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Dr. Ravoof
Dr. Ravoof, Doctor
Category: Medical
Satisfied Customers: 5043
Experience:  Experienced Physician in the field of Medicine and Surgery.
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How can doctors be persuaded by patients to wean off

Customer Question

How can doctors be persuaded by patients to wean off antipsychotic medication if a patient wishes to do so? If the patient no longer has symptoms of the mental health illness.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Thanks for your question. Basically the best person to decide, and for you to ask would be a psychiatrist who prescribed these medications. You may ask the doctor as to what is the duration of treatment. Also you may consult another psychiatrist for a second opinion. If both the psychiatrists recommend continuing the medication despite not having any symptoms (in which case the lack of symptoms may be due to the medications themselves) then please continue taking them. Take care. Please rate the answer with a five star. Use reply if you need further clarification. Thanks.
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Customer: replied 1 year ago.
Does a patient with psychosis have to take medication prescribed for them or can they refuse?
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Basically you need to consult a lawyer regarding the Mental Health Act (1983). According to this act treatment can be given without the patients consent if it's felt that he/she does not have the mental capacity to understand the issues surrounding treatment. Take care.
Customer: replied 1 year ago.
What happens if a doctor is made aware that a patient has been taking alcohol while on antipsychotics?
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, The doctor may advice not to do so since alcohol may decrease the effectiveness of antipsychotic drugs or increase the risk of side effects. Also this will lead the doctor to suggest that the patient be treated for an alcohol addiction if the patient is suffering from it. Take care.
Customer: replied 1 year ago.
Say the patient is not an addict and they never drink and drive. Can driving be affected?
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Even in this the alcohol intake may go unfavorably in the doctors report. Take care.
Customer: replied 1 year ago.
When doctors are monitoring patients who have been taking antipsychotics does the doctor just ask the patient how they feel themselves (dizziness, shaking) or will they carry out blood tests etc.? To see if the patient is stable.
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Both are done and are required to assess the effectiveness and side effects of the drug. Take care.
Customer: replied 1 year ago.
What tests are likely to be carried out by the doctor? Can the percentage of the antipsychotic (e.g. Aripiprazole ) be traced in the blood?
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Monitoring of antipsychotics may be done to look for side effects such as fasting blood glucose, lipid levels, and a complete blood count. Yes therapeutic drug monitoring is also possible. Take care.
Customer: replied 1 year ago.
When or what would lead a doctor to carry out therapeutic drug monitoring? What are the conditions in which they should use or not use it.
Expert:  Dr. Ravoof replied 1 year ago.
Dear customer, Thanks for your reply. There are many indications. Please read the below linked article to know the indications. Get back to me if you need any clarifications: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014933/ Take care.
Customer: replied 1 year ago.
What health care professional would normally review medication?