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still_crazy
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Location: United States of America
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Default Jun 26, 2017 at 10:16 AM
 
i think it really depends on the effect you need and how well you tolerate tranquilizers/antipsychotics. if seroquel was too sedating, then you'll probably want something high potency.

perphenazine compares well to many "atypicals" in long term treatment of Schizophrenia. Here in the US, family doctors would often use perphenazine at low doses in bipolar people, until prescribing habits shifted towards depakote and then the "atypicals."

loxapine might be atypical-ish, in terms of tolerability...if one keeps the dose low enough.

amoxapine is chemically related to loxapine. its not available everywhere in the world, but its still somewhat popular in the us for psychotic depression. its a tca that does double duty as a tranquilizer. when it works, it often works faster than other available drugs.

abilify...maybe? as with any tranquilizer, keep an eye on the dose, especially with lithium on board. akathisia is a big problem (in large studies...), but ive never had akathisia with it (I dealt with akathisia from other "atypicals," though...).

zyprexa is very effective. in large studies w/ people diagnosed as Schizophrenic, zyprexa comes in 2nd to clozapine. metabolic problems are a big issue. eps, td, akathisia, etc. still occur, just not as frequently as with the older drugs. sedation, emotional numbing, etc. seem to come with the territory. some people take metformin with the zyprexa to mitigate weight gain and metabolic problems.

i would personally skip risperidone. prolactin elevation, more td than other "atypicals," weight gain, sedation, more eps than many other "atypicals."

here in the us, there are 2 new abilify-ish options: rexulti and vraylar. i dont know if they're available in your country or what their trade names are, if they're marketed there. they're d2 partial agonists. i think both are now approved for schizophrenia and are being used in depression in bipolar, also.

i had an acquaintance who did well on navane. that's another older tranquilizer/antipsychotic. she tolerated it well, it got the job done, no major eps or other problems.

some people do well on geodon. im scared of it, personally, but some people swear by it. 2x daily dosing, tends to be sedating for a while. there was a black box in the us for heart complications, so...that's an issue.

the flupentixol you're taking at a low dose could potentially be increased, to a point. from what little ive read about flupentixol, it doesnt' cause too many problems and can help with anxiety, agitation, and depression....if one watches the dose. go too high, its basically thorazine.

ok. hope this helps. good luck.
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