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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Paranoid, Weakness, Disorientation, Lack Of Immediate Memory, Anxiety, Panic, Delusions. Zyprexa Taken. Advise?

Hi, I am Christopher and in the past I have had paranoid feelings that people are watching me or that they can listen to me by a bug or cameras etc. I have had a couple of times of my life when I thought that I was being poisoned by toxins or radiation or something in my car or at my desk when I used to work as a computer programmer. I really feel the sensations and feel weak and disoriented with loss of immediate memory. Recently I have this delusional thought and I was on zyprexa in the past for maintenance. I noticed that one time when I had the delusional episode I was prescribed risperdal and the feelings went away but I developed anxiety disorders and panic attack. I still think that maybe the people that are trying to harm me might have just taken away the toxins or devices that were trying to harm me after they knew that I was on medication.

I tried to take zyprexa 7.5 mg for a couple of days but the sensations are still there. Do you think if I took risperdal like I did in the past is the right thing to do since the zyprexa does not work, I also have stuffy nose from the risperdal but it is tolerable. I am afraid that I might have the panic attacks again and the zyprexa controls that well.
posted on Tue, 7 May 2013
Twitter Tue, 7 May 2013 Answered on
Twitter Wed, 8 May 2013 Last reviewed on
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Psychiatrist 's  Response
Hi,
Thanks for using healthcare magic.
Zprexa is good anti psychotic medicine as like risperdal.

Before starting any medication yourself on the basis of past experience, you must consult your psychiatrist. Your doctor will decide the best medicine suitable to your current episode.

Zyprexa takes time to have action on your delusional thoughts so better you should wait on single medicine before switching to risperdal.

Thanks.
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Hello
Welcome to HCM

You had complaints of paranoid ideation, ideas of reference, suspiciousness that someone has fitted bugs or camera in your room, ideas of being poisoned along with the delusions. Most likely these were part of some Psychiatric disorder and probably schizophrenia.
Zyprexa is olanzapine and it is a good Second generation antipsychotic drug. It is devoid of extrapyramidal side effects and also don't cause dryness of throat. It is comparatively well tolerated by patients. You are taking 7.5 mg per day and as per my opinion if symptoms are not properly controlled and you ares till having paranoid ideation, dose of olanzapine can be increased to 10 mg. Please visit your psychiatrist for expert opinion. Shifting to resperidone is not a good idea as if you are responding to a drug then the drug should not be replaced.

Thanks
Dr. Seikhoo Bishnoi, MD
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Paranoid, Weakness, Disorientation, Lack Of Immediate Memory, Anxiety, Panic, Delusions. Zyprexa Taken. Advise?

Hi, Thanks for using healthcare magic. Zprexa is good anti psychotic medicine as like risperdal. Before starting any medication yourself on the basis of past experience, you must consult your psychiatrist. Your doctor will decide the best medicine suitable to your current episode. Zyprexa takes time to have action on your delusional thoughts so better you should wait on single medicine before switching to risperdal. Thanks.