Posted by SLS on June 4, 2005, at 17:52:10
In reply to Suitable doses of typical APs..... Haldol » SLS, posted by ed_uk on June 4, 2005, at 15:19:47
Hi Ed.
That's a lot of interesting stuff you gathered. It will take me a while to go through. It would be nice if things worked out the way these studies suggest. They are indeed very optimistic.
In my line of "work", I get to see many people with schizoid disorders several times a week. I have been able to follow the courses of treatment vs. outcome as real stories. These people are not so ill as to need institutionalization, but they are ill enough to require typical, and sometimes supra-typical dosages of neuroleptics to maintain an adequate response. We are talking about using typicals as well as atypicals. Their doctors frequently try lowering dosages when they are first admitted into the program. Ultra-low dosages of these drugs don't seem to work. This is all anecdotal stuff, of course. Most of these people are not medication naive and it is generally not their index episode. Perhaps that has something to do with it. No one wants to see these people be "overmedicated". Unfortunately, to be undermedicated does not bring about an acceptable outcome.
Typical doses used for schizophrenia and schizoaffective disorder:Zyprexa 10-20mg
Seroquel 400-800mg
Risperdal 3-6mg
Geodon (rarely used)
Abilify 20-30mg
Clozaril (rarely used)
poster:SLS
thread:507544
URL: http://www.dr-bob.org/babble/20050601/msgs/507720.html