Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: antipsychotics for social p. SLS

Posted by JahL on December 17, 2001, at 10:56:38

In reply to Re: antipsychotics for social p. JahL, posted by SLS on December 17, 2001, at 7:09:08


> What dosage of sulpiride did you find optimal?

Hi Scott.

I currently take about 150mg. Above this there is no further benefit and mild sedation begins to set in. Anything much below and the s. phobia kicks in. I am obviously concerned about TD & so I try and take as little as possible.

>A TRD specialist who uses sulpiride recommended 50mg.

That sounds rather low. I was prescribed 200mg to begin with, which seems fairly standard procedure over here. I'm not sure 50mg would do much for me, tho' the response is definitely linear.

>He also commented that he preferred sulpiride to amisulpride. In his words, he said that "amisulpride is too much an antipsychotic".

That's very interesting. Sulpiride is preferred here too; Amisulpiride (50-100mg) did nothing for me.

Interesting because the Antipsychotic I respond best to is Promazine, a very 'weak' AP primarily used for sedative purposes. Amazingly I would feel mildly euthymic w/in a couple of hours of taking 25mg. I have BPII very similar to yours and this drug addressed all symptoms equally (ie it somehow addressed the BP itself and not just individual symptoms). I can replicate the improvement time and time again. Unfortunately the EPS were unbearable, it has a short half-life and mild paranoia (I remember being stalked by a Swan one night...) set in if I got the dose wrong. We tried Sulpiride instead and I haven't looked back since (1.5 yrs now). Sulpiride doesn't particularly lift my mood but is excellent for s. phobia and ruminations.

I would be interested to see if someone with the same condition could benefit similarly from Promazine. Naturally I'm yet to meet a pdoc who believes an AP can induce mild euthymia w/i hours but having been unremittingly depressed my entire life I think I know what a (partial) remission feels like.

> I have a batch of the stuff. It is incredibly inexpensive. I experienced a "blip" improvement in depression within an hour of my first dose

Like Promazine for myself?

>that lasted for a few hours. I was taking only Lamictal at the time. I felt some vague inkling of an improvement during the first week.

From what I remember the transition from Promazine to Sulpiride was fairly smooth and so I can only assume that Sulpiride must've begun working with the first dose. Might be worth trying at a higher dose; I don't get any side-effects.

>. When the time comes to again try adding a neuroleptic, I think I'll give sulpiride a try.

Good luck.

> Why did you stop taking sulpiride?

Didn't know I had :-)

J.


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:JahL thread:86944
URL: http://www.dr-bob.org/babble/20011213/msgs/87204.html