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Schizophrenia and Medication - Part Three

By Christina Bruni, Health Guide Sunday, May 27, 2012

A new study that examined more than 50 years worth of data found antipsychotic medications for schizophrenia patients can reduce the risk of relapse by 60 percent.

 

The study revealed that these patients who are compliant with their medication are significantly less likely to be hospitalized and may have a better quality of life than individuals who do not take their medication.

 

The trials in the studies, observed from 1959 and 2011, showed a 64 percent relapse rate with those who took a placebo, in relation to a 27 percent relapse rate among compliant patients.

 

Three of the studies demonstrated the schizophrenia patients, who took their meds, had a better quality of life.  [Health Day (2012, May) Medication compliance helps schizophrenia patients. mentalwellnesstoday.com accessed May 10, 2012.]

 

How can we remember to take our pills?

 

A guy who takes two kinds of pills turns his pill bottles upside down after he's taken his dose.  I keep mine in one 7-day pill box for morning and one 7-day pill box for night.  Before I go to bed, I lift the lids of the next day's compartments to signal I have to take them.  If I dine out, I carry the pills in one of seven attractive pill boxes, like art objects, I've collected over the years.

 

You can get DoseCast, an iPhone app, that schedules your doses.  Bring your pills in their bottles or pill boxes in your carry-on when you travel because luggage can get lost.

 

Figure out the best dose times.  I have no side effects now ever since I began taking most of the Geodon at night, so I'm wide awake every day instead of falling asleep routinely.

 

You shouldn't have to settle for less than the best possible outcome.  My doctor told me years ago that total symptom relief was the only acceptable goal.

 

Some things to keep in mind:

  • It is generally agreed that patients do not build up a tolerance to their antipsychotic meds.
  • When it appears that the meds are not working as well as they previously have, it is often the result of the disease itself changing.
  • When consumers stop taking their medicine they run the risk of not being able to regain the previous level of wellness.
  • Currently it is in the very early stage of research but many clinicians believe the glutamate system has promise.

 

[Medland, M. (2012, Spring) Medication tolerance: Can antipsychotics lose their effectiveness over time? 10(2), 16-17.]

 

In April 2007, I switched to the atypical because the former drug stopped working, or so it seemed.  I recommend you talk to your doctor at the first sign of any new or unusual thoughts or symptoms that seem to have become repetitive.

 

A common scenario is that a person might exhibit residual or breakthrough symptoms.

 

Talk with your doctor about changing the dose, or changing the medication, if necessary.

 

I know one guy who paraded through various doctors' offices until he found a psychiatrist who was an expert on medication, and she prescribed the new drug that immediately stopped his voices after he'd been hearing them for quite awhile.

By Christina Bruni, Health Guide— Last Modified: 05/29/12, First Published: 05/27/12