Olanzapine is an atypical antipsychotic drug commonly used to treat symptoms of schizophrenia, bipolar disorder, depression, manic disorder, and severe mood swings. The common side effects seen with this medicine are dizziness, restlessness, weakness, and decreased libido.

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My son has social withdrawal and isolation. Yet, he refuses treatment. Please help.

Query: Hello doctor, The problem started in 2010. Social withdrawal, isolation, inability to continue at a job, negative talk, jealousy, lack of initiative, low self-esteem and fickle minded behavior. What could these point to? The prescriptions are lost in transit. No medicines are being taken.  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. I can understand your concern. The symptoms of withdrawal from society, loneliness, difficulty in continuing the job, negative thoughts, lack of motivation, indecisiveness, etc could be due to some severe underlying mood disturbance. Since the symptoms are persistent a...  Read Full »

I had psychosis and am taking the drug Olanzapine for the same. Does long-term use of it cause tardive dyskinesia?

Query: Hello doctor, I am a 24-year-old, and I experienced psychosis four years ago. I am taking a maintenance dose of 2.5 mg of Oleanz (olanzapine). I cannot stop taking the drug permanently since I get anxiety and slight delusions after stopping it. I heard long treatment of antipsychotics causes tardiv...  Read Full »

Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. The incidence of tardive dyskinesia is close to zero with newer antipsychotics like the drug Oleanz. So the benefit of Oleanz is far more than any possible risk of side effects. So do not worry. Just have regular follow-ups with the treating psychiatrist and regular te...  Read Full »

What kind of treatment does my fiance need for bipolar disorder?

Query: Hi doctor,My fiance and I have been together for five years, and she has been taking Lithium for bipolar disorder. We are living in an apartment, and she accuses me of being a cheater. She has no reasoning other than that I am communicating with people upstairs through the walls. There are men and w...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, there are two possibilities regarding her illness. Either she was diagnosed wrongly with bipolar disorder as there are no symptoms in the description that indicate bipolar disorder. ...  Read Full »

While treating a patient for depression, when can we add in Celexa?

Query: Hi doctor, I am a psychiatrist. I would like to switch a patient from 300 mg Effexor to Celexa. I know how to taper the Effexor. But, when can I add in Celexa? I have tried Cipralex, Prozac, Effexor and Abilify, but the depression is not responding. All the routine laboratory tests are normal.  Read Full »

Dr. Padmapriya Chandran

Answer: Hi, Welcome to icliniq.com. You seem to be dealing with a patient with treatment-resistant depression. What is the thyroid status of the patient? Since you have tried SSRIs (selective serotonin reuptake inhibitor) and the patient seems to be a non-responder to these, I feel that...  Read Full »

How is delusional jealousy treated?

Query: Hi doctor, My dad is suffering from a delusion of jealousy for the last three years. What is the treatment for it? The main problem is that my dad has no insight of his problem. How much time will it take to recover? Please help.  Read Full »

Dr. Sonia Malhotra

Answer: Hi, Welcome to icliniq.com. The treatment is antipsychotic medicines like Olanzapine, Aripiprazole, etc., followed by insight oriented psychotherapy after remission. But, please ensure that there are no other symptoms like delusions of persecution or control, hearing voices, sleep and appetit...  Read Full »

I am always anxious that there are bugs all over my skin. Please help.

Query: Hello doctor, I have been struggling a lot with feeling like there are bugs on my skin. I am constantly paranoid. I can barely function with all of my anxiety. But I have started to realize that I have an issue because my scalp is covered in scars and cuts from scratching. I have been checked for li...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. The bugs-like feelings on the skin could be occurring due to severe anxiety or stress. But before that, any dermatological causes should be ruled out. This could be due to some drugs too. If you have been taking alcohol for a long, then that could be the reason. Ta...  Read Full »

I have been taking Olanzapine 2 mg for the past two years. Can this drug cause symptoms of Parkinson’s disease?

Query: Hi doctor, I have been taking Oleanz 2 mg for the past two years. Can this drug cause Parkinson's disease? I started experiencing symptoms such as shaking hands, difficulty walking, nightmares, and sleep disturbances only after taking this medication. Are these symptoms due to the drug which I am t...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to icliniq.com. It is rare to have Parkinsonian symptoms due to tablet Olanzapine 2 mg, but sometimes it may cause. If you are stable, I suggest tapering off and stopping your tablet Olanzapine. There is no alternative medication for it. I hope that you get your answer. Please let m...  Read Full »

For schizophrenia, what medications should be taken without it affecting the professional life?

Query: Hi doctor, I have schizophrenia, and I am on medication. My query relates to how much medication I should take to have the least impact on my professional life. My earlier symptoms were related to auditory hallucinations, and these were handled through medication and a visit to the rehabilitation c...  Read Full »

Dr. Parth N. Nagda

Answer: Hi, Welcome back to icliniq.com. Could you let me know if you still have any symptoms, or are you doing completely well with the medicines? I think you have mentioned for the past year you are doing fine. So I am assuming you do not have any symptoms now. The tablet Asprito 40 mg, which you are...  Read Full »

Is it good to take a break from depression treatment?

Query: Hi doctor, For the past three years, I have been taking antidepressants. I had Seroxat, Cipralex, Zoloft and Cymbalta after a doctor's prescription. But, I am still depressed. After reducing Cymbalta dose, my doctor advised me to start taking Prozac. I feel so tired with the side effects of those me...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. If you have taken so many antidepressants and are not seeing improvement, then you can think of changing the drugs. In my opinion stopping all drugs would only worsen the symptoms. You do not see improvement with medicines, but the medicines are working though not com...  Read Full »

Is it good to take Olanzapine for depression?

Query: Hi doctor, I am getting treatment for anxiety, depression, OCD, and untreated childhood ADHD. Currently, I am taking Serta 100 and Zapiz 0.5. I took Olanzapine for four months. Now I stopped taking it slowly due to daytime sleepiness. I am grateful to have these medicines as it has changed my life. ...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. I can understand your situation and you are doing good. You have depression at present. You are taking one of the good medication for your depression. You must continue your medication. You should try to follow these guidelines to deal with your depression. It will be h...  Read Full »

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