Posted by SLS on September 28, 2005, at 8:38:04
In reply to SERIOUS SIDE EFFECT. ADVICE NEEDED., posted by paul forsyth on September 28, 2005, at 3:53:24
Hi.
A poster here named Ed_UK will probably drop in and provide you with answers.
You can:
1. Reduce the dosage of Solian.
2. Replace Solian using another antipsychotic that has a reduced risk of producing EPS side effects. Seroquel (quetiapine) or Zyprexa (olanzapine) might make good alternatives.
3. Try using different anticholinergics to replace the Cogentin with. Artane (trihexyphenidyl) might be worth a try.
If it were me, I would probably try switching to another antpsychotic. I do believe the risk of EPS is lower with the newer "atypical" drugs than with Solian or Dogmatil. I would add the new drug first and then remove the old one gradually. This way, a relapse can be quickly addressed by simply raising the dosage of the old drug back to its original dosage.
- Scott> My girlfriend suffers from schizophrenia and is generally well at
> present on her medication,which is 500mg solian and 7.5mg kemadrin
> daily. However ,she suffers with one major problem in which several
> times weekly ,particularly when she excercises she gets a rapid
> movement
> of her eyelids which is visible to me, and also what she describes as a
> feeling that her eyes are going up in her head. This is accompanied by
> an extreme feeling of anxiety.If she gets it particularly bad ,her arm
> may also start to spasm uncontrollably. If she takes cogentin with her
> solian
> instead of kemadrin or akineton she never gets this problem.However
> cogentin has been discontinued in ireland ,where we live,and the doctor
> will not prescribe it.The psychiatrist she attends cannot give us a reason why this
> happens and doesnt seem to be very willing to help us find a solution. My
> girlfriend is at her wits end with this problem which is ruining her
> life and nobody except me seems to care.Can any of you advise me what
> to do or where I can get help to find out what this problem is and how
> to solve it. Thank you for taking the time to read this.
>
poster:SLS
thread:560512
URL: http://www.dr-bob.org/babble/20050927/msgs/560586.html