Dr. Vishal Anilkumar Gandhi
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I used to take five prescription pills Abilify, Artane and Phenergan that I did not need. My doctor intimidated me into taking it otherwise, risking admission to the hospital, so I took antipsychotics and antidepressants and sometimes an anxiety pill and a beta blocker as well. I stopped abruptly because of the side effects; they were debilitating. And after several months later, psychosis hit me. My question is if it is due to the overprescription? The doctor is the one I am planning to challenge at court after 24 months. Kindly suggest.
Hello,
Welcome to icliniq.com.
Thank you for taking help from a psychiatrist. How can antipsychotic medications cause psychosis? If you do not have a history of psychosis, antipsychotic medication can not induce psychosis. But if you had psychosis in the past and you are on antipsychotics, and you stop taking them suddenly, then you will indeed have psychosis. I hope that you get my point.
Thank you.
Patient's Query
Hello doctor,
Thank you for the response doctor. I have taken antidepressants and antipsychotics. I stopped it abruptly. I also had no history of psychosis before. Can stopping abruptly alone and not having a record of psychosis has been present could it have caused psychosis? In this context. If the doctor has approved verbally that I could stop abruptly due to side effects, including vomiting, akathisia, and weight gain, should I have the grounds to complain in this case?
Hello,
Welcome back to icliniq.com.
If you did not have psychosis in the past, then antipsychotics can not cause you psychosis, even if you abruptly stop it. You should not stop the medications abruptly if you have side effects. If you are taking a high dose for a long duration, then you will have withdrawal symptoms from your antipsychotic medication. You can complain, but it depends upon your country's legal norms and conditions. But you can not complain based on this platform. As it is just an opinion or suggested-based online platform. You need to consult or hire your country's psychiatry board-approved psychiatrist for it. I am a registered psychiatrist in my country. I hope that you get my point.
Thank you.
Patient's Query
Hello doctor,
Thank you for the response. I have to ask if the prescribed medication in the past has induced self-harm behavior and if I were to harm myself and others because it has caused or induced violent behavior, would a doctor be liable for that effect? In your opinion is it an argument that could be further solidified? Kindly suggest.
Hello,
Welcome to back to icliniq.com.
There is no medication that induces self-harm behavior. It is your personality that induces self-harm. You may have cluster B personality traits. The doctor is not responsible for everything. Your personality and illness are responsible for it. I hope that you get your answer.
Thank you.
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