Posted by Ted Brosnan on November 9, 2004, at 15:59:56
In reply to Re: Low Dose APs and movement disorders?, posted by lostforwards on November 9, 2004, at 14:29:23
2-3mg Risperdal is not low dose. For a person without schizophrenia a low dose means atmost 0.5mg -1mg.
Amisulpride is taken at 400-1200 mg for schizophrenia but for depression the dose should not exceed 50mg. Some report improvement at only 25mg.
The higher isn't the better here!
TD can occur at any dose at anytime and with simply any neuroleptic.
Personally I would stay away from APs.
> It always depends on the individual but I'd say Seroquel is a safe low dose choice. It's the weakest binding AP I've heard of. You probably won't have anything to worry about at 25-50mg. Seroquel is great for anxiety.
>
> I think knowing what to look for, especially if the benefits outweight the risks, is the best you can do. Of course, if you don't need it don't take it.
>
> You especially need to watch out for masked TD.
> (i.e try tappering off and waiting to see if anything shows up. ) I think this is true: sometimes the lowered dopamine levels mask the supersensitivity if it's occurred. I personally believe this is what's happened in my case of akinesia and TD.
>
> In contrast:
> Risperdal caused me some severe TD problems at what's considered a low dose ( 2mg - 3mg ) which has showed up as sterotypies. I also had a twitching eyebrow that disappeared when the TD got more severe while I developed akinesia. I won't explain the details of my experience with Risperdal. I'll only say, at low doses, for a short term ( 3 weeks ), it's been extermely harmful to me. I've also read other peoples accounts stating the same thing except not as bad - just eyebrow twtiching for example.
>
> One thing about Risperdal is it's a very tight binding AP. I would've been better off with Seroquel and I would've chosen it had I known I'd have this problem.
>
> Just make sure you look out for side-effects when you take them. I wasn't doing this and it's screwed me over.
>
>
poster:Ted Brosnan
thread:413854
URL: http://www.dr-bob.org/babble/20041108/msgs/413934.html