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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by xbunny on August 15, 2006, at 9:15:43
I saw my psychiatrist and his big plan for me was to take Zyprexa, I told him I had already taken it with unsatisfactory results and he was thrown. His solution, lets not mess with your meds you sound too delicate but lets more than triple your antipsychotic from 20mg to 75mg of pericyazine. As a plan I like it! I never really liked having any connection to my brain anyways, according to the antipsychotic comparison chart I have 75mg of pericyazine is roughly equivalent to 500mg of chlorpromazine. Plus he wants me to remain on 6mg of flupenthixol which is roughly another 60mg of chlorpromazine. So thats 560mg total, wicked! I have a new diagnosis too "undifferentiated psychotic disorder", of course that doesnt seem to exist in any reference I can find. :-)
Deliriously happy Bunny
PS: the max dose according the pericyazine monograph on thier website is 60mg, which makes the whole thing even more bananas.
PPS: this sh*t is bananas! bee ay en ay en ay ess :-) :-) :-)
Posted by med_empowered on August 15, 2006, at 13:12:27
In reply to 560mg equivalent of chlorpromazine, posted by xbunny on August 15, 2006, at 9:15:43
Can you just say no? B/c...this is ridiculous. Wasnt your shrink talking about discontinuing your antipsychotics? It sounds like your shrink is making stuff up (maybe he means psychotic disorder NOS ?) and over-medicating you without any real reason to do so. Could you see someone else? Or maybe..just dont take what's RX'd.
Posted by ed_uk on August 15, 2006, at 14:18:14
In reply to 560mg equivalent of chlorpromazine, posted by xbunny on August 15, 2006, at 9:15:43
Hi Buns
The maximum dose of pericyazine is 300mg per day. 75mg of pericyzine is not equivalent to 500mg chlorpromazine.
In the treatment of schizophrenia, the recommended dose of pericyazine (according to the manufacturer) is as follows....
Initially 75 mg per day in divided doses. Dosage should be increased by 25 mg per day at weekly intervals until the optimum effect is achieved. Maintenance therapy would not normally be expected to exceed 300 mg per day.
Flupenthixol is a potent neuroleptic. It is thought to be similar in potency to haloperidol. 6mg of flupenthixol is believed to be 'equivalent' to about 200mg chlorpromazine in terms of antipsychotic efficacy.
Regards
Ed
Posted by xbunny on August 15, 2006, at 15:55:47
In reply to Re: 560mg equivalent of chlorpromazine » xbunny, posted by ed_uk on August 15, 2006, at 14:18:14
> Hi Buns
>
> The maximum dose of pericyazine is 300mg per day. 75mg of pericyzine is not equivalent to 500mg chlorpromazine.
>
> In the treatment of schizophrenia, the recommended dose of pericyazine (according to the manufacturer) is as follows....
>
> Initially 75 mg per day in divided doses. Dosage should be increased by 25 mg per day at weekly intervals until the optimum effect is achieved. Maintenance therapy would not normally be expected to exceed 300 mg per day.
>
> Flupenthixol is a potent neuroleptic. It is thought to be similar in potency to haloperidol. 6mg of flupenthixol is believed to be 'equivalent' to about 200mg chlorpromazine in terms of antipsychotic efficacy.I got my equivalence from this canadian chart
http://meds.queensu.ca/~clpsych/orientation/Antipsychotics%20Comparison%20Chart.pdf
which is taken from the rxlist.com website.
It says 15mg of pericyazine and 10mg of flupenthixol are both equivalent to 100mg of chlorpromazine. The 60mg max dose of pericyazine comes from the neuleptil wsebsite. It makes more sense to me, how on earth is someone supposed to take 75mg of pericyazine let alone 300mg, the tablets come in 2.5mg and 10mg doses. I dont know what I did to my psychiatrist he has been cool the last two visits, this time I went without my wife and I think my behaviour was a bit too weird or something. I have been generally quite bizarre for the last 3 weeks I guess it was too much for him.Thanks for your reply, Buns
Posted by xbunny on August 15, 2006, at 16:15:31
In reply to Re: 560mg equivalent of chlorpromazine, posted by med_empowered on August 15, 2006, at 13:12:27
> Can you just say no? B/c...this is ridiculous.
