schitzophrenia?

  1. Does anyone know a medication that takes away the "voices" in schitzophrenia? Or, are they all the same - they just relax the person so they can not get angry? Any info would be great on this subject.
    Steph
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  2. 9 Comments

  3. by   New CCU RN
    Actually the meds ie) Thorazine are designed to control the positive signs of shizophrenia and these include "voices", delusions, etc. They are called antipsychotics. A med that would relax the person would be an antianxiety med. Hope this helps a little.
  4. by   stephera
    I have heard that none of the meds. will take the voices away. How come schitzophrenics never want to take their meds?

    Steph

    Quote from New CCU RN
    Actually the meds ie) Thorazine are designed to control the positive signs of shizophrenia and these include "voices", delusions, etc. They are called antipsychotics. A med that would relax the person would be an antianxiety med. Hope this helps a little.
  5. by   New CCU RN
    I am no expert in psych..however, it is my understanding that the purpose of antipsychotics is to control the positive symptoms of shizophrenia.......which are the voices, delusions, hallucinations. disordered speech, etc

    Keep in mind that every patient's response is different. Some meds work for people and some don't... .it is really individual and there is typically a 2-3 week lag time for these meds, meaning it takes two to three weeks for these meds to really have an effect. But even longer (a few months) is needed to truly see a response.

    The reason that patients are non-complaint w/ these meds is due to the terrible side effects. Keep in mind there are two types of antipsychotics --- typical and atypical. The typical are known to have awful s/e such as dystonia, akathisia, parkinsonism, tardive dyskinesia. The atypical hve a lot less motor side effects but are quite expensive and still fairly new.
  6. by   stephera
    Is Thorazine atypical?
    Steph
    Quote from New CCU RN
    I am no expert in psych..however, it is my understanding that the purpose of antipsychotics is to control the positive symptoms of shizophrenia.......which are the voices, delusions, hallucinations. disordered speech, etc

    Keep in mind that every patient's response is different. Some meds work for people and some don't... .it is really individual and there is typically a 2-3 week lag time for these meds, meaning it takes two to three weeks for these meds to really have an effect. But even longer (a few months) is needed to truly see a response.

    The reason that patients are non-complaint w/ these meds is due to the terrible side effects. Keep in mind there are two types of antipsychotics --- typical and atypical. The typical are known to have awful s/e such as dystonia, akathisia, parkinsonism, tardive dyskinesia. The atypical hve a lot less motor side effects but are quite expensive and still fairly new.
  7. by   New CCU RN
    no, it is "typical"....... It is actually the prototype of antipsychotic meds.....
  8. by   eak16
    Risperidone, Geodon.....
  9. by   LoriRN911
    Quote from stephera
    I have heard that none of the meds. will take the voices away. How come schitzophrenics never want to take their meds?

    Steph

    Hi Steph,

    Sometimes the pateint is just too paranoid to take their meds, the "voices" are telling them different (Like the nurse is trying to posion you) or they get d/c from the hospital and have no money or nowhere to go and are off of them (after getting stabalized in the hospital) for short periods of time and it comes back full circle again. This is the problem, some of these people should be in long term care but the state facilites have all closed down due to buget cuts.
    We use Risperdal and Zypreza mostly for our psych pts.

    Lori RN
  10. by   Commander Vimes
    Soory to say it but Schizophrenia is un curable, theres more to it than medication. Some of the anti-psychotics alleviate symptoms for some of the people but the evidence suggests that only 40% of sufferers gain any benefit from the medication. There are some amazing results though so all is not lost, I find Clozapine beneficial (I run a clozaril clinic amongst other things)
    Stress plays a major part in Schizophrenia and if you reduce that then Bingo! but not always.
    Short term treatments include Chlorpromazine, Olanzipine, Risperidone, even ECT.
    More effective however are the "Talking therapies" Voices groups are shown to be beneficial as are alternative coping strategies.
  11. by   CliveUK
    Of course, there is some controversy over whether schizophrenia - as a discrete disease entity - actually exists. Some psychiatrists - most notably Jan van Os in the Netherlands - have jetissoned the diagnosis altogether, preferring to talk about 'dimensions of psychosis'.

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