~shchizophrenic non-compliant pt~ - pindi

[ArchivalUser]

seems like a dream come true....what more do you want in your life now!


1). how would you treat such a patient? he does'nt take his anyipsychotics?

2). also what are the first line of drugs for these schizophrenic pts?

[ArchivalUser]

Psychiatric patients”particularly paranoid individuals”often neglect to take their medication. In these cases and in nonresponders to oral medication:
- enanthate and decanoate (the latter is slightly longer-lasting and has fewer extrapyramidal side effects) forms of fluphenazine or
- decanoate form of haloperidol may be given by deep subcutaneous injection or intramuscularly to achieve an effect that will usually last 7“28 days.

(Concomitant use of a benzodiazepine (eg, lorazepam, 2 mg orally twice daily) may permit reduction of the required dosage of oral or parenteral antipsychotic drug )

PLZ ADD MORE.

[ArchivalUser]

Harry206...are you a psychiatrist?
BINGO!
Bulls Eye.....


for such a pt give FLUPHENAZINE IM Q 2 WEEKS

or you can do HALDOL IM Q 4 WEEKS.


HY q guys...
appprecaite harry's strong work.

[ArchivalUser]

nice q pindi...
gr8 work

[ArchivalUser]

as per NMBE Q
Arrange an involuntary commitment to a psychiatric hospital for this kind of Pt

[ArchivalUser]

u r right rocky.
I was answering w.r.t drug of choice.

Environmental considerations are most important in the individual with a chronic illness, who usually has a history of:
- repeated hospitalizations
- continued low level of functioning, and
- symptoms that never completely remit

In these cases, board and care homes staffed by personnel experienced in caring for psychiatric patients are most important

plz add more

[ArchivalUser]

Thanks Harry; you sound like a psychiatrist?

[ArchivalUser]

no rocky.........i jus passed my mbbs from India...
so i m not that great...
Good luck for ur step...

[ArchivalUser]

harry206,your answers r perfect.very nice.
thanks alot .