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Stelazine, Serenace etc... » ace

Posted by ed_uk on March 4, 2006, at 14:14:23

In reply to Nardil + Stelazine, posted by ace on March 3, 2006, at 21:30:40

Hi ACE!

Take care with your Stelazine dose! Stelazine is a potent neuroleptic, small changes in dosage can have profound effects.

Trifluoperazine (Stelazine) 1mg is similar in effect to haloperidol (Serenace, Haldol) 0.5mg. Haloperidol has been much more thoroughly studied however.

If you do decide to increase your Stelazine dose, PLEASE increase in very small steps eg. from 1mg to 2mg, 2mg to 3mg etc. An abrupt increase in dose could quite easily give you a nasty shock. I'm not kidding! It's important to have an anticholinergic drug on hand in case of severe dystonia or akathisia.

Hyperprolactinaemia is often a problem with Stelazine. Sexual side effects may occur.

Even at low doses, tardive dyskinesia is a concern with Stelazine. I would not recommend taking it for more than 3 months unless it is ABSOLUTELY necessary. You might want to consider amisulpride as an alternative.

Kind regards

Ed

PS. Stelazine 1mg can be useful PRN med, are you sure you need to take it every day?


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