Time：2023-03-28 00:32:48 source：psychiatricethics.com author：Depression Read：991次

Antipsychotic drug side effects can be dealt with

Original article, the treatment of mental illness must be investigated for misappropriation. Before the 1950s, no effective drug treatment was found, and the entire course of the disease was full of legends. Known as "early-onset dementia", people are also full of fear, discrimination and rejection of mental illness. It was not until after the 1950s that the first antipsychotic drug was discovered that psychiatry could have an epoch-making change, and the development of its drugs has developed more rapidly in recent years. Although antipsychotics can effectively control abnormal symptoms such as hallucinations and delusions, they can also cause many side effects. As far as patient feedback is concerned, common side effects include hand tremor, dry mouth, polyuria, nausea, gastrointestinal discomfort, etc. Generally speaking, it can be dealt with by appropriately adjusting the way of taking or adding other drugs, which can be obtained after treatment. ease. But there are also more serious side effects, such as drowsiness, obvious hand tremor, unsteady walking, poor coordination, vomiting and diarrhea, loss of appetite, and even confusion, which may affect the quality of life of patients. It reduces the willingness of patients to take medicine, increases the risk of disease recurrence, and is not conducive to the follow-up treatment of patients.

So what about the side effects of antipsychotics?

Frank communication is the most important first. The side effects of drugs vary from person to person. If a patient notices these changes in his physical condition, the best way is to tell the doctor frankly about these concerns, and the doctor will find a solution or give practical advice. Do not stop or reduce your medication on your own, as this is dangerous. For example, doctors may try lowering or switching the dose, or using other drugs to reduce the problem. Some side effects, such as drowsiness, can be easily resolved, or changed to once a day before going to bed. For patients with sleep problems, this side effect may actually be helpful; moreover, some patients will gradually adapt to the side effects. When it comes to weight gain, a simple exercise program often helps, as well as improving physical health and mood. . For patients with severe mental illness who are still ineffective after long-term drug treatment and program adjustment, minimally invasive surgery is recommended. The patient Xiao Yang (male, 31 years old) has been diagnosed with schizophrenia for 7 years. He has abnormal symptoms such as sensitivity, anxiety, severe insomnia, hallucinations, gibberish, and delusions of persecution. He has been taking a variety of antipsychotic drugs since the diagnosis. Long-term medication leads to emotional apathy, limb tremors, and inability to concentrate, often answering irrelevant questions, which affects the patient's normal social life. Later, accompanied by his family, Xiao Yang went to the functional neurology department of Shanghai Oriental Hospital for surgical treatment. After the operation, Xiao Yang’s mood improved, his sleep quality improved, his original symptoms of sensitivity, suspicion, auditory hallucinations, irritability, and delusions of persecution disappeared, his insight recovered, and he actively cooperated with drug treatment. 1/3, the adverse reaction of limb tremor was also significantly improved.

What kind of mental patient is suitable for surgery?

First of all, the diagnosis must be made in a regular psychiatric hospital, which meets the diagnostic criteria for mental disorders (CCMD or DSM or ICD series); 3-5 years after the diagnosis, patients with poor medication effects (including poor or ineffective medication) have obvious side effects; All aspects of physical signs are good, from 18 years old to 60 years old; and patients with non-organic mental disorders can consider surgical treatment of refractory mental diseases.

To our readers:

Hello, I am Dr. Wu Jingwen, and I would like to thank you all for reading my article. If you have a disease and consult me, you can contact me through the platform "private message". You can also leave a message under the article, and I will answer your questions as soon as possible.

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(责任编辑：Emergency treatment)

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