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Re: treatment for akathasia??

Posted by yxibow on February 15, 2005, at 4:16:41

In reply to treatment for akathasia??, posted by Spriggy on February 14, 2005, at 12:28:12

> Is there anything that will help treat akathasia?
>
> I'm beginning to think that's what I'm feeling- I have every described symptom of it.


Propranolol has usually stopped it for me, oh, around 40-50mg, but that would vary by one's body, heart, etc... I'd start more conservatively around 10-20 per dose and add more, it does, of course, like all beta-blockers, lower the pulse

Alternatively I've used an older anticholinergic ("anti-parkinsonian") medication called Akineton (biperiden).. but with that stick with the lowest dose, anticholinergics can make one feel a bit loopy (they're somewhat related to their original source, belladona and can exhibit atropine toxicity in the body if taken too much). 1mg of Akineton give or take has worked too. There's also the old standard Cogentin (benztropine), though its a bit more dulling than Akineton.

Hope that helps, akathisia, esp. acute isn't a great state to be in:/ If its really acute, probably a dose reduction of the offending medication (I'm assuming a neuroleptic, although SSRIs and related drugs can cause a somewhat similar condition at a higher dose).

 

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URL: http://www.dr-bob.org/babble/20050212/msgs/458020.html