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Old Feb 04, 2017, 02:42 AM
still_crazy still_crazy is offline
Grand Poohbah
 
Member Since: Oct 2016
Location: United States of America
Posts: 1,792
hi. from what I've read, dosing of neuroleptics varies wildly from person to person. You might want to Google up the chlorpromazine equivalents for your dosage of Geodon. Even the newer, "atypical" antipsychotics can be (roughly) converted into CPZ, or Thorazine, equivalents. So, 2mgs of good ole Haldol=100mgs CPZ=7.5mgs/Abilify, etc. etc. etc.

The big deal, from what I understand, is that you want to keep your overall exposure to the neuroleptic as low as possible, while still maintaing control over your problems. The FDA approved range isn't as big a deal, especially with the "atypicals," as your cumulative exposure. Higher overall exposure=higher risk of tardive syndromes.

Its interesting, too, how dosing has changed. I'm stuck at 30mgs/Abilify, which roughly=400mgs/Thorazine. Back in the day, 600mgs/Thorazine was fairly standard for outpatients, and some people were on well over 1,000mgs/day ("high dose phenothiazine therapy"). This is one reason why antipsychotics have such a terrible reputation and why the "atypicals" seemed so superior to the older drugs at first glance.