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Re: Maxime - Questions about Thorazine » ed_uk

Posted by TomG on February 22, 2006, at 16:39:40

In reply to Re: Maxime - Questions about Thorazine » TomG, posted by ed_uk on February 22, 2006, at 13:56:55

Hello Ed,
I'm planning on getting the Solian from Canada and will obviously use a small dose.

>Wouldn't it be better to take fluoxetine and olanzapine separately so you can adjust the dose of each drug individually?

Better? I'm not sure. On my next appointment I'm probably pretty sure I'll be going up to the 6mg/50mg preparation and see how that goes. I did have a partial response that lasted about a week so maybe the dosage change is what I need.

What are your thoughts about the situation a year ago when 20mgs Geodon was added to 1350mgs lithium carbonate and 1200mgs Neurontin. I had a robust response when the Geodon was added and my doc immediately removed the lithium and Neurontin. A month and a half latter the Geodon stopped working. The addition of 20 more milligrams caused insomnia and failed to recapture a response. I stayed at the 20mgs a little longer and it actually started causing some anxiety. Thats when I ditched it, but I think if current strategies fail that it's an area that I need to look at again. Possibly a higher initial dose is something to think about, but I'm more interested to hear what you think about the lithium and Neurontin contributing to the intial response to Geodon and ultimately it's failure without the other two drugs in the cocktail. I've read that at 20mgs Geodon is just a potent 5ht2c antagonist. Thats all it does. Your thoughts or anyones?

Tom


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