Posted by novelagent on December 9, 2012, at 19:04:35
In reply to Whether to increase Risperdal Consta, posted by capricorn on December 2, 2012, at 19:55:26
Has your doctor not hear of Invega Sustenna, or do you enjoy the conversations with your injecting nurse so much, you don't want to switch to a once-monthly form? ;)
Anyhow, anxiety is a ridiculous reason to up your dose. For one thing, it doesn't reduce anxiety; it just is such a blunt drug, it seems like it would, and psychotics conflate hearing voices and paranoia with anxiety, so they'll report less "anxiety" when their mind is clearer. That doesn't translate to non-psychotic anxiety, however.
So it won't reduce your anxiety, but it will increase your lifetime risk of uncontrollable muscle movements, so there's that. If it were me, I'd rather deal with the side effects of klonopin than worrying about my face making uncontrollable grimacing movements, since I've had to deal with that in treatment-onset form, and it's not pleasant waiting for that to pass while in the bathroom of a pizza shop for 20 minutes... I couldn't imagine having that for life.
But some docs prefer putting you at risk for that over giving you klonopin. They're called clinic docs. They're saddistic and prescribe like they're reimbursed: poorly. I mean, they make you get a shot twice a month when there's a perfectly safe drug that titrates and has a steady state in 3 days instead of 6 weeks. I think that speaks for itself as to how good their judgment is.
poster:novelagent
thread:1032351
URL: http://www.dr-bob.org/babble/20121130/msgs/1032719.html