Risperidone (Risperdal Consta, Perseris).Paliperidone (Invega Sustenna, Invega Trinza).Aripiprazole (Abilify Maintena, Aristada).This may be an option if someone has a preference for fewer pills and may help with adherence.Ĭommon medications that are available as an injection include: Ask your doctor about more information on injectable medications. They are usually given every two to four weeks, depending on the medication. Some antipsychotics may be given as an intramuscular or subcutaneous injection. These antipsychotics are often cheaper than second-generation antipsychotics, especially the generic versions, which can be an important consideration when long-term treatment is necessary. These first-generation antipsychotics have frequent and potentially significant neurological side effects, including the possibility of developing a movement disorder (tardive dyskinesia) that may or may not be reversible. Second-generation antipsychotics include: These newer, second-generation medications are generally preferred because they pose a lower risk of serious side effects than do first-generation antipsychotics. For example, someone who is resistant to taking medication consistently may need to be given injections instead of taking a pill.Īsk your doctor about the benefits and side effects of any medication that's prescribed. Willingness to cooperate with treatment may affect drug choice. It can take several weeks to notice an improvement in symptoms.īecause medications for schizophrenia can cause serious side effects, people with schizophrenia may be reluctant to take them. Other medications also may help, such as antidepressants or anti-anxiety drugs. The psychiatrist may try different drugs, different doses or combinations over time to achieve the desired result. The goal of treatment with antipsychotic medications is to effectively manage signs and symptoms at the lowest possible dose. They're thought to control symptoms by affecting the brain neurotransmitter dopamine. Medications are the cornerstone of schizophrenia treatment, and antipsychotic medications are the most commonly prescribed drugs. The full-team approach may be available in clinics with expertise in schizophrenia treatment. The treatment team also may include a psychologist, social worker, psychiatric nurse and possibly a case manager to coordinate care. In some cases, hospitalization may be needed.Ī psychiatrist experienced in treating schizophrenia usually guides treatment. Treatment with medications and psychosocial therapy can help manage the condition. Schizophrenia requires lifelong treatment, even when symptoms have subsided. A doctor or mental health professional may use the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. Diagnostic criteria for schizophrenia.This also includes a discussion of family and personal history. A doctor or mental health professional checks mental status by observing appearance and demeanor and asking about thoughts, moods, delusions, hallucinations, substance use, and potential for violence or suicide. The doctor may also request imaging studies, such as an MRI or CT scan. These may include tests that help rule out conditions with similar symptoms, and screening for alcohol and drugs. This may be done to help rule out other problems that could be causing symptoms and to check for any related complications. Determining a diagnosis of schizophrenia may include: Diagnosis of schizophrenia involves ruling out other mental health disorders and determining that symptoms are not due to substance abuse, medication or a medical condition.
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