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Re: SLS/anyone. Safest highest dose of Thorazine?

Posted by Christ_empowered on January 18, 2014, at 13:38:58

In reply to Re: SLS/anyone. Safest highest dose of Thorazine?, posted by rjlockhart37 on January 17, 2014, at 23:26:10


I did some googling. The atypicals are nicer, usually, than good ole thorazine, but they can still convert them into Thorazine (CPZ) units, just like the old ones.

Its works like this: 100mgs/Thorazine=2mgs/Haldol= (according to my googling...)...75/Seroquel, 5/Zyprexa, 7.5 Abilify.


At high doses, Thorazine is the worst thing ever. At lower doses, the EPS is actually comparable to some of the atypials (remember, thorazine has an anti-cholinergic component, so that helps reduce EPS) and the dysphoria isn't so terrible. I seem to recall reading that akathisia is, however, still an issue at lower doses for some people.

Anyway, like sigisimund said, I'd try 100 before you go popping a handful. In the US back in the day, docs would commonly go up into several hundreds, even above 1 gram, of Thorazine per day. Not surprisingly...bad things happened :-( Keep in mind, back then docs were taught that Parkinsonism was an important sign that the drug was working. Apparently, dull eyes, stiff gait, and tremor=successful treatment. Thank you, psychiatry.

I'd try, personally, to keep it at or under 300mgs/day. If I recall from "Mad in America" correctly (there was a lot of older literature in there), 300mgs/day was found to be quite useful in "ambulatory" outpatients in the UK and parts of Europe. For whatever reasons (probably cultural), American docs had a tendency to ramp up the doses considerably, especially on poor inpatients.


Good luck!


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