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I did not get periods after taking medicines for schizophrenia and anxiety. What to do?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Previously, I was prescribed Solian 50 mg and Lorans 1 mg to treat schizophrenic thoughts and anxiety. I was stable on taking it. After a few months, I do not have my periods and my doctor prescribed me Abilify 5 mg and Lorans 1 mg. After changing medications, I start to wake up at night and sleep for little time at night. I become more anxious than before. I feel uncomfortable while taking talking with others. Yesterday, I took Solian instead of Abilify. Can I continue taking Solian? Does the absence of periods affect my life? Do I need to take a high dose of Abilify? or Do I need a low dose of Solian 50 mg? Is it fine to take it?

Answered by Dr. Vishal Anilkumar Gandhi

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

The absence of periods will not affect you. Once when you stop taking antipsychotics, then your periods will get started in the future. It is a subjective effect of medication. If you are stable on Solian (Amisulpride), then it is better to continue taking that medication. You will become better soon. You do not need to shift on to other medication unless you really need it. You do not need to start Abilify (Aripiprazole) if you are stable on Solian.

Patient's Query

Thank you doctor,

I am still skeptical due to the absence of periods without any side effects physically. Is it good to become pregnant in this condition? I took Abilify 5 mg, Lorans 1 mg, and Lexipro 5 mg today morning. I felt better in the morning and afternoon. Is it advisable to use Lexipro along with Abilify?

Answered by Dr. Vishal Anilkumar Gandhi

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You should not try for pregnancy while taking medications. It causes problems in children. It is fine to take Lexipro (Escitalopram) along with Abilify. It will not cause harm. But you should try to take Loran 1 mg (Lorazepam) as per requirement.

Patient's Query

Thank you doctor,

It is my second day. I took Abilify 5 mg, Lexipro 5 mg, and Lorans 1 mg this morning. But I feel very sleepy today. Can I take Lexipro 10 mg instead of 5 mg? Can I take Lorans 0.5 mg? Does Abilify 5 mg and Lexipro 10 mg are considered as a low dose? I want to take a low dosage as much as possible. Please suggest.

Answered by Dr. Vishal Anilkumar Gandhi

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your situation. You feel sleepy after taking Lorans in the day time. You should not focus on the dose of medication and you should focus on the improvement. You can take the amount of dose on which you feel better. You should take Lexipro 5 mg and Abilify 5 mg daily. If you still feel bad, then you can increase the dose of Lexipro from 5 mg to 10 mg. You can take Lorans 0.5 mg when you have severe anxiety. Usually, Lorans will make you sleepy. You can take Clonazepam 0.5 mg instead of Lorans as it is less sedative.

Medically reviewed by Dr. Sneha Kannan
Published At September 23, 2020
Reviewed At January 24, 2022

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

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