meds

Lindar · Mar 1, 2004

You have a right to distrust the new antipsychotics. I also find most are ineffective. I work in a Geriatic Psyche unit and I have to tell you we are loving Seroquel. I have seen overnight success in relatively low doses. The Psychiatrist on our unit has been using it to control some of the negative behavoirs in Alzheimers Patients. We had a man on the unit that was grossly confused and required total care by staff. After just one dose of 100mg of Seroquel he woke up the next morning and dressed himself and fed himself. He remained confused but care give strain was reduced. This same Psychiatrist tell me though that in middle aged adults the dosage requirements are higher, sometimes 800mg qd and the cost is about $800 to $1,000 per month. We are limited to using Seroquel for patients going to nursing homes that have medicaid that will pay for it. It's unfortunate but it's the way things are sometimes.

Lindar · Mar 1, 2004

I agree and in some elderly Risperdal has caused some stroke like symptoms. After just one dose we had patients drooling with a one sided weakness. Side effects disappeared after discontinuation of the drug and after Ct Scans revealed nothing.

Commander Vimes · Mar 8, 2004

I run a Clozaril Clinic and for some Patients it is the wonder drug,

I have seen functioning fully restored. (not in all cases i must add) it takes a while however upto and over a year for some, but it is incredibly controlled with blood tests initially weekly and twice a week if an amber result is seen.

during the dispensing we take B.P and Pulse and also ask about recent infection etc.

We have also started taking blood sugar levels as there is some evidence of medication induced diabetes.

and it makes you fat. but other than that its expensive and good stuff.

with the salivation aspect its usually only on initiation of the drug and contolled with travel sickness pills. (i kid you not)

if your client has run the gamut of at least two types of anti-psychotic but shows no improvement i would seriously consider the stuff but there must be evdence of total compliance.

CliveUK · Mar 9, 2004

Totally off topic here but do I know you from elsewhere, Cmdr Vimes? It's the Discowrld reference that set bells a-jangling.

Commander Vimes · Mar 11, 2004

Damn ive been found out nobby!

Quick scarper fred colon. :rotfl:

Loray · Apr 2, 2004

:chuckle

Geodon takes a while... Had a woman who was in and out of the hosp, only 25. Responding really well. Less enraged and her speech now makes sense. I keep looking for the risperidone depo. Maybe they are using it in Europe. One of our docs who also practices in Mexico keeps promising us it's coming. We have several folks on prolixin or haldol depo- They tend to be slippery tho, and we have to catch them when we can. One woman's mother is an lvn and gives her injections at home! Works great, she has not been hospitalized for 10 years.

what is the other name for Geodon has not come to Aus yet.