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Re: Zombie on Neuroleptics- Judy and » Paul W

Posted by Cam W. on May 25, 2001, at 17:58:48

In reply to Re: Zombie on Neuroleptics- I'm just not here » Cam W., posted by Paul W on May 25, 2001, at 16:37:31

•Judy - I want to apologize for my harsh post. I over-reacted to what you had said. Many people have taken conventional antipsychotics with developing EPS, let alone TD. These drugs still do have a place in psychiatry, if there use is limited to short-term use, unless absolutely necessary.

I am sorry to hear about your TD. Has your doc suggested trying Clozaril™ (clozapine) or Zyprexa™ (olanzapine) to try to stop the movements. I have personally seen a near miracle with someone taking Clozaril for their TD. This person could not keep a hat on their head because of the movements (worst case of TD I had ever seen) and had dropped from over 200lb to less than 120lb. I was with this person on the day s/he was started on Clozaril and s/he was assigned to my store. For the first 6 months on Clozaril, little change was evident, but from month 8 onwards a progressive lessening of the TD began. At about a year after starting Clozaril, this person was riding a bike and you couldn't tell (unless you knew) that this person had TD. It was really quite remarkable. This case was actually presented at the local Schizophrenia Conference last year.

Again, sorry for the rude post, but I didn't want to scare Paul out of taking a med that was going to potentially help him in the long run.

An apologetic Cam

•Paul - The Fluanxol™ (flupenthixol) would have probably been used short term, but you'd have to ask your doc if this was to be so. I would think that your doc would have a reason for using the Fluanxol over something like Risperdal™ (risperidone) or Zyprexa™ (olanzapine). I have seen the blunting that you mention with Fluanxol, but it was remedied by a lowering of dose.

As for the Paxil™ (paroxetine), it is probably a good choice for comorbid anxiety and depression and may be worth another shot. Unfortunately, one of the start-up side effects of Paxil is increased anxiety. The Valium™ (diazepam) will help with this and the start-up side effects should only last a couple of weeks.

I would phone your doc to tell him/her that you have stopped the Fluanxol, though. It is always good to have everyone on the same page of a treatment plan.

Good luck and keep us posted - Cam




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