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Old Sep 27, 2014, 07:29 PM
hamster-bamster hamster-bamster is offline
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Member Since: Sep 2011
Location: Northern California
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Quote:
Originally Posted by Nightside of Eden View Post
They don't prescribe lithium the same reason they don't prescribe Haldol first for psychosis, despite it being the most effective anti-psychotic: because it's very dangerous. The long-term risks of lithium can be catastrophic, even when levels are monitored. I know several people in my bipolar support group who've ended up in kidney failure from long-term lithium. If anything, I feel doctors remain too loose in prescribing lithium (Depakote also).
Haldol+Cogentin is less dangerous than modern atypical AP's, but, again, there is no money in it. Modern AP's give the benefit of fewer neurological side effects, including tardive dyskinesia, compared to older ones, but on the negative side is the weight gain and the metabolic syndrome. Those side effects - the weight gain and the metabolic syndrome - are often persistent, and yet not disclosed in drug leaflets as tardive, unlike TD. Cogentin works to reduce the neurological side effects, but there is no standard treatment to outweigh (no pun intended) the weight gain produced by many later AP's. In other words, there is no antidote to modern AP's - topamax is used sometime, but it gives its own side effects. So given the metabolic side effects of modern antipsychotics, including the risk of developing diabetes, it is hard to say that Haldol is necessarily more dangerous. Plus, many people can manage on Haldon PRN, which is vastly safer than regular intake.
Thanks for this!
Trippin2.0