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Asked for Male | 55 Years

Should I Increase Aripiprazole Dose for Schizophrenia Symptoms?

Patient's Query

I’m writing regarding my father, [age 55 years], who has been showing schizophrenia-like symptoms for many years (around 10 years). His behaviour includes continuous talking, irritability, difficulty following instructions, and being argumentative or suspicious. He was previously on olanzapine, which used to make him very sleepy and inactive — he would mostly stay in bed all day. Because of that, we stopped olanzapine around 4 days ago and started aripiprazole 5 mg daily in the morning after breakfast. Since starting aripiprazole, he has become more awake and active, but now there is increased restlessness, excessive talking, and mild aggression. He doesn’t listen properly and gets stuck on small issues. His weight is around 90 kg, and I feel 5 mg may be too mild because his symptoms are severe and have been constant for years. I wanted to ask if it would be safe and appropriate to increase aripiprazole to 10 mg daily, or if you recommend any other adjustment or short-term calming medication during the transition. Please advise on the safest way forward — whether to raise the dose, continue 5 mg longer, or add any supportive medicine.

Answered by Dr. Gurneet Sawhney

The switch from olanzapine to aripiprazole seems to have helped with his alertness but brought about some restlessness and increased talking, which can be common when adjusting medications. Given his weight and the severity of his symptoms, increasing the aripiprazole to 10 mg could be an option. However, it's crucial to consult his neurologist before making any changes. They can assess his response to the current dose and guide you on the best way forward, whether it's adjusting the dosage or adding supportive medication temporarily. These adjustments often require close monitoring to ensure the best outcome for your father. Don't hesitate to reach out to his healthcare provider for guidance. 

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Questions & Answers on "Endocrinology" (421)

Mera tsh level 5.94 hai to Mai 25mcg ki tablet le sakti

Female | 26

A TSH level of 5.94 might indicate a problem with your thyroid gland. If you're feeling tired, gaining weight, or always feeling cold, these could be signs of an underactive thyroid. Taking a 25 mcg tablet daily can help balance your thyroid hormone levels. However, it's important to consult your doctor and have regular check-ups to stay on track.

Answered on 14th Aug '24

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Unintentional weight loss from last 2-3 years, dizziness, fatigue, weakness, yellowing of vest in night Lab investigations Normal LFT and KFT with normal thyroid hormones level CBC - eosinophilia Anemia low serum. Iron levels and vitamin D levels Mantoux - negative Hiv- negative Normal abdominal ultrasound Taking vit b12 and iron supplements Provisional diagnosis

Male | 47

As per the signs and tests, the person is thought to have a parasitic infection, for instance, a worm in the intestines. This may result in weight loss, anemia, fatigue, and the yellowing of the eyes at night. The plan includes using a medication to kill a worm as well as boosting iron and vitamin D levels.

Answered on 7th Oct '24

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I am suffering type 2 diabetes last 15 year i use 80unit insulin every day and Medicine i want to have stemcell therapy and you suggest me stemcell therapy good/bad for me

Male | 44

Stem cell therapy is helpful for treatment of type 2 diabetes, but it is not yet FDA approved and is under clinical trials. I advise you to consult a doctor in person. Based on proper evaluation , he will suggest whether stem cell therapy is right for you and discuss the treatment options that you can consider for managing your diabetes. I hope this proved useful. Thanks

Answered on 23rd May '24

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Kya nutrients ki deficiency say harmonal imbalance hota? Estrogen dominance or testosterone high hota? Or kis wja say harmonal imbalance hota?

Female | 24

Nutrient deficiencies can indeed contribute to hormonal imbalances, affecting levels of estrogen and testosterone. Symptoms may include fatigue, mood swings, irregular periods, or weight changes. Common causes include poor diet, stress, and lack of exercise. To support hormone balance, focus on a well-rounded diet rich in fruits, vegetables, healthy fats, and proteins. Regular physical activity and managing stress through techniques like meditation or yoga can also be beneficial. If you notice persistent issues, I encourage you to consult with a healthcare professional for personalized guidance and appropriate testing to identify any underlying concerns.

Answered on 21st Jan '25

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I am 28 years old and I am taking steroids tablet..can it have side effects???

