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Increasingly the newer (atypical) antipsychotics are being recommended as the front line treatment of choice for someone experiencing their first episode of schizophrenia. However older (typical) medications are still deemed suitable for the treatment of many people with schizophrenia. As mentioned earlier, the process of choosing a suitable medication and appropriate dosage can take time. A number of different medications may be prescribed until one most suitable to your individual need is decided on. Relapse can occur even if someone is taking his or her medication. When this happens, the following generally occurs:
If a person experiences a relapse while taking older (typical) medication, the dosage may be increased and a medication to control side effects added. Alternatively a switch to a newer (atypical) medication with fewer side effects may be recommended.
If a person experiences a relapse while taking a newer (atypical) medication, the dosage may again be increased. Alternatively a switch to an older (typical) medication may be recommended.
If someone has not responded well to a number of other antipsychotics, Clozapine is available and may be recommended when other medications have failed.
Remember that you are responsible for your medication. It may seem confusing but there are fact sheets available in ordinary language. Ask your doctor for full written information on all your medications. Make sure you or a trusted family member are involved in all decisions relating to medication
How long does it take to work?
Antipsychotics can take up to six weeks before there is any noticeable effect. Clozapine can take up to twelve weeks, although you may start to notice an effect within two weeks.
What are the possible side effects of antipsychotics?
Because most people with schizophrenia have to take medication for a long period of time, it is important to avoid and manage unpleasant side effects. One of the biggest problems with older (typical) antipsychotics is that they often cause muscle movements or rigidity called extra pyramidal side effects. Sometimes, medications will be prescribed in addition to antipsychotics to prevent or treat these particular side effects. Other potential problems can include sedation, weight gain and effects in sexual functioning. A list of some of the possible side effects is given on the opposite page.
Remember that medication affects people in different ways. You may or may not experience some of the side effects listed. Some, although very rare, have the potential to be life threatening, so if you do develop side effects, let your doctor know straight away. He/she may do a number of things to help manage side effects, including:
1. Waiting a while to see if the side effects disappears on its own
2. Reducing the dosage of medicine
3. Trying another medicine
4. Adding another medication to treat the side effect
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