Hi everyone, it has been 3 weeks since my sister has been hospitalised as she was experiencing a relapse from her schizophrenia. I know there are quite a few information out there both positive and negative, in regards to Clozapine so I wanted to reach out to this forum to see what others might suggest. I’m not asking for medical advice but rather more wanted to know what people think and perhaps with the effects of Olanzapine working well for you and how long it took?
I understand medication varies depending on the person, but I’m in a slight dilemma as the doctors are strongly advocating to change to Clozapine, but my parents are hesistant with doing so as it will require the frequent blood tests and it is not likely to ever not take Clozapine, whereas for Olanzapine depending on your condition you are able to work with the doctor to reduce your dosage and eventually stop olanzapine. (My source for this was https://youngminds.org.uk/find-help/medications/olanzapine/#:~:text=It%20can%20take%20four%20to,tests%20to%20check%20your%20symptoms)
Since she entered the hospital, the doctors had increased her original dosage of 10mg Olanzapine to 15mg, and now 20mg. But they say that it does not seem to have reduced my sister’s current psychosis i.e. her delusions that her family is trying to hurt her and that they are not her real family. Her false beliefs this time round are unlike her previous hospitalisation. In her previous last two hospitalisation her belief was that her friends were trying to harm her but it seemed to have changed this time round.
According to the doctors they have also included another anti-psychotic to try to help reduce her delusions about her family (they said it was ‘anti-cyprus’ but I can’t seem to find anything online with a medicine with that name so I’ll need to ask the doctor again. But apparently the side-effect of the second medicine causes my sister to involuntarily frequently look up).
The doctors seem to be strongly suggesting the Clozapine option as they said it’s the best option since Olanzapine does not seem to be working on her family delusions. But I want to ask in the forum, should I suggest to the doctors to give more time to see if the Olanzapine will work i.e. just another 1-2 weeks to gauge if the medicine is just making slow progress or if her body really has become resistant to it? Or should we just go straight to the Clozapine option?
The doctors did say that they were afraid if we waited another 1-2 weeks, if her body is really resistant to it, her delusions about her family might get stronger and that might become harder to ‘fix’?
I understand both the doctors and my parent’s concerns and perspective so I’m trying to figure out what would be the best solution as we all want what’s best for my sister.