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Re: treatments for akathisia

Posted by jtevers on November 19, 2003, at 16:29:56

In reply to Re: treatments for akathisia, posted by kojiro on October 4, 2003, at 2:55:35

> Hi! First time thread here. My 27 year old
> schizophrenic son got antsy and suicidal after
> being injected Haldol. (Akathisia.) The doctor
> stopped Haldol completely and put him on Seroquel
> and Cogentin. Question 1 -- How long before he
> stops his compulsive pacing? Could it be permanent? In which case he would probably
> get suicidal. Q2 I thought stopping Haldol cold turkey was dangerous? Q3 Are there any anti-psychotics out there that DON'T cause akathisia? Haldol is obviously the
> worst, but Seroquel and Abilify are not that safe
> if you read the other postings. Q4 Why do so
> many doctors seem to avoid propanol as a last
> resort for treating akathisia although the
> literature praises it? Thank you! Kojiro.
> Please reply using the numbers? E.g. Answer 1.
>

i can only speak from personal experience and i am not a medical professional... my entire caseload consists of myself ... that said ...

i had been hospitalized in 2000 and placed on seroquel and neurontin ... i can distinctly recall pacing the hallways for several (4-6) months and at times exhibiting a profound tremor in my hand before, at the end of this period, it calmed ... i am not aware of whether or not akathisia usually abates with time or not ... mine seems to have ... despite drowsiness and a current weight issue, ingesting seroquel has become relatively benign feeling.

it is ironic that, owed to the weight i have gained, i believe may be due to my antipsychotic treatment, that i may start all over ... replacing seroquel with abilify ( and its more extreme propensity to cause akathisia ... i hope will also abate, but, hopeful, weight neutrallity).

i have read that, along with propanolol, amantidine is an option if you experience akathisia, but, again, i have only recently proposed this switch to my doctor (along with the amantidine) and cannot say how i or he will react...

i have experimented with abilify once for several days and so know i will experience akathisia, hence the prophylactic use of, perhaps, amantidine ... you see, i had also taken propanolol many years ago for a slight tremor and am hoping the amantidine will not be as tranquilizing?


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poster:jtevers thread:234989
URL: http://www.dr-bob.org/babble/20031116/msgs/281335.html