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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Lamdage22 on April 30, 2016, at 3:50:47
My AP regimen is:
Zyprexa 5 - 0 - 7.5 -0
Seroquel 0 - 0 - 0 - 500
Seroquel ER 0 - 0 - 100- 0What should i change? I usually get paranoid at around 5-6 pm and it stops after i take my nighttime dose of Seroquel.
Take some Seroquel ER at noon?
Posted by J Kelly on April 30, 2016, at 6:17:17
In reply to I get paranoid in the evenings a lot, posted by Lamdage22 on April 30, 2016, at 3:50:47
> My AP regimen is:
>
> Zyprexa 5 - 0 - 7.5 -0
> Seroquel 0 - 0 - 0 - 500
> Seroquel ER 0 - 0 - 100- 0
>
> What should i change? I usually get paranoid at around 5-6 pm and it stops after i take my nighttime dose of Seroquel.
>
> Take some Seroquel ER at noon?I've been taking 2.5 Zyprexa when I'm having an anxiety attack and it works pretty well.
Can you split up your Zyprexa just for a day or two and take a dose when you're feeling paranoid? Might be worth the experiment.
Jade :)
Posted by SLS on April 30, 2016, at 9:53:31
In reply to Re: I get paranoid in the evenings a lot » Lamdage22, posted by J Kelly on April 30, 2016, at 6:17:17
I think you already tried Saphris (asenapine), but I thought it was worth mentioning that Saphris is particularly effective for treating paranoia.
- Scott
Posted by Lamdage22 on April 30, 2016, at 10:57:28
In reply to Re: I get paranoid in the evenings a lot » J Kelly, posted by SLS on April 30, 2016, at 9:53:31
Hey Scott,
actually no i havent. Its on my list though.
Germany doesnt have it approved for schizophrenia for some reason. But its available.
Posted by linkadge on May 1, 2016, at 6:58:30
In reply to Re: I get paranoid in the evenings a lot, posted by Lamdage22 on April 30, 2016, at 10:57:28
Try some niacin.
Linkadge
Posted by Zyprexa on May 5, 2016, at 22:25:50
In reply to I get paranoid in the evenings a lot, posted by Lamdage22 on April 30, 2016, at 3:50:47
Cut the 7.5 in half, one morning and noon then 5 in the evening.
Or
Switch to all xr, take one morning, one evening.
Or do both. Might be best.
I take 3 doses of meds a day. 6 hours apart. 8mg perphenazine x3. And some dose of zyprexa x3. Dose verys depending on how I feel. Or how tired. Or racey.
Posted by phidippus on May 6, 2016, at 6:36:21
In reply to I get paranoid in the evenings a lot, posted by Lamdage22 on April 30, 2016, at 3:50:47
I'd add some Haldol, 5 mg.
Eric
Posted by Lamdage22 on May 6, 2016, at 6:45:55
In reply to Re: I get paranoid in the evenings a lot » Lamdage22, posted by phidippus on May 6, 2016, at 6:36:21
its all good, it passed.
Posted by Lamdage22 on May 6, 2016, at 10:05:56
In reply to Re: I get paranoid in the evenings a lot, posted by Lamdage22 on May 6, 2016, at 6:45:55
haldol is an emergency med even more so than Zyprexa and it gives me bad akathisia.
I cant understand how you can recommend this to somebody who is neither at risk of harming himself nor others.
Posted by phidippus on May 6, 2016, at 13:01:40
In reply to Re: I get paranoid in the evenings a lot, posted by Lamdage22 on May 6, 2016, at 10:05:56
I recommend it because it is one of the most effective agents against paranoid thinking. Haldol in small doses can be very tolerable, but EPS can be a major complaint.
Haldol is not just for 'somebody' who is at risk of harming themselves or others. There is a misconception that Haldol should on only be used in emergencies, when many psychiatrists prescribe a low dose for maintenance. I was prescribed Haldol 5 mg daily for paranoid thinking and it absolved my thoughts. I'm lucky that I tolerated it well.
Eric
Posted by Lamdage22 on May 6, 2016, at 13:59:50
In reply to Re: I get paranoid in the evenings a lot » Lamdage22, posted by phidippus on May 6, 2016, at 13:01:40
ok. It has subsided anyway
This is the end of the thread.
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