system
Weakness, depression and attempted suicide after stopping prodep and Divaod.  History of having brain clots.  Any suggestions?
human
Hi Dr...my Sisiter in law is about 38 yrs age she past 7 years back she feel down from first floor and she got head injury and by tht time she got some brain clots and after a mnth treatment she became normal and nuro surgon also said ok for her health condition...from past 4 years she got depression and once we showed to a Psychiatrist and he prescribed Prodep 10 mg and slowly increased to Prodep 40 mg and Divaod...if we slowly stop giving her drug she is becoming nerves and she is becoming weak, last week she tried for suicide attempt also...some of the Dr is saying that Prodep is not gud for longer period...pls suggest us shall v use the same will it effect her health in long run if we continue using prodep 40 mg
gpt
!I have read your question carefully and can understand your problem. It is uaually to see such patients in clinical practice. first and the most important thing is that --- maintain strict vigilance of your patient as she tried committing suicide a week back, which is very dangerous. This attempt may be repeated again, so donot leave her alone. ---Moreover, try to keep sharp object, ropes and knives, chemical and any medicine away from her. ---Accompany her all the time as far as possible.Secondly, it was really irresponsible of the family to listen to anyone apart form the treating psychiatrist regarding the treatment, espically when she was getting better with medicines and stop them altogether. The medicines looks to be ok as far as I can understand the case from the details provided in the query.Thirdly, when you started removing the medicine slowly, you have seen that she was deteriorating , then you should have not done so any further without consulting the psychiatrist. Im not against stopping the drugs, but at the same time one needs to see the patients response during tapering the drugs. if the patients condition worsens, we donot taper further, or may be change to the medicine with lesser side effects.You have not mentioned why you were stopping the treatment in query. If your patients had clots after the fall,  she may need Divaod for a very long time, may be life long. And prodep, if I had been treating her, I may shift her to some light medicine but would not try to keep her without any antidepressant.She needs medicines, and I would sincerely advice you to meet a psychiatrist. Hope the reply is helpfulFeel free to ask mo questionsDr. Manisha Gopal