I can do whatever I want thank goodness :-)
> Wasnt your shrink talking about discontinuing your antipsychotics?
Yup I kinda took a turn over the last 3 weeks, I think I made a bad impression when I saw the doc.
> It sounds like your shrink is making stuff up (maybe he means psychotic disorder NOS ?)
I guess he means some psychotic disorder and he doesnt know what it is, psychotic disorder NOS isnt a diagnosis here in Europe as far as I know that would be an American thing.
>and over-medicating you without any real reason to do so. Could you see someone else? Or maybe..just dont take what's RX'd.
its very hard to know if there is a 'real reason'. Its a classic dilema, I dont think I am very psychotic, but maybe I have poor insight. I do know that my behaviour during the consulatation might have been construed as odd.
Mad or not mad that is the question and in 3 weeks is that is even possible???
LOL you asked, Bunny
Posted by xbunny on August 15, 2006, at 16:33:33
In reply to Re: 560mg equivalent of chlorpromazine, posted by xbunny on August 15, 2006, at 15:55:47
> > Hi Buns
> >
> > The maximum dose of pericyazine is 300mg per day. 75mg of pericyzine is not equivalent to 500mg chlorpromazine.this page in the antipsychotic equilavance section (in red down the page) also lists 75mg of pericyazine as being equivalent to 500mg of chlorpromazine. I hope the link works its from google cache, the original page doesnt exist anymore.
Buns
Posted by yxibow on August 15, 2006, at 18:58:37
In reply to Re: 560mg equivalent of chlorpromazine » med_empowered, posted by xbunny on August 15, 2006, at 16:15:31
> > Can you just say no? B/c...this is ridiculous.
>
> I can do whatever I want thank goodness :-)
>
> > Wasnt your shrink talking about discontinuing your antipsychotics?
>
> Yup I kinda took a turn over the last 3 weeks, I think I made a bad impression when I saw the doc.
>
> > It sounds like your shrink is making stuff up (maybe he means psychotic disorder NOS ?)
>
> I guess he means some psychotic disorder and he doesnt know what it is, psychotic disorder NOS isnt a diagnosis here in Europe as far as I know that would be an American thing.
>
> >and over-medicating you without any real reason to do so. Could you see someone else? Or maybe..just dont take what's RX'd.
>
> its very hard to know if there is a 'real reason'. Its a classic dilema, I dont think I am very psychotic, but maybe I have poor insight. I do know that my behaviour during the consulatation might have been construed as odd.
> Mad or not mad that is the question and in 3 weeks is that is even possible???
> LOL you asked, Bunny
Psychotic Disorder NOS is in the DSM-IV, it is a psychotic disorder not otherwise specified, meaning, an uncategorized, emerging disorder that has no other diagnose code that can apply. I was once almost categorized by that but determined not to be in that and in a somatiform class.298.9 Unspecified psychosis
Atypical psychosis
Psychosis NOS
Psychotic disorder NOS
Posted by xbunny on August 16, 2006, at 5:03:29
In reply to Re: 560mg equivalent of chlorpromazine » xbunny, posted by yxibow on August 15, 2006, at 18:58:37
>> I guess he means some psychotic disorder and he doesnt know what it is, psychotic disorder NOS isnt a diagnosis here in Europe as far as I know that would be an American thing.
> Psychotic Disorder NOS is in the DSM-IV, it is a psychotic disorder not otherwise specified, meaning, an uncategorized, emerging disorder that has no other diagnose code that can apply. I was once almost categorized by that but determined not to be in that and in a somatiform class.
