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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by alienatari on March 20, 2006, at 1:39:18
Hey all. Im on Abilify and its not stopping my halucinations or paranoia. Paranoia is getting me down as its really bad.
Ive tried all the atypicals available (except Clozaril)is it time for the typicals?
I had a good experience with Largactil (Thorazine) and wouldnt mind going back on that. I'd prefer something less sedating though as Lithium already makes me very sedated.
Ed, do you still think I should go back on Seroquel + benztropine?
Any help would be appreciated. Thanks for reading and take care
Posted by med_empowered on March 20, 2006, at 2:41:09
In reply to Typical or Atypical antipsychotic?, posted by alienatari on March 20, 2006, at 1:39:18
personally, I'd advise against an old-school antipsychotic b/c of the very real TD risk.
That said...since you're already on lithium as well, maybe you could try upping the lithium or adding a different mood stabilizer (depkoate, trileptal, tegretol) or switching out the lithium for an anticonvulsant-type mood stabilizer (depakote, trileptal, lamictal, etc.) Mood-stabilizer/antipsychotic combos work well for some people both in the schizophrenic/schizoaffective groups and the bipolar groups.
Posted by xbunny on March 20, 2006, at 6:42:47
In reply to Typical or Atypical antipsychotic?, posted by alienatari on March 20, 2006, at 1:39:18
Hiya,
> Ive tried all the atypicals available (except Clozaril)is it time for the typicals?
In my opinion yes. I take two typicals and am generally happy with the results which have been far better than I got with the atypicals. if the reason that you are considering typicals is because none of the atypicals worked (rather than worked some but with other problems) and your sickness is severe I would consider clozapine.
>
> I had a good experience with Largactil (Thorazine) and wouldnt mind going back on that.
I'd prefer something less sedating though as Lithium already makes me very sedated.You might try stelazine which is less sedating. I take flupenthixol which is also less sedating.
this chart lists many antipsychotics and gives a side by side comparision of side effects:
http://meds.queensu.ca/~clpsych/orientation/Antipsychotics%20Comparison%20Chart.pdf
>
> Ed, do you still think I should go back on Seroquel + benztropine?Im not Ed, but if seroquel worked for you but gave you EPS I would think that trying it again but at a lower dose or with an anticholinergic would be a good idea. Also worth noting is that EPS isnt always permanent, I got EPS from my other antipsychotic pericyazine and took procyclidine for it. After a few months I was able to discontinue the procyclidine and the EPS didnt return.
Best regards, Bunny
Posted by alienatari on March 21, 2006, at 2:25:51
In reply to Re: Typical or Atypical antipsychotic?, posted by xbunny on March 20, 2006, at 6:42:47
Thanks for that I'll do some research into it.
Take care
This is the end of the thread.
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