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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by agencypanic on February 19, 2003, at 19:37:24
I've been taking 1mg of R 2x/day for about two weeks now.
While I initially noticed some improvement of my condition--lessened paranoia/anxiety, over the past few days it seems to
be returning. I'm wondering how much the doseage can be increased? Also, have others experienced anything similar, that is a short term abatement of anxiety followed by its
return? I'm also taking 10mg of Lexapro and .5mg of ativan/lorazepam. Is two weeks sufficient time to know if my doseage should be increased?
Posted by sienna on February 19, 2003, at 20:42:13
In reply to Question on Risperdal, posted by agencypanic on February 19, 2003, at 19:37:24
I think 2mgs a day is a pretty low dose, but im not sure. I know that i was on .25mgs a day because i was afraid to take it, but had to go up to .50 and then up to 1mg and it still didnt work all the way, so now i am at 1.5 mgs and my pdoc says it is a way way low dose. So I think you could probably go up, but probably want to call your doctor before you do anything.
Sienna
Posted by Thomas123 on February 19, 2003, at 22:23:27
In reply to Re: Question on Risperdal, posted by sienna on February 19, 2003, at 20:42:13
I think you still have some room but around four milligrams or five milligrams Risperdal turns into a straight schizophrenia drug with increased chances of movement disorders and tardive dyskinesia down the line. Risperdal can be taken once at night assuming taking it during the day causes sleepiness.
Posted by agencypanic on February 19, 2003, at 22:34:19
In reply to Re: Question on Risperdal, posted by Thomas123 on February 19, 2003, at 22:23:27
> I think you still have some room but around four milligrams or five milligrams Risperdal turns into a straight schizophrenia drug with increased chances of movement disorders and tardive dyskinesia down the line. Risperdal can be taken once at night assuming taking it during the day causes sleepiness.
Thanks to you and Sienna for your answers. I have a question stemming from your answer Thomas: what makes something a straight
schizophrenia drug? I know from their website that it's a schizophrenia drug and when I initially asked for an atypical anti-psychotic and was told about R, I was somewhat
curious why I would be given a drug for schizophrenia when so far as I knew, I'm not schizophrenic. Then when reading the info. on the R website I thought, well, maybe I am.
So, again, what makes R an anti-schizo. at that doseage? Thanks again for your answers.
Posted by Thomas123 on February 20, 2003, at 8:29:09
In reply to Re: Question on Risperdal, posted by agencypanic on February 19, 2003, at 22:34:19
Drugs to treat schizophrenia have to achieve 65% or 70% blockade of dopamine D2 receptors to be effective. I think Risperdal can be effective for anxiety at lower dosages.
Drug dosing with APs for psychosis is very important and very difficult. One has to get just the right amount of blockade of dopamine receptors, not too much or there are side-effects such as EPS and tardive dyskinesia later on in life or too little where one is left with a psychosis.
Always start low and work up. People metabolize drugs differently. Two may work for some people where others require six milligrams of Risperdal.
One can take Risperdal once at night to eliminate daytime sleepiness.
The thing about APs is there is almost always some reaction. ADs are kind of hit and miss but APs are like benzos in this respect.
Posted by agencypanic on February 20, 2003, at 10:11:46
In reply to Re: Question on Risperdal, posted by Thomas123 on February 20, 2003, at 8:29:09
Thanks again for your answers.
This is the end of the thread.
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