HomeAnswersPsychiatryschizoaffective disorderI have been suffering from schizoaffective disorder. Please help.

What is the treatment for schizoaffective disorder?

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Published At March 19, 2024
Reviewed AtMarch 19, 2024

Patient's Query

Hi doctor,

I was diagnosed with schizoaffective disorder a few years back. I have been on injections of Flupentixol. However, I experienced side effects of this drug long-term in my body, and my mouth would open up and twitch uncontrollably when I talk or when I am stationary. I was often unaware until my friends told me why I kept opening my mouth. I am on a very minimal maintenance dose. Should I change my drug to Lexapro or another medication that does not have this side effect? Or should I take Benzhexol to stop the side effects? Please help.

Thanks.

Hello,

Welcome to iclniq.com.

I understand your concern.

You have been diagnosed with schizoaffective disorder and have been taking Flupentixol injections for the past 10 years. You are currently on a biweekly dose of 0.25 ml but are experiencing side effects of involuntary mouth movements, potentially indicative of tardive dyskinesia (TD). Tardive dyskinesia is a known side effect of long-term antipsychotic medication use. You are understandably concerned about the impact of this on your life and seeking alternative solutions. Several treatment options exist for managing TD and minimizing its impact.

1. Switching Medications: Certain antipsychotic medications are less likely to induce TD. Your doctor can assess your needs and recommend potentially safer alternatives based on your case.

2. Reducing Flupentixol Dosage: Lowering your dose may alleviate TD symptoms, though it might also increase the risk of psychosis recurrence. Careful monitoring and close collaboration with your doctor are crucial in this instance.

3. Adding Medication for Symptom Control: Specific medications can help control involuntary movements associated with TD, offering additional support.

4. Discontinuing Flupentixol: This option should only be considered if your psychosis is stable and manageable without medication. It requires careful evaluation and supervision by your doctor.

Lexapro (Escitalopram oxalate): While Lexapro is an effective antidepressant, it is not typically used to treat schizoaffective disorder. It might not be the most suitable option in your case.

Benzhexol: Benzhexol can help control TD movements, but its effectiveness varies and may have side effects. Your doctor can assess its suitability for you based on your situation.

I hope this information will help you.

Thanks.

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

Dr. Vipul Chelabhai Prajapati
Dr. Vipul Chelabhai Prajapati

Psychiatry

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