The course of treatment after the change has a serious sign of illness, how to do

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Patient: Yang director: hello! In June 14th started taking the following prescription: morning: sodium valproate 2 tablets, 1 tablets, a gen

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Patient: Yang director: hello! In June 14th started taking the following prescription: morning: sodium valproate 2 tablets, 1 tablets, a general sertraline tablets, 1 dimensional it ou Lan Ning half afternoon: 2, a general dimension of sodium valproate tablets, 1 European Lan Ning half a piece of medication for 3 and 4 days after the disease has obviously improved, until in June 24th the situation is very good, but from the beginning of 25 the disease began again, or someone downstairs automatic speaking, she said, her menstrual cycle is 25 day, see is not caused by irritability during menstruation. After the menstrual cycle after (early July) the situation has improved, but until now there is no return to the level before June 25th, recently, the temperature is high, I do not know is not the reason. These are her recent basic situation, do you still have a good idea? In these one or two days and her brother-in-law will come to your office for her prescription, but also trouble you.

Guangzhou brain hospital psychiatric Yang Mingzhe: it should be with the menstrual period, temporary drugs do not need to change

Patient: doctor Yang Mingzhe for the last time or discharge time: in women, 36 years old, in April 22nd 24, in your visit, according to the new prescription (morning: ziprasidone 1 tablets, 1 tablets, a general dimension of sertraline 1 tablets; afternoon: 2, a general dimension of ziprasidone tablets, 1 tablets it ou Lan Ningban medicine). At the beginning of the two or three day always feel hungry, eat a lot, then this phenomenon disappears; but it seems more and more excited, always seems to be on the content of automatic speaking, colleagues, family relationship and some things, sometimes people curse, and talk to him she would not listen, to feel as if she was inside a thing (most of her imagination) content is constantly changing, inextricably bogged down in, now more and more serious, more and more big voice, time is getting longer, now in addition to sleep outside basically keeps talking, yesterday (May 2nd) appear insomnia phenomenon; in this period of time is just her menstrual cycle, this may the reason is also a great influence. The last doctor did check, results and solutions: March 21st in your doctor, prescription: morning: Debakin 1, sertraline 1, afternoon: Debakin 2, Lan Ning 1 in europe. Effect: 1 self talk less than before, around 5 p.m.. 2 most of the time was in a daze, and be scanty of words, people exchange reaction is very slow; very hesitant, even a very simple thing (for example a thing) to move, think. 3 heads are always low, according to their own neck is uncomfortable. Now the illness, want to get help: see her present situation, we are very anxious, eager to get your guidance, thank you

Guangzhou brain hospital psychiatric Yang Mingzhe: the last time because of economic reasons, with slightly cheaper drugs, the effect is not ideal. Recommendations in the morning and more than half a piece of Ou Lan Ning. Look at the situation and then contact.

Patient: Thank you for your reply, tomorrow morning, plus half a piece of European Lan Ning, what is the situation and then contact you, thank you again

Guangzhou brain hospital psychiatric Yang Mingzhe: Well, not at all.

Patient: since the beginning of May 5th morning with half a piece of European Lan Ning, this time the phenomenon of automatic speaking a lot of good feeling, consciousness is recovered a lot, no longer like the time that she disregarded the automatic speaking, words, but the mood is very excited, a little better than that of temper, temper, swear, to a long some time to calm down, feel like she is particularly annoying, see what is not pleasing to the eye, listen to what is not pleasing to the ear, accidentally began to scold. Do you see if her medication needs to be adjusted or not, and whether there are any signs of improvement?!

Guangzhou brain hospital psychiatric Yang Mingzhe: when necessary night plus half a piece of olanzapine, control to cut down. The last time she was afraid of her husband's economic pressure, so ask if you can change.

Patient: Thank you for your reply, it is: morning: ziprasidone 1 tablets, 1 tablets, sertraline 1, a general dimension it ou Lan Ning half afternoon: 2, a general dimension of ziprasidone it 1, ou Lan Ning half a piece of night and half a piece of olanzapine, morning plus half a piece of Lan Ning whether to Europe to lose? Thanks

Guangzhou brain hospital psychiatric Yang Mingzhe: No, morning half a night Ou ou Lan Ning, Lan Ning.

Patient: Director Yang, hello! The night before you get the guidance after yesterday to prepare for the evening plus half a piece of European Lan Ning, but found signs of illness, reduce the number of temper, time is very short, so don't add up to now, the situation is relatively stable, whether the drug you temporarily can not adjust?

Guangzhou brain hospital psychiatric Yang Mingzhe: temporarily without it

Patient: Yang director: hello! Receive your new prescription today, look at the instructions, found that benzene sodium valproate tablets, Quetiapine Fumarate Tablets great damage to the liver function (may cause acute liver necrosis), family members are afraid to give her to take medicine, you see these really have side effects so much, if can change some medicine? Thank you, thank you!

Guangzhou brain hospital psychiatric Yang Mingzhe: the actual side effects is not so big

Patient: Yang director: hello! May 20th start taking you re open the medicine (old prescription), after this period of time, as the condition is not too big change, is not serious, there is no sign of improvement, mainly as particularly exciting, automatic speaking, at home on the old saying he was overheard downstairs, or in to speak ill of him, 6 pm to 9 points (some serious medication time is 8 points in the morning and in the evening of two times a day), but the consciousness is awake. Overall, the disease is better than in early May, from late May, there is little change. Do you still need to re adjust the situation? Thanks

Guangzhou brain hospital psychiatric Yang Mingzhe: should be adjusted, you take her with treatment to me now.

Patient: April 24th morning, 1 pieces of prescription: ziprasidone tablets, sertraline 1 1 o p d it afternoon: 2, a general dimension of ziprasidone it 1, ou Lan Ning half a piece of May 5th because the effect is not ideal, the online consulting you (after adjustment for the morning and half a piece of Ou Lanning): morning: ziprasidone 1 tablets, 1 tablets, sertraline 1, a general dimension it ou Lan Ning half afternoon: 2, a general dimension of ziprasidone it 1, ou Lan Ning half a piece of adjustment for a period of time after the condition has improved, (see 1--10, May 20th in hug) you re open prescription medicine, ibid (revised in May 5th after), has been on medication so far, but the condition from after the end of May has not changed much, no better, but there is no serious.

Guangzhou brain hospital psychiatric Yang Mingzhe: "Lan Ning evening eat 1 pieces

Guangzhou brain hospital psychiatric Yang Mingzhe: please take valproate

 

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