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Re: meds for psychotic depression » med_empowered

Posted by SLS on October 28, 2005, at 13:53:16

In reply to Re: meds for psychotic depression, posted by med_empowered on October 28, 2005, at 12:11:05

> hmmmm...I avoid all neuroleptics,

I thought you had used them from time to time.

> and I've never taken an old one...

I had to. At the time, only clozapine was available to represent the new class of atypical antipsychotics. I was suffering a severe and psychotic manic episode for which lithium was ineffective. For now, I can't imagine my taking one of the older ones for any reason, although I almost tried molindone. However, there might be reasons for which others would rely on them, and I was just curious which of them you favored under such circumstances.

I am in complete agreement with you regarding Risperdal. It is its mixture of typical and atypical properties that led me to mention it in the context of psychotic depression. It also has some antidepressant properties in its own right.

I think the doctor is doing the right thing by continuing to titrate the Seroquel beyond 100mg, a dosage that is probably effective only as a sleep aid and perhaps an anxiolytic.


- Scott

 

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