Posted by ed_uk2010 on February 26, 2015, at 7:02:05
In reply to Re: Proper heart precautions with Clozapine, posted by Lamdage22 on February 26, 2015, at 1:38:04
> I have akathisia at nighttime. Turning around hundreds of times, moving my legs.
>
> Its unpleasant!It's definitely unpleasant. Akathisia is often very dependent on dosage. I'm not surprised you have akathisia because your total antipsychotic dose is high. You could probably resolve this problem with a cautious dose reduction + the use of a non-antipsychotic for insomnia.
Alternatively, clozapine does not often cause movement disorders or akathisia (usually none). Clozapine does not even worsen Parkinson's disease! There is often a reduction in movement disorder symptoms when switching to clozapine from other antipsychotics. The reduction in symptoms caused by clozapine means that in people switched from other drugs, clozapine 'appears' to cause fewer movement problems than placebo.
Clozapine causes just as much weight gain as Zyprexa, so you would need to continue metformin.
On clozapine, you may require additional medications to reduce excessive saliva production (especially at night).
Are you more concerned about your weight or about movement problems?
poster:ed_uk2010
thread:1077013
URL: http://www.dr-bob.org/babble/20150223/msgs/1077120.html