However now I feel that there is lot of time and he can adjust very easily without medicines.

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