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Re: clozapine for lamictal induced psychosi SAFE?? » Jeroen

Posted by yxibow on January 20, 2008, at 0:00:31

In reply to clozapine for lamictal induced psychosi SAFE??, posted by Jeroen on January 19, 2008, at 22:36:19

> here are my current reactions to meds
>
> Zyprexa (good at start but after a week i get increased psychosis)

Possibly an idiosyncratic reaction or not enough dosage

>
> Abilify (blocks psychosis but i feel too energized and cant sleep)

can you take a low dose of Trazodone (be aware if you're already sensitive to tachychardia, but thats a rare reaction) or Doxepin (Dothiepin) for sleep?

>
> Seroquel (heavy sedation but blocks psychosis, cant function, at higher dose i think it might cure the psychosis i hope, cant tolerate the tachardia)

The tachycardia should only occur as a transient when you take it at bedtime (it alters standing and sitting heart rate briefly) but maybe you're more sensitive. Unfortunately it is the best in terms of side effects (we can get into a discussion of lipids but even Risperdal affects them too) that we have now.

Is it possible to take clonidine/guanfacine (a2 agents) or metoprolol/toprol XL (or any cardioselective beta blocker) with your Seroquel?

>
>
> Clozapine (unknown)
>
> is it safe for what i have, a lamictal induced psychosis, get on clozapine?? or should i play safe and ask for Seroquel ?

Well there's the blood monitoring with Clozaril, a n agent I'm also considering in a while -- it does carry the potential of making one quite more tired than Seroquel, but that's only a segment of people who take it and probably how much your dose is

 

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