Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): The patient is male, now 21 years old, and has been ill for more than 6 years, with a short temper, often talking nonsense, cursing the family, sometimes beating the family’s chickens or pigs when in a bad mood, or suddenly screaming a few times, suspicious, often imagining that someone wants to harm him. Four months ago, he went to Guangdong Zhongshan Buhu Hospital for medical treatment, and was discharged after more than 10 days of treatment with medicine to eat at home (he has been taking medicine until now). Now I’m not impatient and I don’t curse anymore, but I start talking to myself for an hour or two at 6pm every four or five days, and I can’t help but look at my left side all the time (sometimes my right side). Are these symptoms a side effect of the medication? If it is a side effect of the medication, is it harmful to the body? Do you think these medications are working? Do I need to continue taking the medication? How long do I have to take them? Can the medication cure him? Guangzhou Brain Hospital Psychiatric Department: Hello, I am Dr. Huang from Guangzhou Brain Hospital. It is likely that his condition is a side effect of medication. But I don’t know what kind of medication he is taking. How much do you take every day? Please tell me in detail. Patient: Thank you very much for your prompt reply, Dr. Huang! He has been taking the medication for more than 6 months now. He takes the medication twice a day, “Risperidone 1 tablet and Clozapine 4 tablets” in the morning and “Risperidone 1 tablet and Clozapine 6 tablets” in the evening. Last week, I went back to the hospital for 3 months of medication, and this time I took the same dosage: twice a day, 2 risperidone and 4 clozapine in the morning, and 2 risperidone and 6 clozapine in the evening. Since taking the medication in the hospital, his temper is much better, no more cursing, and no more beating the poultry raised in the house. The previous self-talk is also gone. He started talking to himself every four or five days or so, walking back and forth between the two ends of the house, and involuntarily looking only to the upper left (sometimes to the upper right), his eyes were squinting, and these symptoms lasted for about two to three hours or so. These symptoms lasted for about 2 to 3 hours, but after that time, nothing happened again. Are these symptoms a side effect of the medication? If it is a side effect of the medication, is it harmful? I think the medication is working, right? Do I need to continue taking the medication? How much longer should I take them? Can the medicine cure him? I hope that Dr. Huang can give a timely reply, I thank you in advance. Guangzhou Brain Hospital Psychiatry Golden Man: Hello, his eye condition is entirely a manifestation of the side effects of medication. The medication he ate was not properly matched, and although it controlled the symptoms, it will seriously affect his social function. It’s hard to say whether it can be cured and how long he will be on the medication. Patient: Thank you again for your reply! When you say he is not taking the right combination of medications, you mean the two medications (risperidone and clozapine) are not very good together, right? No. Or do you mean the dosage is too much or too little? You said that this would seriously affect his social functioning. What should I do then? Dr. Huang, can you give your personal advice and opinion based on his symptoms? Guangzhou Brain Hospital Psychiatry Department Golden Man: This problem is very complicated, it is best if you can bring him to our hospital for consultation and treatment.