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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 Kari on October 26, 2002, at 9:01:07
Is it usually necessary to take an anticholinergic while on an atypical AP?
On the same subject, has anyone ever experienced severe side effects from an anticholinergic drug- for instance, breathing difficulty due to muscle weakness, delirium, bouts of paralysis- and is it possible for such symptoms to continue long after the medication has been discontinued?
Thanks.
Posted by xjs7 on October 27, 2002, at 21:26:23
In reply to anticholinergic medication, posted by Kari on October 26, 2002, at 9:01:07
Hi Kari,
I think that most people who take atypical antipsychotics do not need an anticholinergic. Every case is different, however, and a few people do. I happen to need an anticholinergic (Cogentin) from side effects from the medium-high dose of Geodon (a new AP) that I take. Without the Cogentin I am very stiff and have trouble walking and moving my head and neck. With the Cogentin, I feel no different than I did before the Geodon.
I have never experienced any severe side effects from 2mg of Cogentin daily. I think anticholinergics are very safe to use; I am not sure how dangerous they are in overdose.
I hope this helps.
xjs7
Posted by Kari on October 28, 2002, at 14:10:45
In reply to Re: anticholinergic medication, posted by xjs7 on October 27, 2002, at 21:26:23
Posted by oracle on October 28, 2002, at 18:31:43
In reply to Re: anticholinergic medication, posted by xjs7 on October 27, 2002, at 21:26:23
However, if one needs to take an anticholinergic
because they are on an AP, they should consider the risk vs. benefit. Movement disorders from AP's can be permanent.
Posted by Kari on October 29, 2002, at 7:51:31
In reply to Re: anticholinergic medication, posted by oracle on October 28, 2002, at 18:31:43
> Movement disorders from AP's can be permanent. >
Yes, I developed TD and dystonia from fooling around with perphenazine and am still stuck with bruxism 7 years after stopping the medication :)
I don't think the atypical APs are any safer in the long run :(
Posted by Davex on May 21, 2004, at 11:51:37
In reply to Re: anticholinergic medication » oracle, posted by Kari on October 29, 2002, at 7:51:31
This is the end of the thread.
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