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

Re: Is Cyplyta a reasonably strong antipsychotic?

Posted by undopaminergic on February 22, 2023, at 3:22:43

In reply to Re: Is Cyplyta a reasonably strong antipsychotic?, posted by Lamdage22 on February 22, 2023, at 1:58:06

> > Do you find that your psychotic symptoms start to come back if you lower the dose? Do you notice a difference if you forget a dose?
>
> Not exactly, but I can't sleep if I lower the dose. However, I haven't done it in a long time.
>
> The forgotten dose usually leads to not being able to sleep.
>
>

Not being able to sleep is a problem, for sure, but in my opinion it is not best remediated with antipsychotics. Can you try cyproheptadine (Periactin)? It is both an antihistamine (histamine H1-receptor antagonist) and a serotonin 5-HT2A receptor antagonist. If that doesn't work, and the dopamine antagonism turns out essential, try augmenting with a low dose of a more selective dopamine antagonist (than olanzapine and quetiapine) like haloperidol; in this situation, I would avoid sulpiride and amisulpride, as they can have stimulant effects. There are also other agents that can help with sleep, such as clonidine and Xyrem. And what about the Z-drugs ((es)zopiclone, zolpidem, zaleplon)?

-undopaminergic


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:undopaminergic thread:1121832
URL: http://www.dr-bob.org/babble/20230117/msgs/1121842.html