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Tuesday, September 28, 2010 Ms. LEGB, Community Member, asks

Q: Delusions & Halluciantions: Medication Regime

I am requesting your expertise & experience in figuring out which medications are most used and effective in treating delusion & hallucinations in individuals diagnosed as schizoaffective.  A few years ago, I allowed my son to get the size of his lips reduced by a cosmetic surgeon.  My son provided the doctor with a picture of a rapper named "NAS".  The doctor told my son he could not promise his lips would be that small and explained why but said he would do his best. My son was not diagnosed as schizoaffective at that time and his lips were not made the size of the rapper's in the picture.  However, my son thinks the rapper "NAS" has powers over not only him but others too because of the surgery. For example, if you tell my son something he does not agree with, there are times when he says "NAS" is doing it. NAS does not tell him to do anything but make bad things happen because his lips look like the rapper. Long story short, when my son was on Risperdal, it seems these symptoms minimized or disappeared. Is this a delusional or hallucination symptom?  My son is now on Haldol injection 200mg every 4 weeks, and is talking about NAS again.  What other medications are being used to treat this type of symptom.  I would like to discuss other options with the psychiatrist.  Can Risperdal or other medications for this symptom be given in an injection?  Your suggestions are greatly appreciated. I do not think the Haldol may be working...

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Answers (3)
Christina Bruni, Health Guide
9/29/10 7:55am

Hello Ms. LEGB,

 

A newer version of Risperdal is Invega and it can be given in injection form as Invega Sustenna I believe.  Risperdal is available as a shot as well in the form of Risperdal Consta.

 

Like Janet said different medications work differently for different people.  What works for one person might not work for others.

 

I'm on Geodon with no side effects and no symptoms and Geodon has the least weight gain risk and the least side effects, from what I hear, of all the SZ drugs.  However a lot of times Geodon does not work for some people so they have to go on Zyprexa or Clozaril or one of the other drugs that causes weight gain.

 

When starting any medication, you have to weigh the potential benefit to either completely stop or greatly alleviate the symptoms, against the risks of side effects.  For 20 years I took Stelazine, which is not an atypical like Risperdal or the others, it is what's called a traditional neuroleptic or SZ drug.  And I lived for 20 years with a side effect: I was drowsy in the morning and thus late to nearly every job I ever had.

 

The goal is that hopefully with the right drug or combination of drugs the symptoms can go away or be alleviated to such a degree that the delusions and hallucinations are either gone or effectively minimized.

 

The nature of delusions is that they can involve many different fantasies or false beliefs that are unique to each person experiencing them.  So it is possible what's going on in your son about NAS is a delusion.

 

To find the right drug or the right combo can take trial-and-error.  It is like trying all the keys on a chain to see which one unlocks the door to recovery.

 

The medications routinely used that are called atypicals because they are second generation drugs are: Clozaril, Zyprexa, Risperdal, Seroquel, Abilify, Geodon and Invega.  Now there's also Fanapt and Saphris, the newest drugs on the market this year.

 

Older drugs that are not atypicals include Navane and Stelazine and Prolixin.  Prolixin can be given by injection.

 

Never give up.  Recovery is possible.  Work with your son's psychiatrist to monitor the medication regimen and change the dose or drug as needed.  Throughout the years, the medication regimen might have to change as your son's brain chemistry changes.

 

Like I said I was on Stelazine for 20 years and in 2007 I switched to Geodon.

 

The last piece of advice I would give anyone is to be proactive in addressing their treatment needs and if you feel that a doctor is not the best for your son and your son agrees, you might have to find another doctor.

 

I'm not saying this applies to you right now however sometime in the future it might.

 

In closing, the drugs mentioned are used to treat delusions and hallucinations.

 

Regards,

Christina

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Janet, Community Member
9/28/10 2:09pm

I too have been diagnosed with schizoaffective disorder and have been on a wide array of medications. i  currently take 400 milligrams of Seroquel at bedtime and it seems to be working well for me. however it is important to realize that what works well for one may not work for another. I wish I could offer you more help but it is important to work closely withh one's doctor in trying to come up with the best medication for your son.

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Ms. LEGB, Community Member
9/28/10 4:29pm

I appreciate your information. Smile Do you take Seroquel by pill or an injection.  Do you have any side effects from Seroquel and are you able to function while on this medication? I believe knowing other medication options is the best thing to have when communicating possible changes with a doctor.  Thanks a bunch.....

 

LEGB

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EarthLeader, Community Member
11/21/12 1:45am

Myself have a grandiose subtype of a psychotic delusional disorder me thinketh to be Inter Galactical Mastermind for Space Earth & Time and Earth Leader + for the first two years taking Abilify and the past two years Risperdal and whether I fully taking my medication daily or skipping a few months here and there to see the profoundness of my realities as World's Rockingest Artist and World's most important book author to thirteen my mind and sense of certainty conviction assured I remain in mind whether rain or shine, medication no medication.

 

My psychiatrist of and for the past four years repeats himself every few months my condition to likely not be effected by pharmacueticals myself remaining in profound deep meditation it focus in how to make this world of ours be tops.

 

Michael Vincent Whitemiller, Santa Monica / Los Angeles County / California: a progressive city, county, and state if there ever were three w/ a USA big flop

 

 

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By Ms. LEGB, Community Member— Last Modified: 04/07/14, First Published: 09/28/10