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Re: undopaminergic:amisulpride or sulpride

Posted by undopaminergic on May 15, 2008, at 20:18:50

In reply to Re: undopaminergic:amisulpride or sulpride, posted by x-tof on May 12, 2008, at 13:58:08

> I've been looking in to both products you suggested and they seem indeed something worth to try.
> I have a slight favor for amisulpride because:
> In one study, anxiety measured by HAM-A total mean score decreased significantly more with amisulpride 50 mg/day (63%) than with fluoxetine 20 mg/day (54%)
> and I haven't found anything similar about sulpride.
> Or would a combination have more effect?

Since sulpiride and amisulpride are very similar drugs, combining them is not likely to be useful.

> At what doses?

Sulpiride: 50-200 mg, two to three times daily.
Amisulpride: same dose, once or twice daily.

Lower doses are more stimulating, but higher doses are possibly more useful for anxiety. The maximum recommended doses are above 1000 mg (up to about 3 grams for sulpiride), but such amounts are generally only relevant to the treatment of active schizophrenic psychosis and similar situations. Also, at high doses QT-prolongation may become a concern, especially in patients with preexisting cardiac abnormalities.


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poster:undopaminergic thread:828418
URL: http://www.dr-bob.org/babble/20080510/msgs/829319.html