L*m
发帖数: 235 | 1 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
现在我弟弟是上午吃的什么东西晚上就记不起来了，现在回去读书必死无疑。我查到
Quetiapine和Risperdal是5-HT2A受体和多巴胺D2受体的拮抗剂，想问一下是不是可以
用多巴胺D2受体激动剂改善认知和记忆？多巴胺D2受体激动剂是治疗帕金森的，但我认
为对改善记忆和认知有用，比如Piribedil，板上各位怎么看？ | A*******s
发帖数: 9638 | 2 If Risperdal and Quetiapine were used for your brother's psychiatric
symptoms, I would be more worried about the flare-up of psychosis when D2
agonists are used. So answer is No.
I am not aware of any clinical use of D2 agonists for parkinsonian dementia.
| l*h
发帖数: 4124 | 3 man, you need to stop this circus show and stop your attempt to kill your
brother.
no evidence was shown what he had was OCD, and no evidence was shown his
behavior was mild. there is no way to judge whether he was overmedicated at
the beginning.
but it is extremely clear there was inexcusable failure on the parents' side:
you cannot just go to a drugstore to buy the drugs just because you were
once given them. you have to bring your kid back to the shrink every a few
weeks until the patient stabilizes, then every a few months.
your family has a history of feeling being the smartest. they just used a
way to bypass the system, bought drugs themselves and overmedicated the kid
for two years, and then cry afoul they met a bad doctor. there's just no way
you can get two years worth of controlled drugs on a single prescription,
even with the very lax system in China. now you are trying to go further,
completely self-medicate the kid!
it is true that risperidone and quetiapine are used in OCD under certain
conditions.
【在 L*m 的大作中提到】
: 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
: 明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
: 大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
: 卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
: 庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
: ，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
: 有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
: 我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
: 越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
: 症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
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