Psycho-Babble Medication Thread 407503

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sleep-cycles and antipsychotics

Posted by lostforwards on October 26, 2004, at 14:09:01

Would it be bad to take an antipsychotic at night and then switch to taking it at morning, THEN, because of insomnia, add a low dose phenothiazine to sleep?

Would't it be like just pushing dopamine levels down lower and lower? I'm asking because the first night of trying a phenothiazine my mind was completely blank in the morning. I continued to take it at random, and found it very difficult to sleep without it.

After quitting the meds: Risperdal used to put me to sleep at night at the start. I tried a low dose once again and now instead of doing that it keeps me up( and makes me feel better instead of worse ).

Re: sleep-cycles and antipsychotics

Posted by jboud24 on October 26, 2004, at 16:11:48

In reply to sleep-cycles and antipsychotics, posted by lostforwards on October 26, 2004, at 14:09:01

It wouldn't necessarily be bad, but generally the more dose that accumulates over time of neuroleptics (in other words your total lifetime dose of neuroleptics as a whole), the greater the risk for side effects like are experiencing. It is not uncommon to get a stimulating effect from a low-dose risperdal. I'd say drop the phenothiazine, take the risperdal in the AM, and use something like Remeron or Ambien to sleep at night.

Justin

Re: sleep-cycles and antipsychotics

Posted by lostforwards on October 26, 2004, at 19:21:10

In reply to Re: sleep-cycles and antipsychotics, posted by jboud24 on October 26, 2004, at 16:11:48

> It wouldn't necessarily be bad, but generally the more dose that accumulates over time of neuroleptics (in other words your total lifetime dose of neuroleptics as a whole), the greater the risk for side effects like are experiencing. It is not uncommon to get a stimulating effect from a low-dose risperdal. I'd say drop the phenothiazine, take the risperdal in the AM, and use something like Remeron or Ambien to sleep at night.
>
> Justin

thanks. I was really afraid the Risperdal in the morning and phenothiazine to sleep might've been really bad ( or something - I dunno, what I'm going through now ) for reasons besides the TD etc.

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