Thanks for posting your query at icliniq.
After going through the detailed history of your brother, it seems that he is suffering from schizophrenia and he responds fairly to Sulpitac. It is also obvious that he had acute exacerbation of his illness after going through some sort of stressor (example:exam).
Before I suggest you anything, I would like to know certain things:
In my experience, I would say Sulpitac is not the first choice antipsychotic, as better drugs are available when compared to sulphitac and that too at half the price. So changing drug could be a viable option in your brother's case if not done previously.
About 200 mg is all right. It is as safer as other antipsychotic drugs, so I think you need not worry about this. To take care of any adverse effects, please follow the instructions of your psychiatrist.
Regarding his repeated problem about sleep when exam approaches, I advise you to engage him in regular studies as it will reduce the burden of so called exams. You can also ensure better sleep hygiene for him as this will also help him in the long run.
For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
Query: Hi doctor, I always wake up coughing during the night. And when I eat, I get discomfort like trapped wind in my esophagus and have to swallow water hard to relieve this. I tested negative for H. pylori and currently on Lansoprazole which is not improving my symptoms much. Read Full »
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Query: Hello doctor, I am 44 years old and have generalized anxiety and insomnia. I never had anxiety in life but it all happened after I was diagnosed with high BP. Currently, I am taking Mirtazapine 7.5 mg since last four months. It makes me sleep but the quality of sleep is very bad. I did not take up ... Read Full »
Ask your health query to a doctor online?Ask a Psychiatrist Now