Posted by ed_uk on June 5, 2005, at 2:33:39
In reply to Re: Suitable doses of typical APs..... Haldol » ed_uk, posted by SLS on June 4, 2005, at 17:52:10
Hi Scott,
>Ultra-low dosages of these drugs don't seem to work.
.........but perhaps they work for some people...........other people will require much higher doses.
>Most of these people are not medication naive and it is generally not their index episode.
Once someone is on a high dose of a typical neuroleptic, it can be difficult to reduce the dose due to withdrawal symptoms. Of course, this is by no means the only reason why some people need high doses but I do think it is an important factor for some patients. Withdrawal symptoms seem to be a particular problem with low-potency typical APs such as thioridazine.
>Unfortunately, to be undermedicated does not bring about an acceptable outcome.
Of course not! :-) I was just saying that *some* patients might do well on doses of haloperidol that would previously have been considered homeopathic.
>Zyprexa 10-20mg
Seroquel 400-800mg
Risperdal 3-6mg
Geodon (rarely used)
Abilify 20-30mg
Clozaril (rarely used)I 'agree' with all these doses. I don't believe that people are often overmedicated with atypical APs. I do believe that people have often been overmedicated with haloperidol though (particularly in the past). Doses in excess of 30mg/day haloperidol start to look disturbing!
Kind regards.
Ed.
poster:ed_uk
thread:507544
URL: http://www.dr-bob.org/babble/20050601/msgs/507884.html