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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by walshingham on September 24, 2005, at 6:11:57
Briefly took risperdal in the course of 10 days, gradually going up to 4.5 mg. Had infrequent but real finger, neck and facial spasms. Then cut off cold turkey, apparently doc did not seem to think tapering off is any use. 3 or 4 days after stopping it still have some spasms. Is that normal? I am very scared over tardive akinesia.
Also taking 15mg Zyprexa per day.
Posted by SLS on September 24, 2005, at 8:19:54
In reply to Risperdal withdrawal, posted by walshingham on September 24, 2005, at 6:11:57
> Briefly took risperdal in the course of 10 days, gradually going up to 4.5 mg. Had infrequent but real finger, neck and facial spasms. Then cut off cold turkey, apparently doc did not seem to think tapering off is any use. 3 or 4 days after stopping it still have some spasms. Is that normal? I am very scared over tardive akinesia.
> Also taking 15mg Zyprexa per day.
Have you been taking Zyprexa the whole time?What are you being treated for?
If you are a slow metabolizer of Risperdal, its half-life can be up to one day long. That means that after only 3 days post-discontinuation from a dosage of 4.5mg, there is still a small amount of the stuff circulating in your blood stream. There is no real way to accelerate the process of excretion. However, if these movements persist for more than a week, I would start to dig deeper and perhaps even proceed to reduce the dosage of Zyprexa. You might do well with Seroquel in place of Risperdal.
- Scott
Posted by walshingham on September 25, 2005, at 10:15:59
In reply to Re: Risperdal withdrawal » walshingham, posted by SLS on September 24, 2005, at 8:19:54
> > Briefly took risperdal in the course of 10 days, gradually going up to 4.5 mg. Had infrequent but real finger, neck and facial spasms. Then cut off cold turkey, apparently doc did not seem to think tapering off is any use. 3 or 4 days after stopping it still have some spasms. Is that normal? I am very scared over tardive akinesia.
> > Also taking 15mg Zyprexa per day.
>
>
> Have you been taking Zyprexa the whole time?Have been taking Zyprexa for a month, but also had taken it for 3 months and 4 month periods in the past without any complications.
>
> What are you being treated for?Doctors differ on it. Some say bipolar disorder, some (including the current prescribing doc) think it's just psychosis (had two 6 month episodes in the last 2 years).
>
> If you are a slow metabolizer of Risperdal, its half-life can be up to one day long. That means that after only 3 days post-discontinuation from a dosage of 4.5mg, there is still a small amount of the stuff circulating in your blood stream. There is no real way to accelerate the process of excretion. However, if these movements persist for more than a week, I would start to dig deeper and perhaps even proceed to reduce the dosage of Zyprexa. You might do well with Seroquel in place of Risperdal.
>He did replace the risperdal with seroquel, how prophetic of you :) It's 4th day with zero risperdal and still experiencing tremors in my fingers, and I tend to move my tongue around a lot. Found info on the web saying that withdrawal after brief treatment with risperdal has same signs as TD but is not TD per se. That was slightly relieving.
> - Scott
This is the end of the thread.
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