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Increased appetite after QUITEPINE for PARANOID SCHIZOPHRENIA.

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Respected doctor

i am parthiban n from tamilnadu , diagnosed as paranoid schizophernia on medication quitepine 700 hsod .,
going well except of excessive hunger
before the treament i was 69 kgs and ht 6.2" slowly my weight turned now 96 kgs .,
i have consulted endocrine done test for tyroid and others which are normal and adviced to go 1500kcal diet and i hour exercise.,
inspite of my exercise schdule my appetite was not controlled and i am eating foods whole night

previously i was on sibutramine 2 years old patientback which very much worked for me
now it has been banned

please advice for any appetite controlling medicine

thanks


Category: Psychiatrist

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Category: Sexologist
Dr. Srikanth Reddy is online now

Expert:  Dr. Srikanth Reddy replied 4 Days.

Hello,

Thanks for posting your query at DoctorSpring.com

I have gone through your question in detail and I can understand what you are going through.
obesity is very common among the patients of psychosis. Quetiapine and olanzapine are the drugs most implicated for obseity and you are on quetiapine. Sibutramine would have been a good option but now that it has been banned, we dont have that option. Its good that you have already started a restricted diet with regular exercise. Along with that the most popular option is adding low dose of aripiprazole along your current antipsychotic and reducing the dose of quetiapine as much as possible. Even a dose.of 450 mg of quetiapine is good enough if tappered gradually. Aripiprazole reverses the weight gain caused by antipsychotics and it itself is an antipsychotic by itself.i generally prescribe my patients 5mg of aripiprazole in the morning and this has reversed the weight gain as well has helped with blood sugars and lipid profiles .
Hope this helps

If you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy MD


Patient replied :

Thanks doctor for your reply
as per your advice i can start aripirazole 5mg by tomorrow ., i am clerk in nationalised bank whether it can cause any drowisness while office hours ., and more previously i have tappered quitiepine to 500mg a year back ., it causes hypomania ( i started having new friends and spending a lot) again the dose has been increased .,
so advice for further and any appetite suppresent if any

waiting for reply


Expert:  Dr. Srikanth Reddy replied 3 Days.

Hello
Aripiprazole doesnt cause sedation. You may take it in the morning as well.
No appetite suppressant have been found to be useful.
Feel free to ask further queries,
Regards.


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
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