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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 adela on January 14, 2013, at 14:23:17
Prescribed Vistaril 25 mg. risperdal 1.5mg
Depakote 750 at night/500 day
cogentin
doxepincan anyone tell me what the thinking is behind the cocktail of this choice? I am concerned tht the cogentin is to counter act the effects of the risperdal. then I worry that the risperdal is not right.
I have a 4:30 est call with docs. What kinds of questions should I be asking about this mixture of drugs? isn't there anything better than risperdal?
Posted by Phillipa on January 14, 2013, at 15:03:51
In reply to Anyone taking Doxepin? what do you think so far?, posted by adela on January 14, 2013, at 14:23:17
Same questions you have asked here. Do you have a Pdoc you see in person? Phillipa
Posted by adela on January 14, 2013, at 15:30:21
In reply to Re: Anyone taking Doxepin? what do you think so far? » adela, posted by Phillipa on January 14, 2013, at 15:03:51
as I stated in my post, I have a meeting with the doc. at 4:30 and wanted to know what kinds of questions would be good to ask .
Posted by tensor on January 14, 2013, at 17:09:20
In reply to Anyone taking Doxepin? what do you think so far?, posted by adela on January 14, 2013, at 14:23:17
>
> Prescribed Vistaril 25 mg. risperdal 1.5mg
> Depakote 750 at night/500 day
> cogentin
> doxepin
>
> can anyone tell me what the thinking is behind the cocktail of this choice? I am concerned tht the cogentin is to counter act the effects of the risperdal. then I worry that the risperdal is not right.
> I have a 4:30 est call with docs. What kinds of questions should I be asking about this mixture of drugs? isn't there anything better than risperdal?
What are you taking Depakote for? Doxepin is an industrial-strength antihistamine, a TCA -antidepressant and anxiolytic- it is also anticholinergic as benztropine so you may get too much anticholinergic effects which could be troublesome.This would be is easier if I knew the rationale behind the chosen meds.
First of all, what you taking your meds for?
Cogentin = benztropine is an anticholinergic agent and reduces EPS induced by strong DA-antagonists like Risperdal, so them two makes sense, if you have problems with EPS. They do not counteract each other.I hardly believe you would need Vistaril if you are taking doxepin! Both are antihistamines.
If this combo works for you, great, if it is a new one, you and your pdoc should carefully revise it!
Best of luck,
tensor
Posted by linkadge on January 14, 2013, at 18:41:52
In reply to Anyone taking Doxepin? what do you think so far?, posted by adela on January 14, 2013, at 14:23:17
I think doxapin is a decent medication. What are you using the risperdal for? (sleep / anxiety?)
The doxapin might replace risperdal / cogentin (if you are just using it for sleep / anxiety).
Linakdge
Posted by jono_in_adelaide on January 15, 2013, at 22:02:14
In reply to Re: Anyone taking Doxepin? what do you think so far?, posted by linkadge on January 14, 2013, at 18:41:52
Doxepin works but its a bit of a dinosour, mirtazapine could probably do everything doxepin can and more, with fewer side effects.
If you were taking doxepin or mirtazapine, the hydroxyzine would almost certainly be unnssecery
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