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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by mannetje on February 28, 2001, at 13:30:55
My son takes 5mg risperdol at night. His doc has perscribed seroquel as well to start with an initial dose of 24 mg and increasing to 50 mg then 75 mg, then 100mg. He is to stay at 100mg for three nights then go to 200mgs as the target dose. HAs anyone any experience with these two drugs taken together at these doses? I would appreciate any and all imformation regarding seroquel. My son has been dx wirth sz and has been doing faily well but has been bothered lately by some delusions. Thanks for your help.
Posted by Cam W. on February 28, 2001, at 17:01:23
In reply to risperdol+seroquel, posted by mannetje on February 28, 2001, at 13:30:55
Mannetje - How old is your son? I have seen these drugs used in combination with adults, with success. The Seroquel helps with insomnia and anxiety and generally augments the action of Risperdal in adults, but I have no experience with this combination in those under 18 years of age, although the combination would seem feasible in a younger age group. The dosage titration and final doses of both medications are fairly common. Have you talked with your son's doctor on the reason for adding the Seroquel? Does your son take any other medications besides the two you mentioned?
Answering these three questions and any specific questions you have regarding Seroquel will greatly help me in addressing your particular concerns.
Looking forward to your answers - Cam.
Posted by mannetje on March 2, 2001, at 2:21:23
In reply to Re: risperdol+seroquel » mannetje, posted by Cam W. on February 28, 2001, at 17:01:23
> Mannetje - How old is your son? I have seen these drugs used in combination with adults, with success. The Seroquel helps with insomnia and anxiety and generally augments the action of Risperdal in adults, but I have no experience with this combination in those under 18 years of age, although the combination would seem feasible in a younger age group. The dosage titration and final doses of both medications are fairly common. Have you talked with your son's doctor on the reason for adding the Seroquel? Does your son take any other medications besides the two you mentioned?
>
> Answering these three questions and any specific questions you have regarding Seroquel will greatly help me in addressing your particular concerns.
>
> Looking forward to your answers - Cam.
Hi CAm
My son is 31 dx wih sz but has been doing well inspite of delusions. Seroquel is being added to 5mg respirdol per day because of increasing thoughts having to do with delusions . He also takes 200 mgs neurontin and .5mg ativan twice a day . My son does not have insominia but he does has anxiety. He is compleying a ten month Metworking engineer program with a B average and has never been cognitvely impaired.
Thanks for any information you can give me.
Posted by Cam W. on March 2, 2001, at 6:44:23
In reply to risperdol+seroquel, posted by mannetje on February 28, 2001, at 13:30:55
This is a good combination. I have seen it used in other students. There may be some slight concentrations problems while starting the Seroquel, but these are minimized with a slow dosage titration (as your son's doc is doing), but these generally disappear after one is stabilized on the drug for a month (ie on the target dose of the drug- 200mg - for up to a month). Adding the Seroquel should help with the voices while not inducing any EPS (movement disorders)
Seroquel has few side effects and causes no movement disorder problems and has a much lower propensity to cause weight gain than other atypical antipsychotics, like Clozaril and Zyprexa. Lately, there has been a trend to add Seroquel to the drug regimens of other atypical antipsychotics when there is need to control anxiety or when sleep is a problem.
I have seen no problems with this combnation. Even cognition is minimally affected in most people, and may be improved, in some people who take this combination of meds (along with the Neurontin).
Hope this helps - Cam
Posted by mannetje on March 2, 2001, at 8:46:46
In reply to Re: risperdol+seroquel » mannetje, posted by Cam W. on March 2, 2001, at 6:44:23
> This is a good combination. I have seen it used in other students. There may be some slight concentrations problems while starting the Seroquel, but these are minimized with a slow dosage titration (as your son's doc is doing), but these generally disappear after one is stabilized on the drug for a month (ie on the target dose of the drug- 200mg - for up to a month). Adding the Seroquel should help with the voices while not inducing any EPS (movement disorders)
>
> Seroquel has few side effects and causes no movement disorder problems and has a much lower propensity to cause weight gain than other atypical antipsychotics, like Clozaril and Zyprexa. Lately, there has been a trend to add Seroquel to the drug regimens of other atypical antipsychotics when there is need to control anxiety or when sleep is a problem.
>
> I have seen no problems with this combnation. Even cognition is minimally affected in most people, and may be improved, in some people who take this combination of meds (along with the Neurontin).
>
> Hope this helps - CamCAm thank yoou so much for responding. My son has never had voices or hallucinations. He has had delusions that have gone away and he currently has a delsuion that cuses him anxiety as well as having anxiety due to the dx itself and the concern that he may get as ill as he was at first. I am hoping that the risperdol dose can be cut down[ say.25mg a month until he lowers it to say 3mg per day] after he reaches the seroquel dose. While my son is otherwise healthy, I am concerned about the reports of drug induced arrhythmia. Thanks again
Posted by Cam W. on March 2, 2001, at 12:03:02
In reply to Re: risperdol+seroquel, posted by mannetje on March 2, 2001, at 8:46:46
Mannetje - The risk of arrythmias is low for both meds, especially beyond the first month (stabilization stage). Just have your son followed for the arrhythmias by his GP, if you are concerned, but again, the risk is slight.
The Seroquel should help with the anxiety and a possible dose reduction of the Risperdal is feasible. Just do the adjustments, both ways, slowly to avoid the risk of a relapse.
Good luck - Cam
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