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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Depression, Mood Swings, Anxiety, Sleeplessness, Hunger Pangs, Irrelevant Talk, Isolation, Idleness After Menopause. On Medicines, No Relief. Suggestions?

my mom is of 50 yrs she s suffering from depression since 10 yrs. but nw since a yr she has menopause problem n lot of mood swings sudden change in behaviour agitation anxiety sleeplessness frequent hungerness irrelevant talk not mixing up with family members not carrying out any household chores. she s on olimelt 10 once at nit, risdone plus twice a day and qutan sr twice a day. she s on des medicines since 15 days.......but v r hardly seeing any change in her behaviour.pl help my sister s gettin married soon v want our mom to recover in a mth soon.
Thu, 3 Jan 2013
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Psychiatrist,  's  Response
Hello,
I understand how distressed you might be feeling. Starting off 3 anti psychotics in that too an old age is not a wise decision. Secondly a depression cannot last for 10 years and irrelevant talk never occurs in depression. I am sure its more than depression and probably you have been misinformed. May be you can get her a second opinion. If she is resistant to these many anti psychotics in that too adequate doses, then clozapine could be an alternative.
Hope I am able to solve your concerns.
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello...

Thanks for your query. I really doubt is she was labelled as a case of depression considering the nature and the duration of symptoms. However, there exists an entity called "agitated depression" which fits your description. Also, the number of medication, that of three anti-psychotics seems inappropriate for her age. I would suggest you meet your psychiatrist again to clarify the diagnosis and the reason for multiple psychotropic medication and get back to us for an opinion if required. Hope you find my suggestions useful.

Regards

Dr Sundar Gnanavel

Psychiatrist
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Depression, Mood Swings, Anxiety, Sleeplessness, Hunger Pangs, Irrelevant Talk, Isolation, Idleness After Menopause. On Medicines, No Relief. Suggestions?

Hello, I understand how distressed you might be feeling. Starting off 3 anti psychotics in that too an old age is not a wise decision. Secondly a depression cannot last for 10 years and irrelevant talk never occurs in depression. I am sure its more than depression and probably you have been misinformed. May be you can get her a second opinion. If she is resistant to these many anti psychotics in that too adequate doses, then clozapine could be an alternative. Hope I am able to solve your concerns.