Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
On Quitipin Sr, Nexito, Dicorate. History Of Psychotic Depression. Better After Medication. Continue Medication?
Dr
my son is on quitipin sr 200 mg ,nexito 10 n dicorate er500 during morning and at night quitipin 400 mg , nexito 10 n dicorate er 500 mg ...He had a pshycotic depression three months back . he is much better now. when can he withdraw medicines..Are these medicines be taken throughout his life and does he become dependent on them worries me a lot...
Son diagnosed with Depressive disorder with psychotic symptoms and on treatment, Divalproex sodium 1g/day, Quitiapine 400mg/day and Escitalopram 20 mg.
Depression that occurs very early in age (you have not mentioned your son's age) and with accompanying psychotic symptoms has a high chance of recurring again. In the first 6 months the chances of relapse (symptoms appearing again) is very high and so the medicines SHOULD NOT be stopped. Thereafter the duration for which he needs to take medicines depends on how many times this has happened to him earlier and on the severity of the illness. The treating psychiatrist will decide this based on clinical judgement. He need not take it throughout his life if he maintains well while on medications. The doses will be reduced and few medicines will be stopped eventually. He will not get dependent on this medication, there is nothing to worry about.
As mentioned by you, your son has been prescribed medications for depression by a psychiatrist. Medications take from 15 days to 1 month to show any effect. It is good that your son is showing improvement in 3 months. I would suggest your son continues taking these medications for a while, under supervision of your doctor. It is not possible to evaluate the complete details of your son and his present status without complete examination.
The doctor will stop medications when he sees marked improvement. Please do not stop medications by yourself even if your son is showing progress because it may lead to relapse and that is difficult to treat and this may require much longer medications that needed.
In psychiatric illness, one need to continue treatment for somewhat longer time. The exact duration of treatment can also be determined by taking into consideration of many factors like precipitating factors, symptoms, number of episodes, family history if any. So you should not stop taking medication without consulting his treating psychiatrist otherwise there may be chances of relapse.
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On Quitipin Sr, Nexito, Dicorate. History Of Psychotic Depression. Better After Medication. Continue Medication?
Hi, Son diagnosed with Depressive disorder with psychotic symptoms and on treatment, Divalproex sodium 1g/day, Quitiapine 400mg/day and Escitalopram 20 mg. Depression that occurs very early in age (you have not mentioned your son s age) and with accompanying psychotic symptoms has a high chance of recurring again. In the first 6 months the chances of relapse (symptoms appearing again) is very high and so the medicines SHOULD NOT be stopped. Thereafter the duration for which he needs to take medicines depends on how many times this has happened to him earlier and on the severity of the illness. The treating psychiatrist will decide this based on clinical judgement. He need not take it throughout his life if he maintains well while on medications. The doses will be reduced and few medicines will be stopped eventually. He will not get dependent on this medication, there is nothing to worry about. Hope this helps, Dr A Rao