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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by obsidian on April 2, 2009, at 21:40:22
just curious
Posted by yxibow on April 2, 2009, at 23:05:19
In reply to anyone ever want a dose of haldol prn??, posted by obsidian on April 2, 2009, at 21:40:22
> just curious
>Um.... NO. But then the only AP I can take now is Seroquel, I am intensely sensitive to most things.
Actually I have worries like that if I ever was hospitalized for some other reason (I am taking Seroquel offlabel) they'd screw things up and do something like that.
The days of giving "Vitamin H" to quell patients are beyond us in some of the most enlightened hospitals -- unfortunately its still used though.
I would think IV Versed would be far more humane.
-- Jay
Posted by mav27 on April 2, 2009, at 23:16:46
In reply to Re: anyone ever want a dose of haldol prn?? » obsidian, posted by yxibow on April 2, 2009, at 23:05:19
what does prn mean ?
I went on haldol about 6 years ago after asking for it, it did nothing more than a suger tablet would :S
Posted by yxibow on April 2, 2009, at 23:32:49
In reply to Re: anyone ever want a dose of haldol prn??, posted by mav27 on April 2, 2009, at 23:16:46
> what does prn mean ?
> I went on haldol about 6 years ago after asking for it, it did nothing more than a suger tablet would :Sp.r.n. pro re nata, as the need warrants, not a continuous prescription. Even Tylenol or ibuprofen for a headache or flu could be considered prn.
Just another prescription abbreviation, usually all written in Latin abbreviations.
-- Jay
Posted by Phillipa on April 3, 2009, at 0:24:57
In reply to Re: anyone ever want a dose of haldol prn?? » mav27, posted by yxibow on April 2, 2009, at 23:32:49
Easiest when needed is definition for laymen. Love Phillipa
Posted by yxibow on April 3, 2009, at 6:21:30
In reply to Re: anyone ever want a dose of haldol prn??, posted by Phillipa on April 3, 2009, at 0:24:57
> Easiest when needed is definition for laymen. Love Phillipa
Its not very hard to figure out prescription lingo, there are various lists on the net. I find the whole thing sort of curious, and the combinations of things that can be put on a prescription is endless.
10mg diazepam TT bid po [60 tab] (10 mg Valium 2 tabs twice daily taken orally -- the latter may vary and be written elsewhere on tamper proof pads at least here, e.g. in some places, on not more than 100 tabs, 200 tabs, etc)
etc.
I don't have to remind anybody not to use this other than for amusement. Enough said.
-- Jay
Posted by obsidian on April 3, 2009, at 19:07:46
In reply to Re: anyone ever want a dose of haldol prn?? » obsidian, posted by yxibow on April 2, 2009, at 23:05:19
yeah, I take seroquel, a little dose-50mgs
but when I felt like I needed to just mellow out for a while I'd take just a wee bit moreI'm not sure it made a difference
I don't really want to take haldol
what I do want sometimes is something that just hammers the anxiety down
Posted by softheprairie on April 7, 2009, at 4:38:23
In reply to Re: anyone ever want a dose of haldol prn?? » yxibow, posted by obsidian on April 3, 2009, at 19:07:46
> yeah, I take seroquel, a little dose-50mgs
> but when I felt like I needed to just mellow out for a while I'd take just a wee bit more
>
> I'm not sure it made a difference
>
> I don't really want to take haldol
>
> what I do want sometimes is something that just hammers the anxiety down
>
>
Zyprexa Zydis dissolves in one's mouth and is an expensive prn med that decreases anxiety/agitated depression quickly. I take a cheaper old antipsychotic, perphenazine, at night plus prn. My prn use of it is mostly during crying spells. I think the Zyprexa Zydis would give you more of a HAMMER hit to the anxiety, but I have type 2 diabetes and am poor, and take the perphenazine anyways, so I'm content enough for now with the perphenazine. Oh, I also have the aid of a beta blocker, nebivolol, which helps anxiety, and I've gotten approval (after specifically asking) from my dr. to take it occasionally prn, although haven't yet. (I am thinking of it especially for when I have a racing heartbeat or heart palpitations.)
Posted by CareBear04 on April 7, 2009, at 21:30:17
In reply to anyone ever want a dose of haldol prn??, posted by obsidian on April 2, 2009, at 21:40:22
I've actually had a really good experience with Haldol--better overall than even the atypicals. It slowed down my racing thoughts quickly without making me too sedated. I could take it prn instead of having to take it regularly. Unfortunately, I did end up getting tardive dyskenesia effects, so my pdoc took me off it and put me on massive doses of vitamin E. I wouldn't suggest, though, that you not write it off just based on the bad reputation it has gotten over the years as being used to "control" helpless institutionalized patients.
Posted by yxibow on April 8, 2009, at 2:08:35
In reply to Re: anyone ever want a dose of haldol prn?? » obsidian, posted by CareBear04 on April 7, 2009, at 21:30:17
> I've actually had a really good experience with Haldol--better overall than even the atypicals. It slowed down my racing thoughts quickly without making me too sedated. I could take it prn instead of having to take it regularly. Unfortunately, I did end up getting tardive dyskenesia effects, so my pdoc took me off it and put me on massive doses of vitamin E. I wouldn't suggest, though, that you not write it off just based on the bad reputation it has gotten over the years as being used to "control" helpless institutionalized patients.
Sounds more like extended EPS because true TD goes away by itself in -at least- 30% of the time, vitamin E or not (which has not been tested to work even as much as tetrabenazine which has its own large problems), about 30% stays at the same rate and 30% worsens.There are variations on things that may look like TD but aren't. I guess that's all I'm saying, I know its a bit of a downer, but I have gotten rare effects that basically nobody gets so I had to say that.
