Hello, until now I have been taking sulpiride and tianesal (diahnosis: psychotic states and severe depression) at the moment the doctor has changed the treatment to perazinum at a dose of kg per day. Unfortunately, I have the impression that after this drug c OE worse, I walk depressed. I have a question, how can I safely return to the lakarst I used to take? Are sulporide and perazinum drugs from the same group? What can be the effects of returning to old drugs? Greetings W
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Anna Lewandowska Pharmacist, Editor
13 months ago
1) How can I safely go back to the medication I was previously taking?
If you want to go back to your previous medications (Sulpiride and Tianeptine), you should do so under the close supervision of a psychiatrist. Any modifications in the therapy should be made after consultation with the attending physician who is familiar with your health condition in detail. We wrote more about it here:
https://www.gdziepolek.pl/artykuly/czy-jak-i-kiedy-mozna-odstawic-leki
Do not stop taking Perazine or change its dose on your own. This can lead to unwanted side effects. Changing medications requires gradual adjustment of doses under the supervision of a specialist to avoid sudden biochemical imbalances in the body.
2) Are Sulpiride and Perazinum drugs from the same group?
No, Sulpiride and Perazine are drugs belonging to different pharmacological groups: Sulpiride is an atypical neuroleptic (antipsychotic), while Perazine is a classic neuroleptic. Tianeptine (Tianesal), on the other hand, is an antidepressant with a unique mechanism of action.
Through the gdziepolek.pl website, you can check the availability of the listed drugs and book them at the pharmacy of your choice:
Sulpiride: https://www.gdziepolek.pl/produkty/75407/sulpiryd-teva-kapsulki/apteki
Perazinum: https://www.gdziepolek.pl/produkty/60765/pernazinum-tabletki/apteki
Tianesal: https://www.gdziepolek.pl/produkty/78630/tianesal-tabletki-powlekane/apteki
3) What can be the effects of returning to old drugs?
Returning to Sulpiride and Tianesal, to which you previously responded well, can bring about an improvement in well-being and a reduction in symptoms of depression. However, the possibility of recurrence of adverse effects of these drugs that previously occurred should be taken into account.
It is important to strictly follow your doctor's instructions when changing pharmacotherapy. Regular check-ups and open communication with your doctor will allow you to safely adjust your treatment.
If you are unable to consult your doctor, you can use the teleconsultation here: https://www.gdziepolek.pl/telekonsultacja/z-psychiatra