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Re: Atypical antipsychotics as prophylaxis? » tygereyes

Posted by yxibow on March 30, 2006, at 2:38:09

In reply to Atypical antipsychotics as prophylaxis?, posted by tygereyes on March 29, 2006, at 22:03:24

> There is a growing body of research on the prophylactic use of atypical antipsychotics.
>
> What is your opinion on this?

Perhaps in patients that clearly show signs of early psychosis and schizophrenia -- I don't know that I have heard of this.

On the other hand some years ago (I'm not psychotic) I was offered olanzapine and risperdal as adjunctives from an anti-benzo psychiatrist at my university clinic (she really was quite a **).

I would say that only clinicians with a fair to large knowledge of psychopharmacology should go down this road -- while the atypicals have much less risk of nasty problems, they do have lipid and weight issues, at least some of them.

Using them just as a substitute for benzodiazepines or Neurontin or Lyrica or Paxil or any number of things to try for anxiety is in my opinion, a risky practice. Signs of psychotic depression, maybe. And I say this as a taker of Seroquel, for uses other than psychosis.

 

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