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Re: Clozapine not working now what?????

Posted by BPPsychFellow on July 8, 2008, at 15:08:28

In reply to Re: Clozapine not working now what?????, posted by Quintal on July 8, 2008, at 4:04:50

Jeroen,

I'm sorry to hear that you've not improved like you had hoped you would. I'm relatively new to the boards so I haven't gotten to "know" you yet. Maybe some of the other posters can fill me in on details.

Is the dx schizophrenia? When psychosis and paranoia are present there is often significant lack of insight. When this is the case I think it best to trust the wisdom of the treatment team (doctor, psychologist, nurses) in the selection of medication. In other words, don't stress about which med to "ask for" next. I hope you trust your doctor enough to follow his suggestions.

As others have mentioned here: please be sure you have given the Clozapine a good LONG trial. In very ill people I do this: wait until they are at a therapeutic dose THEN wait 6 or 8 weeks before giving up on the drug.

If I see even a small bit of improvement with clozapine I keep it on-board and add another antipsychotic to it. Every person is different and this is simply my opinion. Your treatment choices are up to your doctor and you.

Regards, BPPsychFellow


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