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Re: Anyone taking Doxepin? what do you think so far? » adela

Posted by tensor on January 14, 2013, at 17:09:20

In reply to Anyone taking Doxepin? what do you think so far?, posted by adela on January 14, 2013, at 14:23:17

>
> Prescribed Vistaril 25 mg. risperdal 1.5mg
> Depakote 750 at night/500 day
> cogentin
> doxepin
>
> can anyone tell me what the thinking is behind the cocktail of this choice? I am concerned tht the cogentin is to counter act the effects of the risperdal. then I worry that the risperdal is not right.
> I have a 4:30 est call with docs. What kinds of questions should I be asking about this mixture of drugs? isn't there anything better than risperdal?


What are you taking Depakote for? Doxepin is an industrial-strength antihistamine, a TCA -antidepressant and anxiolytic- it is also anticholinergic as benztropine so you may get too much anticholinergic effects which could be troublesome.

This would be is easier if I knew the rationale behind the chosen meds.

First of all, what you taking your meds for?
Cogentin = benztropine is an anticholinergic agent and reduces EPS induced by strong DA-antagonists like Risperdal, so them two makes sense, if you have problems with EPS. They do not counteract each other.

I hardly believe you would need Vistaril if you are taking doxepin! Both are antihistamines.

If this combo works for you, great, if it is a new one, you and your pdoc should carefully revise it!

Best of luck,
tensor


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