>
> 298.9 Unspecified psychosis
> Atypical psychosis
> Psychosis NOS
> Psychotic disorder NOS
>
>As far as I know we dont use the DSM here in Europe we have a thing called the ICD, thats what I meant when I replied to med_empowered.
Personally I just think the psychiatrist is too scared or protective to use the word schizophrenia since undifferentiated schizophrenia is a valid diagnosis. Im sure he has his reasons, he a very mysterious guy full of eastern wisdom, I think he might be a jedi or a ninja master.Buns
PS: ever see Ninja Masters the tiny plastic figures they sell in Walmart and Kmart in bubble gum machines they were cool. The got replaced by Homies last time I was in America they arent so cool.
Posted by yxibow on August 17, 2006, at 0:57:47
In reply to Re: 560mg equivalent of chlorpromazine » yxibow, posted by xbunny on August 16, 2006, at 5:03:29
> >> I guess he means some psychotic disorder and he doesnt know what it is, psychotic disorder NOS isnt a diagnosis here in Europe as far as I know that would be an American thing.
>
> > Psychotic Disorder NOS is in the DSM-IV, it is a psychotic disorder not otherwise specified, meaning, an uncategorized, emerging disorder that has no other diagnose code that can apply. I was once almost categorized by that but determined not to be in that and in a somatiform class.
> >
> > 298.9 Unspecified psychosis
> > Atypical psychosis
> > Psychosis NOS
> > Psychotic disorder NOS
> >
> >
>
> As far as I know we dont use the DSM here in Europe we have a thing called the ICD, thats what I meant when I replied to med_empowered.
> Personally I just think the psychiatrist is too scared or protective to use the word schizophrenia since undifferentiated schizophrenia is a valid diagnosis. Im sure he has his reasons, he a very mysterious guy full of eastern wisdom, I think he might be a jedi or a ninja master.
>
> Buns
>
> PS: ever see Ninja Masters the tiny plastic figures they sell in Walmart and Kmart in bubble gum machines they were cool. The got replaced by Homies last time I was in America they arent so cool.
The ICD code is used as far as I know in hospitals and medical settings around the world. 298.9 is the ICD for Psychosis NOS, which is a DSM-IV diagnosis. Currently the WHO and countries use ICD-10 with some use of ICD-9."The International Classification of Diseases"
Posted by ed_uk on August 17, 2006, at 16:11:19
In reply to Re: 560mg equivalent of chlorpromazine, posted by xbunny on August 15, 2006, at 15:55:47
Hi Buns
>how on earth is someone supposed to take 75mg of pericyazine let alone 300mg, the tablets come in 2.5mg and 10mg doses
Pericyazine used to come as 25mg tablets but they were discontinued because so few people take pericyazine.
I took my information RE dose from the Neulactil data sheet and the BNF.
Regards
Ed
Posted by xbunny on August 17, 2006, at 18:11:40
In reply to Re: 560mg equivalent of chlorpromazine » xbunny, posted by ed_uk on August 17, 2006, at 16:11:19
> I took my information RE dose from the Neulactil data sheet and the BNF.Just wanted to say sorry I think I came over as a bit offensive in these posts.
Well today I took 40mg of pericyazine and no bad effects, a little woozy, tired and dry mouth but my brain feels intact. 30mg tonight and 25 or 30 tomorrow. I have decided on a quick increase in dose and to hopefully use the weekend to ride out any side effects.
Best regards, Bunny
Posted by ed_uk on August 19, 2006, at 9:14:14
In reply to Re: 560mg equivalent of chlorpromazine » ed_uk, posted by xbunny on August 17, 2006, at 18:11:40
Hi Buns
It's ok, I wasn't offended or anything :)
To be honest, no one has a clue what dose of pericyazine is 'equivalent' to 100mg chlorpromazine, if indeed they can be considered to be 'equivalent' at all. Pericyazine is one of those rare drugs that no one knows much about! Most pdocs probably haven't even heard of it.
Regards
Ed
This is the end of the thread.
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