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Re: Cam:antipsychotic question » jimmygold70

Posted by Chloe on January 1, 2002, at 17:44:52

In reply to Re: Cam:antipsychotic question, posted by jimmygold70 on January 1, 2002, at 2:11:46

Thanks for answering my questions. Since my pdoc is out of town I have been using 50 mgs doses of benadryl for the clenching (it doesn't help with the tongue movements at all). Do you think cogentin work better than benadryl for EPS?

I really feel that being on Seroquel is not such a good idea for me. The EPS is significant, and I have terrible tongue sores all around my tongue (ouch!) and on one cheek, an achy, clicking jaw, and trouble swallowing food. The paranoia is less, but the physical symptoms are hell.
There must be something better than this!

At least the Mellaril didn't give me EPS, but I am sure in time I would develop more advanced TD.
Is there any other way to manage paranioa and distorted thinking without AP's??? Are there any other major tranquilizers that don't block dopamine???

Thanks again
Chloe

> > I HAVE to be on an AP for the at least a few months or much longer. I already have MILD vermicular movements of the tongue from long term use of Melleril several years ago.
>
> That happens - Extrapirmaidal Symptoms
>
> > A well know pharmacologist that was consulted said I should go back on a typical AP and take 10 mgs of Melatonin to conteract tongue movements.
>
> I haven't heard of this
>
> > This was too scary for me, so I opted to go with the more safe AP, seroquel(much less effective, though!).
>
> Try any atypical atipsychotic - Risperdal, Zyprexa, Seroquel or Geodon. There is no reason to presume that a sufficient dose of any of these could be less effective than Melleril for paranoid ideation.
>
> > Do you think the seroquel could turn my mild tongue movements into TD?
>
> No.
>
> > And is there any merit to the use of Melatonin? The RDA for TD prevention in this pdocs mind is 10 mgs. This seems like a very high dose, and possibly depressogic, I would persume.
>
> Very sedating, I presume. Try benztropine (BENZTROP MES, COGENTIN) for that.
>
> > Do you have any thoughts on this???
> >
> > TIA
> > Chloe


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poster:Chloe thread:87920
URL: http://www.dr-bob.org/babble/20011222/msgs/88468.html