What are the side effects of medication for schizophrenia?

  There are often questions from patients about whether there is a cure for schizophrenia, whether there are drugs without side effects, and whether it is possible to take all Chinese medicine for schizophrenia, etc. The answers are as follows: First, science and technology have not yet developed to the level of a radical cure for schizophrenia.  Schizophrenia is a serious mental illness, requiring early, adequate and full course of treatment. Generally, routinely, schizophrenia medication is gradually increased from a small dose to an effective dose (full dose) after at least 6 weeks – 8 weeks (effective dose varies from person to person), if necessary, can be combined with MECT treatment, so that the patient’s symptoms are in complete remission, for the acute treatment period. Complete remission of schizophrenia clinical cure enters the consolidation treatment period. Generally speaking, the dosage remains unchanged and the consolidation treatment lasts for about 6 months before gradual titration reduction is considered under the guidance of a doctor and the maintenance treatment period is entered. Patients with first onset, acute attack and complete and rapid remission need to consolidate medication treatment for more than 2 years; for patients with slow onset, it is recommended to consolidate medication for more than 5 years. Only then can the dosage be gradually reduced and discontinued under the guidance of the doctor. In general, less than 20% of patients will be cured. If symptoms recur during the dose reduction, the original drug dose should be restored immediately to avoid relapse. In case of second relapse or more than two relapses, long-term drug maintenance treatment is recommended, and long-acting drugs can also be used for maintenance. With such formal consolidation treatment, most patients can work and live normally. At present, there is no once-and-for-all surgical cure for schizophrenia or Chinese medicine cure or no medication for the disease.  Secondly, drugs have more or less some side effects.  All antipsychotics have the effect of inhibiting brain function, which is good for patients with severe mental illness because it calms the patient down and relieves the condition as soon as possible; however, for patients who are already in remission or improving, it becomes a bad thing, which is the side effects of the drug. It can be said that all antipsychotic drugs have similar side effects, but only A drug B drugs are different in terms of severity. All antipsychotics have varying degrees of extrapyramidal side effects, some heavy, some light, the lightest manifestation is ‘motor inability’, that is, want to move but also lazy, dazed, and the most common side effects are manifested as Parkinson’s-like tremor or sedentary inability.  As the saying goes: medicine is three parts poison. After all, drugs are drugs, there will be more or less side effects, to endure certain side effects, in exchange for family peace and a lifetime of peace, should be worth; some drugs lead to fat or brain response slightly slow side effects, these side effects can be discussed with the doctor, can adjust the drug as much as possible to adjust, can not be adjusted with the side effects of the drug, to minimize the side effects. For example, if you cannot sit still due to medication, you can use benzodiazepines or propranolol, a beta-receptor inhibitor, orally under the guidance of your local physician to control the effect better than Anthem.  Remember: you can’t stop taking medication because of one side effect or another. I once had a schizophrenic patient, after treatment hallucinations and delusions disappeared, but there are some slightly slower responsiveness, the family thought they had stopped the drug without permission, the patient’s brain response is faster, but re-emerged hallucinations, delusions of victimization, that his father gave him poison in the meal, so he made the first move and cut his father with a kitchen knife, resulting in emergency surgery for his father, while his son was also admitted to the psychiatric department in an emergency. So, it is extremely confusing to stop the medication without doctor’s guidance in order to alleviate the side effects, and it is sad to see the heavy losses. The consequences were very regrettable.  In addition, the patient relapsed after treatment medication needs to be increased, but the treatment effect does not reach the original effect, which is another big loss, I observed more than a dozen patients, repeatedly stopping medication relapse, and finally also did psychosurgery, but the effect can no longer reach the original clinical cure effect, the condition has been bad, the loss is heavy, the patient’s family must have full awareness!