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Re: Long term efficacy of antipsychotics

Posted by bleauberry on August 10, 2012, at 16:06:22

In reply to Re: Long term efficacy of antipsychotics » schleprock, posted by SLS on August 10, 2012, at 15:33:41

I came close to trying risperdal but never did. I tried the others. Had a decent run on zyprexa for 8 years. The others were aweful to me.

If I'm not mistaken, I think risperdal is sort of similar in a way to amisulpride or abilify in that the lower doses are generally more stimulating/antidepressant, while the higher doses are more tranquilizing. So increasing the dose might not help. Why these things poop out, I dunno. My guess is that genes have a set of instructions to follow and if something upsets their game plan they'll figure out a way around it.

I personally do not feel comfortable endorsing longterm antipsychotics. If I did, my first choice would be zyprexa, second choice abilify.

You might find interesting writings by Dr Gillman on the web. psychotropical.com I think. He endorses things that he saw actually work in his practice. One of them was nortriptyline with zoloft. Different than either of those alone.

Somewhere in the mix, whatever happens in the next few months, I would also keep the name Savella on the radar screen. On paper anyway, I can see how that one could breath new life into old nortriptyline.


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