Posted by xbunny on March 10, 2006, at 5:20:37
I have my biannual psychiatrists appt coming up and I think its time I tweaked my meds. My rationale, I have been on my current regiem for about a year and my progress whilst remarkable has levelled out and has still failed to hit the anxiety I get when I go out. Its frustrating, I am not psychotic, my mood is good, I am motivated, However I still cannot walk around a supermarket without getting anxious and ratty nor sit through a film at the cinema and other things that I would like to do. I originally added pericycazine to my regiem to help this and I think its the correct time to accept its not really helping. My current medication is flupenthixol 6mg, pericycazine 20mg and mirtazapine 30mg. I am looking for suggestions for new things to try, some ideas I had;
a) add an SSRI, SSRI's make me psychotic but now I have my antipsychotic sorted perhaps an SSRI will help my anxiety.
b) replace pericyazine or both antipsychotics with another typical. Ideally I would like a medium sedating antipsychotic which doesnt cause akathasia, EPS I think I can handle with procyclidine if the drug is worthwhile. Which drug to try? ones I havent which seem interesting are haldol or perphenazine.
c) replace flupenthixol with zuclopenthixol - on the surface at least it appears that zuclopenthixol is the sedating version of flupenthixol. If that were so it sounds quite promising. Just how sedating is it I wonder though!?
d) replace one or both antipsychotics with an atypical I havent tried. Aripiprazole, quetiapine, zotepine and clozapine are the ones I havent tried. I have found the atypicals I have tried (olanzapine, risperdal, amisulpride) made me feel profoundly weird compared the typicals but perhaps its time give another one a go. From what I can tell the atypicals arent that great for anxiety anyways.Thats all I got so far, thanks for reading and for any ideas you might have.
Best Regards Bunny
poster:xbunny
thread:618273
URL: http://www.dr-bob.org/babble/20060310/msgs/618273.html