Female | 28

Steroids can impact your body ne­gatively. Common side effe­cts include weight gain, acne bre­akouts, mood fluctuations, and sleeping difficulties. This happe­ns because steroids inte­rfere with natural functions within your system. We­ight gain and acne result from hormonal changes cause­d by steroids. Mood swings and insomnia occur when steroids disrupt che­mical balances regulating emotions and sle­ep cycles. If expe­riencing these issue­s, consult your doctor immediately. 

Answered on 31st Jan '26

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Answered on 19th Feb '25

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Diabetic related my Hba1c is 5.7 and MBG is 110

Male | 30

Your HbA1c is 5.7 and MBG is 110, indicating high blood sugar, possibly pre-diabetic. Pre-diabetes increases the risk of future diabetes. It's important to monitor your levels. To prevent diabetes, focus on eating healthy, exercising regularly, and maintaining an ideal weight. These steps can help manage blood sugar and lower your risk.

Answered on 11th Sept '24

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Hi I’m having thyroid issue im in periyapalayam village

Female | 5-

It sounds like you're experiencing some thyroid-related issues, which can include symptoms like fatigue, weight changes, or mood swings. These conditions can arise from various factors, including genetics, stress, or dietary imbalances. It's important to monitor your symptoms closely. I recommend consulting a healthcare professional who can conduct appropriate tests and provide tailored advice. They may suggest lifestyle changes, medication, or other treatments to help manage your condition effectively. Remember, taking action now can lead to better health outcomes in the future. 

Answered on 18th Jan '25

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My hba1c is 11.3 and ppbs is328.5 and fbs is 261.6

Male | 32

Having a high HbA1c value of 11.3 means your body struggles with sugar manage­ment. Additionally, blood sugar readings of 328.5 after me­als and 261.6 when fasting indicate the same­ issue. You may experie­nce increased thirst, fre­quent urination, and fatigue as symptoms. This condition could be diabe­tes. To improve, make die­tary changes, exercise­ regularly, and consider medication pre­scribed by a doctor for better blood sugar control.

Answered on 23rd May '24

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Flexseeds pumpkinseeds beans white sesame seeds wo women use kr sakti jo estrogen dominance ya testosterone ka level zyda ho

Female | 24

Estrogen dominance and high testosterone levels can lead to symptoms like mood swings, weight gain, and irregular periods. These imbalances may arise from factors such as stress, diet, and hormonal changes. Incorporating flaxseeds, pumpkin seeds, beans, and sesame seeds into your diet can be beneficial as they provide essential nutrients and may help support hormonal balance. However, it’s important to listen to your body and consult a healthcare professional for personalized advice. 

Answered on 3rd Oct '25

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I am 24 years old I have thyroid symptoms

Female | 24

This is a gland in the neck that can cause tiredness, weight gain, and loss, or feelings of anxiety and depression. When too much or too little hormone is produced by this organ these symptoms may arise. To confirm the diagnosis, go for some blood tests at the doctor’s office. If there is an issue, don’t worry – there are treatments available that will help to balance the levels of thyroid hormones within your body.

Answered on 13th June '24

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I am 27 years old female and I am having shivering, nausea, loss of appetite, pain in my right side of abdomen, urine ruk ruk kar aa raha hai, due to pain I am not able to sit since last 1 month. I am diabetic and have thyroid. I am taking antibiotics tablet neeri

Female | 27

You may be having Renal calculi or Urinary tract infection. Do USG abdomen for proper diagnosis.  Drink lots of fluids.  There are various Homoeopathic medicines which can help you with these kinds of conditions. 

Answered on 23rd May '24

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hi doctor i would like to ask a question please. as i am a type 1 diabetic patient for 4 years the last 1 month i use fiasp insulin now can i change to novarapid insulin because now i dont have money to give another consultation charge and admission charge for that same hospital. i got novarapid throw away pen 10 nos which my formal country had given me with no charge. please suggest me what should i do i really appreciate for the respond thank you sirs. shijin joseph joy from kerala, india

Male | 38

You should discuss any insulin regimen changes with a doctor before you do anything. Both Fiasp and Novarapid are rapid-acting insulins to be used to treat diabetes by controlling blood sugar levels. It is recommended to follow only the insulin given by the doctor to avoid any complications. 

Answered on 18th June '24

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