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So my mom's been going through maniac episodes i have already consulted a doctor for this and Oleanz and Clonazepam medication was given she had it for a week and then stopped after it went but now before 5 days she got it back and she's having the same medication and since she hasn't been moving her body much she's having muscle stiffness and the maniac episodes haven't got any better can i give her Pacitane? and what should i do?
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I want to acknowledge how much courage it takes to voice these struggles. Often, we treat mental health as a matter of 'willpower,' but as a psychiatrist, I can tell you that what you are experiencing has a real biological and neurological basis.
Your brain, like any other organ, can sometimes struggle to maintain balance under stress. Seeking treatment isn't a sign of failure; it’s a proactive medical decision to regain your quality of life. We can work together to understand the 'why' behind these feelings and find a structured path back to your baseline. You don't have to navigate this alone.
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Please do not start or stop any medication on your own.. It will be risky.
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Hey, the symptoms you are describing looks like of extra pyramidal symptoms (EPS), and this is treated as emergency. Because of abrupt changes in medications dosages, this can happen.
Please do consult a psychiatrist immediately.
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"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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Dr. Indraja Sharma
Psychiatrist
7 yrs exp
Kota
Muscle stiffness is likely extrapyramidal side effect (EPS) from Olanzapine.
Do not start Pacitane (trihexyphenidyl) on your own. She needs a psychiatric review urgently for:
• Dose adjustment
• Addition of anticholinergic (if required)
• Evaluation of ongoing mania (may need mood stabilizer)
If she has fever, severe rigidity, confusion, or sweating, go to emergency immediately (rule out NMS).
Best step: Consult her psychiatrist as soon as possible.
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Dr. Durganjali B
Psychiatrist
9 yrs exp
Mumbai
Using and abruptly stopping psychiatric medications without regular follow up is not advised.It likely can be a side effect of medication based on what you explained. Kindly consult psychiatrist before taking any decision. If necessity be they will add her on required medication.
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