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Re: Fluanxol vs. Amisulpride?

Posted by med_empowered on February 25, 2006, at 10:40:39

In reply to Re: Fluanxol vs. Amisulpride?, posted by blueberry on February 25, 2006, at 9:40:33

I'd personally try flupnethixol AFTER amisulpride, just b/c side effects are probably going to be more frequent and more pronounced with amisulpride. The TD risk with full-dose flupenthixol is probably higher than that of full-dose Amisulpride, but lower doses are used without too many problems.

Why are you combining so many antipsychotics? If you're dealing with mostly negative symptoms, you could actually get **worse** by overdoing the neuroleptics--they're good for positive symptoms (at least the most florid symptoms), but they aren't nearly as good for the negative symptoms. Have you considered a mood-stabilizer? Trileptal and Depakote both apparently help some with the negative symptoms, as do the benzos. It seems like something like Provigil or low-dose Ritalin would also help.

Good luck!


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