And I would agree that orally disintegrating, depot, or otherwise types of atypicals are far safer for a short-run event.
-- tidings
Jay
Posted by Incubusfan on April 8, 2009, at 10:57:08
In reply to Re: anyone ever want a dose of haldol prn?? » obsidian, posted by softheprairie on April 7, 2009, at 4:38:23
>
> Zyprexa Zydis dissolves in one's mouth and is an expensive prn med that decreases anxiety/agitated depression quickly. I take a cheaper old antipsychotic, perphenazine, at night plus prn. My prn use of it is mostly during crying spells. I think the Zyprexa Zydis would give you more of a HAMMER hit to the anxiety, but I have type 2 diabetes and am poor, and take the perphenazine anyways, so I'm content enough for now with the perphenazine. Oh, I also have the aid of a beta blocker, nebivolol, which helps anxiety, and I've gotten approval (after specifically asking) from my dr. to take it occasionally prn, although haven't yet. (I am thinking of it especially for when I have a racing heartbeat or heart palpitations.)
>What dose of perphenazine do you take, and how many times a day? 4mg feels like a sugar pill to me.
Thanks!
Posted by softheprairie on April 8, 2009, at 17:26:36
In reply to Re: anyone ever want a dose of haldol prn??, posted by Incubusfan on April 8, 2009, at 10:57:08
>
> >
> > Zyprexa Zydis dissolves in one's mouth and is an expensive prn med that decreases anxiety/agitated depression quickly. I take a cheaper old antipsychotic, perphenazine, at night plus prn. My prn use of it is mostly during crying spells. I think the Zyprexa Zydis would give you more of a HAMMER hit to the anxiety, but I have type 2 diabetes and am poor, and take the perphenazine anyways, so I'm content enough for now with the perphenazine. Oh, I also have the aid of a beta blocker, nebivolol, which helps anxiety, and I've gotten approval (after specifically asking) from my dr. to take it occasionally prn, although haven't yet. (I am thinking of it especially for when I have a racing heartbeat or heart palpitations.)
> >
>
> What dose of perphenazine do you take, and how many times a day? 4mg feels like a sugar pill to me.
>
> Thanks!
>
>My psychiatrist has pretty much let me decide on its dosing.
I had been at 8mg a day, plus prn. I think for prn I usually take 8 mg; if not too bad maybe just 4 mg. Some of what keeps me from going higher in dose or using more often as prn is that I find it sedating, and I already suffer from excessive tiredness. Also, I wonder if taking more and then sleeping could give me some respiratory depression? I have pretty bad sleep apnea as it is, and always sleep w/ CPAP, and don't want my breathing to get worse. I read when I was trying Ativan that it wasn't recommended for someone w/ sleep apnea to take the Ativan soon before sleep. Ativan didn't help me anyways, (at 0.5 mg three times a day) so I tapered off it. Plus, I think the EPS and TD risks on perphenazine are higher at higher doses, so that's a part of my hesitation in going higher.
Anyways, I said I had been on 8 mg, I think I used to split it 4 mg at getting up and 4 mg at going to bed, but then moved it to all at night to try to get more energy during the day. Then, after reading a book that I could predict would do this to me, a book very much against psych meds, I got scared and wanted to try tapering off of the perphenazine (but I still wanted to keep my other psych meds). I went right down to just 4 mg at night, but then I felt my mood worsening. I think it was my pdoc who suggested I get a pill splitter and move more slowly, taking 6 mg at night (4 mg times 1 and a half pills). I did that and have changed my mind about stopping the med. For now I'm staying on it at the 6 mg at night, plus 4 or 8 mg occasionally prn (I think my pdoc would be fine if I wanted more.)
I understand when you say the 4 mg just feels like a sugar pill. I don't always get much relief from the 8 mg prn. One can definitely go higher. I entered perphenazine and (dose OR dosing) into a search engine and got some mildly relevant hits, but the ones I looked at were all about on-label dosing, so for psychosis or nausea. In a hospital, one can officially go to 64 mg a day, spread out a few times, it looks like. I think it was only recommending up to 24 mg at home, and even then to try to taper down after psychosis is over. I didn't see any refernce to maintenance dosing off-label (although I didn't look for too long).
I only took the Zyprexa Zydis once (while in the hospital, and it was off-label there as well), but I was really impressed with its power to make me chill out quickly. I've seen on this board also how quickly it can help to reduce suicidal thinking. That's powerful. What really bites, in my opinion, is that any chill pill I know of also is sedating.
Posted by 4ed on April 15, 2009, at 15:47:14
In reply to Re: anyone ever want a dose of haldol prn?? » Incubusfan, posted by softheprairie on April 8, 2009, at 17:26:36
Greetings all, I just joined after being a long time lurker here. Figured I'll post up my 2 cent while I wait for a response on my first thread... I've had no access to haldol, but can relate to prn AP usage. I've got a couple refills of zyprexa left and plan on stocking up before my insurance runs its course. 7.5 mgs will make my anxiety/fear problems vanish for 24hours. I despise Lilly for charging so much for this stuff.
Posted by softheprairie on April 16, 2009, at 6:59:35
In reply to Re: anyone ever want a dose of haldol prn??, posted by 4ed on April 15, 2009, at 15:47:14
Welcome, 4ed. I lurk a lot, too. And I understand liking a med, but not liking that the company that produces it gets to make a killing off of it.
> Greetings all, I just joined after being a long time lurker here. Figured I'll post up my 2 cent while I wait for a response on my first thread... I've had no access to haldol, but can relate to prn AP usage. I've got a couple refills of zyprexa left and plan on stocking up before my insurance runs its course. 7.5 mgs will make my anxiety/fear problems vanish for 24hours. I despise Lilly for charging so much for this stuff.
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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