Conversation: The conversation between human and AI assistant.
[|Human|] My husband, a 66 year old Indian male diagnosed with paranoid schizophrenia and is on Nexito 5 mg 1-0-0, Pacitane 20mg 1-0-1, Sulpital 200 mg 0-0-1, larpose 1mg 0-0-1. He is also on Olmezest and Deplatt CV. He has gone thru had heart attack, by-pass surgery etc, in the past. Currently, he seems ok in the mornings but 3 pm onwards he becomes uncommunicative, staring, whispers, moves abnormally, cannot follow simple instructions etc. Why is this? When is he likely to get better?
[|AI|]  If your diagnosis is right, I guess treatment is somewhat not proper. As in paranoid schizophrenia antipsychotic medicines are needed. You have capital(200)- amisulpride but for paranoid schizo it is required more than 400 mg. Next is there to prevent depressive features. I think he should be evaluated for diagnosis gain for better outcome. You didn't mention when the illness begins, so difficult to judge about prognosis. If it is schizophrenia, likely possibility it can be controlled with medicines, but you have to continue medicines for long as per treating doctors advice. If it is depression it a be cured. So reevaluation needed for treatment and diagnosis.