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Re: akathisia + remeron

Posted by britney27 on March 23, 2008, at 22:58:03

In reply to akathisia + remeron, posted by River1924 on March 23, 2008, at 15:54:42

Hi River, I found this from Wikipedia

Treatment includes the discontinuation or reduction of dose of the causative agent.

The most common treatment for antipsychotic akathisia is the anticholinergic medication benztropine (Cogentin). But since benztropine is for extrapyramidal side effects such as muscle spasms, muscle stiffness and tremors it is not effective in treating akathisia which is not a true extrapyramidal side effect. Other anticholinergic medications such as diphenhydramine may also be used in the treatment of akathisia.

Akathisia can be reduced by administering other drugs, though effectiveness can vary with more severe cases resistant to most drug treatment. Benzodiazepines like clonazepam (Klonopin) are effective. Some consider the drug of choice for the treatment of akathisia to be beta-blockers such as propranolol (Inderal) or metoprolol. The antihistamine cyproheptadine is also effective, though with shorter effect than beta blockers.

One study showed that vitamin B6 is effective for the treatment of neuroleptic-induced akathisia.

I hope your akathisia improves.

best wishes

Britney


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poster:britney27 thread:819545
URL: http://www.dr-bob.org/babble/neuro/20080204/msgs/819616.html