How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 6189
Experience:  14 years experience in the field of Family Practice
Type Your Medical Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

My friend has been diagnosed with schitzophrenia (sorry if

Resolved Question:

My friend has been diagnosed with schitzophrenia (sorry if spelled wrong)and is prescribed zyprexa and cogentin, as well as haldol. He was taking gabapentin, but seemed to slur his words terribly on it so his dr. took him off the gabapentin. They recently raised the zyprexa as well as the cogentin. He has become very confused. He starts a sentence, then, midway through he changes the subject to something odd and after a few more words, realizes he has not answered the question you asked. It is almost like talking to someone while they are dreaming. what can be causing this. It is a little scarey. He called me in this state because even he realized something was not right.
Submitted: 5 months ago.
Category: Medical
Expert:  Anthony Bray, MD replied 5 months ago.

Anthony Bray, MD : Hello!
Anthony Bray, MD : The symptoms that you describe could be related to his schizophrenia for one...
Anthony Bray, MD : Schizophrenia may cause disorganized thought and thus speech as well...
Customer:

He has been dealing with it for years, this only seems to happen when they change his dosage

Anthony Bray, MD : the medications may have adverse effects but it seems difficult from this perspective to judge which effects may be due to side effect potential due to medication....
Anthony Bray, MD : When was he first diagnosed with schizophrenia?
Anthony Bray, MD : what symptoms began to be apparent?
Customer:

What should I tell him to do for the night? About 10 years now.

Customer:

He calls it the picture show

Anthony Bray, MD : He needs follow up ASAP with psychiatrist...
Customer:

he was self medicating with alcohol and drugs before he was diagnosed

Anthony Bray, MD : both Zyprexa and Haldol are anti-psychotis and Cogentin is to mitigate certain side effects...
Anthony Bray, MD : your history suggests that he may do better to return to his previous medicine regimen and follow up with his psychiatrist ...
Customer:

I know, again what can I tell him to do for the night. I will call his psychiatrist in the AM

Anthony Bray, MD : If he has taken his meds already then probably best to just get rest and see doctor in AM..
Anthony Bray, MD : he also might have become confused and missed doses of medicine as possible...
Customer:

If I can get him to try to sleep. I actually think he may have taken too much.

Anthony Bray, MD : if terribly confused then he may really need to go through ER tonight...
Anthony Bray, MD : it sounds that he may be a danger to himself at this point...
Anthony Bray, MD : he may not remember a word you say tonight by tomorrow AM...
Customer:

he is on the phone with me now

Anthony Bray, MD : Too much is possible too...
Anthony Bray, MD : are you with him such that you may keep an eye on his behavior??
Customer:

Yes

Customer:

By phone

Anthony Bray, MD : i would consider getting more immediate help as in call 911 and have EMT's and perhaps police ensure that he gets to ER.. Observation as inpatient may be needed ...
Customer:

He is making more sense as I am talking to him

Anthony Bray, MD : blood levels of alcohol and any drugs he might do ?? May be helpful...
Anthony Bray, MD : he may need adjustment if regimen..
Anthony Bray, MD : taking his medicine bottles to ER tonight or at least doctor tomorrow may help to see what he has been taking...
Anthony Bray, MD : Well that is encouraging sign...
Customer:

no alcohol or drugs that are not prescribed, I thingk it may have been the anxiety

Anthony Bray, MD : watch carefully and encourage help to get the help he needs...
Customer:

ok, wow he seems to hve gotton much better just after laying doown for 10 minutes.

Anthony Bray, MD : if he settles down tonight then maybe see his psychiatrist in AM but he may benefit to be seen tonight
Anthony Bray, MD : Ok well hopefully the calm will last ... Maybe try to have him seen in AM!!
Customer:

I will keep an ear out for him. for a while He still can't pull certain words up from his memory to complete some of his sentences but has had a marked improvement

Customer:

I will have him seen in the am

Anthony Bray, MD : Ok .. Good luck ! Let me know if you have further questions!
Anthony Bray, MD : I will be happy to get back with you!
Customer:

Thanks. I wish I had more faith in this new psychiatrist

Anthony Bray, MD : if you can accompany him to doctor tomorrow that would be most helpful!!
Customer:

That is my plan.

Anthony Bray, MD : take in bottles if current meds do it may be determined if it is being taken correctly...
Customer:

I will.

Anthony Bray, MD : Ok -- good luck to you!!
Anthony Bray, MD : Best regards!
Customer:

thanks have a good night

Anthony Bray, MD : Anthony Bray MD
Anthony Bray, MD : Thanks and you as well!!
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 6189
Experience: 14 years experience in the field of Family Practice
Anthony Bray, MD and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    13579
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2522
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11042
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    8749
    American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing