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Doctor insights on: Antipsychotics

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Dr. John Moranville
357 doctors shared insights

Antipsychotics (Overview)

These are medications used among other things to treat psychosis. There are two poorly named classes: the typicals, because they used to be typically used, and the atypicals, which are now typically used. They differ in that the so called atypicals are non-neuroleptics and interact with both serotonin and Dopamine receptos, while the typicals primarily affect dopamin receptors.


Dr. John Moranville
357 doctors shared insights

Antipsychotics (Overview)

These are medications used among other things to treat psychosis. There are two poorly named classes: the typicals, because they used to be typically used, and the atypicals, which are now typically used. They differ in that the so called atypicals are non-neuroleptics and interact with both serotonin and Dopamine receptos, while the typicals primarily affect dopamin receptors.


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What is your opinion on antipsychotics?

What is your opinion on antipsychotics?

Antipsychotics: These are powerful medications that can be very effective. They also can have significant side effects. They should be monitored closely. ...Read more

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I've recently had what i can only describe as transient tourette's syndrome. Is this a residual effect from years of antipsychotic meds for bipolar i?

I've recently had what i can only describe as transient tourette's syndrome. Is this a residual effect from years of antipsychotic meds for bipolar i?

Yes, it could.: To be safe, you should consult your general of family physician to make sure that what you have experienced is indeed a residual effect of years of antipsychotic medications treatment and not something else that should be assessed by a neurologist. Take care! ...Read more

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Can it be that a general physician prescribe antipsychotics?

GP: Any mdf can, depending on their level of comfort & experience. ...Read more

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Feel all sleep now dominated by dreamsnightmares. Wake up with fast heartbeat, angry. Clenching teeth. Take ativan (lorazepam) bc trying to not use antipsychotics?

Feel all sleep now dominated by dreamsnightmares. Wake up with fast heartbeat, angry. Clenching teeth. Take ativan (lorazepam) bc trying to not use antipsychotics?

Sleep evaluation : This can be a side effect of your medication so first talk to you doctor. You may also want to see a sleep specialist. They will, evaluate your sleep cycles, breathing, brain waves, sleep hygiene and everything related to how you sleep. ...Read more

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Do the antipsychotics used to treat bipolar also help the hallucinations?

Do the antipsychotics used to treat bipolar also help the hallucinations?

Yes: Hallucinations in bipolar disease respond very nicely to neuroleptic (antipsychotic) medications. ...Read more

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How do antipsychotics work?

Block dopamine : Each antipsychotic has a slightly different receptor profile, but the one thing they all have in common is Dopamine receptor blockade. Though other factors may play a role, it is commonly accepted that increased Dopamine transmission is a major component for the development of psychosis. ...Read more

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If 2.5 klonopin (clonazepam) works fine for mood and racing thoughts ..Would not it be safer than the stronger anticonvultants and atypical antipsychotics.

If 2.5 klonopin (clonazepam) works fine for mood and racing thoughts ..Would not it be safer than the stronger anticonvultants and  atypical antipsychotics.

In some ways ...: ...It is safe---it is generally well-tolerated, and other than the possibility of sedation, the main issue is addiction when used regularly. It does not have the baggage of the metabolic effects like the atypicals or the effects on the liver or worries of rashes like the anticonvulsants. But unfortunately, chronic use of Klonopin (clonazepam) creates its own addiction. ...Read more

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Will stopping geodon (ziprasidone) kick off a psychotic episode? I seem to think geodon (ziprasidone) is the most dangerous of antipsychotics because it makes one more psychotic?

Will stopping geodon (ziprasidone) kick off a psychotic episode? I seem to think geodon (ziprasidone) is the most dangerous of antipsychotics because it makes one more psychotic?

It could: Depending on what kind of illness you have, stopping Geodon (ziprasidone) could risk a psychotic episode. I'm not sure why you think Geodon (ziprasidone) is the most dangerous of antipsychotics, or that it makes one more psychotic. Like other antipsychotics, at high enough dose it can cause restlessness/akathisia -- which sometimes may feel like a psychosis, but isn't. Please discuss these concerns w/your own psychiatrist. ...Read more

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What are some examples of some of the safer antipsychotic medications for a lifetime of treatment?

Antipsychotic: Different medications fit different patients and their symptoms. All anti-psychotic medications have side effects but most importantly they may not be equally effective for you. Sometimes, you may need to go on a medication with more side effects just to get you to feel better. This should be talked over with your psychiatrist. ...Read more

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How to safely get off antipsychotics without a psychiatrist?

How to safely get off antipsychotics without a psychiatrist?

Hmmm . . . . : This would depend on why the antipsychotics were prescribed in the first place. If you've been dealing with symptoms like hallucinations and delusions -- or with bipolar disorder -- it may be very dangerous for you to stop antipsychotic treatment. Your symptoms could return. I suggest talking with your psychiatrist about your medications and what optimal treatment for your condition might be. ...Read more

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Can stopping an antipsychotic be possibly life threatening? Does the brain have a save or back up plan?

Can stopping an antipsychotic be possibly life threatening? Does the brain have a save or back up plan?

Not In My Experience: Sudden cessation of an antipsychotic medication may cause discontinuation symptoms such as general malaise, flu-like symptoms, insomnia, or increased anxiety. The important question here is why one would stop taking their antipsychotic medication. Whenever changes in medications are made, work closely with the prescribing physician. One could risk the return of treated symptoms. ...Read more

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Does geodon (ziprasidone) cause weight gain or weight loss? Is it the antipsychotics with the least side effect profile or is seroquel the one with the least effect

Does geodon (ziprasidone) cause weight gain or weight loss? Is it the antipsychotics with the least side effect profile or is seroquel the one with the least effect

Both can: cause weight gain. Rarely see weight loss. Staying physically active and eating in a healthy way will help more than anything a change in medication might produce. ...Read more

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What are common side effects of antipsychotic drugs?

No simple answer: There are many different antipsychotic medications with different side effects. Side effects can range from weight gain, sedation, weight loss, sleep problems, movement disorders, dry mouth and many other possibilities. ...Read more

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I am feeling dizy can't manage goals everything seems empty like im depresed when do antipsychotics wear off?

It can take a week: Although every antipsychotic has a unique half life many of the antipsychotics used today have a half life of approximately a week. There are some like ziprasidone that much shorter half lives. Talk with your prescribing physician about the most accessible next move. Stay safe! ...Read more

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Interaction between Aripiprazole(@low dose) with Methylphenidate(antipsychotic &stimulant) in Treatment-resistant atypical depression?

Talk to your doctor.: If both of these medications are being prescribed for you, you should speak to the doctor who is prescribing them. Although there is no documented adverse interaction between these two medications, every patient can react differently to medications. Of course you should only take these medications if they are being prescribed for you; don't try someone else's medication. ...Read more

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