What should I do if I have paranoid ideation and fear three drugs the most

Patients with paranoid ideation can use antipsychotic drugs such as olanzapine, risperidone, and quetiapine under the guidance of a doctor. Paranoia can be improved through medication, psychological intervention, social support, and other methods, which are usually related to genetic factors, brain dysfunction, psychological trauma, and other factors.

1. Olanzapine

Olanzapine belongs to atypical antipsychotic drugs and is suitable for delusional symptoms related to schizophrenia and bipolar disorder. This drug improves thinking disorders by regulating dopamine and serotonin receptors, and common dosage forms include tablets and oral disintegrating tablets. During use, it is necessary to monitor blood glucose and blood lipids. Long term medication may cause metabolic problems such as weight gain.

2. Risperidone

Risperidone has a significant effect on positive symptoms such as hallucinations and delusions, and is commonly used in the treatment of acute and chronic schizophrenia. Its sustained-release formulation can stabilize blood drug concentration and reduce the risk of extrapyramidal reactions. In the early stages of medication, drowsiness or orthostatic hypotension may occur, and elderly patients need to adjust the dosage carefully.

III. Quetiapine

Quetiapine has a relieving effect on anxiety type delusions and is suitable for patients with delusional disorders accompanied by depressive symptoms. This medication has a sedative effect and is recommended to be taken at night. Attention should be paid to the possible anticholinergic side effects such as dry mouth and constipation. cardiovascular disease patients should assess the risk before taking medication.

Patients with paranoid ideation should establish a regular schedule and maintain moderate exercise. Family members should assist in monitoring medication and creating a low-pressure environment. Daily diet can increase the intake of deep-sea fish and nuts rich in omega-3 fatty acids, and avoid central nervous system stimulants such as alcohol. Regular follow-up visits to assess changes in the patient's condition, combined with cognitive-behavioral therapy to correct erroneous belief systems, and social function training, can help gradually restore interpersonal communication skills.