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Doctor insights on: Cogentin Anticholinergic Agent

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Can cogentin (benztropine) cause anxiety?

Can cogentin (benztropine) cause anxiety?

Possibly: But why are you discussing a drug which has profound anti-cholinergic effects and adverse events, as this drug has mainly been supplanted by Dopamine agonists. Not sure, in this day and age, that there would be a valid role for cogentin (benztropine). Meet with your doctor and discuss. ...Read more

Dr. John Landi
42 doctors shared insights

Benztropine Mesylate (Definition)

Cogentin, (benztropine) a brand used yrs ago, and rarely now, was intended to control parkinson's disease tremors. Might be useful in early and mild younger patients, but has bad effect in older patients, including ...Read more


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Which causes asthenia after not taking; 1-Haloperidol 2-Carbamazepine 3-Lamotrigine 4-Biperiden 5-Methocarbamol 6-Quetiapine 7-Clomipramine?

Which causes asthenia after not taking; 1-Haloperidol  
2-Carbamazepine
3-Lamotrigine
4-Biperiden
5-Methocarbamol
6-Quetiapine
7-Clomipramine?

Asthenia : Weakness can be caused by induction of an adrenal deficiency in the setting of chronic steroid use ( withdrawal ) Any of the medications listed can produce perceived weakness in the setting of anxiety. ...Read more

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Benztropine mesylate uses?

Benztropine mesylate uses?

There are a few uses: Benztropine is an anticholinergic drug used to reduce the side effects of antipsychotic treatment, such as pseudoparkinsonism and dystonia. It is also a second-line drug for the treatment of parkinson's disease. It improves tremor but not rigidity and bradykinesia. It is also sometimes used for dystonia, a rare disorder that causes abnormal muscle contraction. ...Read more

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Does mirtazapine have anticholinergenic properties?

Does mirtazapine have anticholinergenic properties?

Mirtazapine: has muscarinic receptor blocking activity in addition to blocking histamine. It has Alpha 2 adrenergic and D2 and D3 activity. (complicated action) I find it to be a terrific medication but its best given at night and in small doses to start (15 mg) Some people report a dry mouth in the morning and difficulty with reading The anticholinergic tendencies (muscarinic) seem to be mild. ...Read more

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Which anxiolytic drug works best?

Which anxiolytic drug works best?

Many options: No single anti-anxiety medication is considered universally superior to the others. Ssri/snri classes of medications are considered among the best/first line treatment for anxiety disorders. Benefit by biological relatives can be a basis to go with one medication over another. Psychotherapy in combination with medication treatment generally yields the best outcome. See your doctor and good luck! ...Read more

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Is zoloft's dopaminergic effect dose dependant like effexor's noradrenalinergic effect?

Is zoloft's dopaminergic effect dose dependant like effexor's noradrenalinergic effect?

Zoloft (sertraline): Yes it is. Dopamin reuptake inhibition increases as dose increase. ...Read more

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Will cogentin help alleviate geodon (ziprasidone) side effects?

Will cogentin help alleviate geodon (ziprasidone) side effects?

EPS: Cogentin (benztropine) is used to treat only the extrapyramidal side effects (eps) from antipsychotics. These include tremor, rigidity, and akithesia. It does not counteract other side effects of antipsychotics, such as cardiac issues, metabolic issues, or changes in mentation. ...Read more

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Is chlorpromazine (thorazine) effective?

Is chlorpromazine (thorazine) effective?

Depends: Thorazine (chlorpromazine) can be prescribed for many conditions including psychosis, nausea and vomiting, sedation, and intractable hiccups at a wide range of doses. It can certainly be effective in some individuals, however side effects including sedation and weight gain may be problematic for some. ...Read more

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Is vistaril (hydroxyzine) or promethazine more sedating?

Is vistaril (hydroxyzine) or promethazine more sedating?

Can't tell: It depends on the dose and how your body responds to them since either is sedating to a degree. ...Read more

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What antihistamine has the strongest antiemetic properties besides phenergan (promethazine)?

What antihistamine has the strongest antiemetic properties besides phenergan (promethazine)?

Nausea treatment: Phenergan (promethazine) is a pretty good medication for symptomatic treatment of nausea. Meclizine seems to work better in motion sickness. If you are still symptomatic with those medications, you should be seen and evaluated by your physician to find out what causes it. Many serious health problems can cause nausea and vomitting. ...Read more

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Does hydroxyzine have antipsychotic properties?

Does hydroxyzine have antipsychotic properties?

Not antipsychotic : We do use hydroxyzine often for anxiety but but not psychosis. That being said, sometimes anxiety can be a cause of psychosis, so in that case if the underlying anxiety was treated it would also help the psychosis. I hope this helps. ...Read more

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Can periactin (cyproheptadine hydrochloride) (cyproheptadine) be useful in relieving serotonin induced migraine caused by an ssri? Periactin (cyproheptadine hydrochloride) has antiserotonin affinity. Head hurts..

Can periactin (cyproheptadine hydrochloride) (cyproheptadine) be useful in relieving serotonin induced migraine caused by an ssri? Periactin (cyproheptadine hydrochloride) has antiserotonin affinity. Head hurts..

Might be useful: Although Cyproheptadine is nominally an anti-histamine, it does have seratonin antagonistic effects, and, has been best used as a migraine preventative in years past. Since it is cheap, could try it, but likely should start low dose and aim for about 4mg every 6 hrs. May take about two weeks to decide success at the higher dose. ...Read more

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Does hydroxyzine HCl boost the opiate drug effect?

Does hydroxyzine HCl boost the opiate drug effect?

Apparently, yes.: Hydroxyzine is used with opioid analgesics to increase their pain-killing ability of a given dose of opioid, and lower the quantity needed to stop a given level of pain, and/or stop some side effects of opioids like itching, nausea, and vomiting. ...Read more

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Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?

Which tcas is more potent for sciatica pain relief, amitriptyline(or  nortriptyline), imipramine(or desipramine)?

TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options. ...Read more

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Can clozaril (clozapine) cause akathisia, restlessness?

Can clozaril (clozapine) cause akathisia, restlessness?

Can occur: These side effects would occur while taking Clozaril, but if you have stopped and instead suffer restless leg syndrome, would suggest checking iron metabolism, with ferritin level, and considering use of a dopamine agonist around the clock (suggest Neupro (rotigotine) patch). Talk to your doctor about these thoughts. ...Read more

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Which are side effects of periactin (cyproheptadine hydrochloride)?

Which are side effects of periactin (cyproheptadine hydrochloride)?

Some common: Many people experience an increase in appetite (leads to weight gain) and some experience drowsiness. This old antihistamine has been replaced by others that tend to be as effective with less side effects. ...Read more

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How much benztropine (cogentin) causes hallucinations?

How much benztropine (cogentin) causes hallucinations?

More than prescribed: I wonder why you are asking this, are you trying to have hallucinations? The usual maximum dose of benztropine is six mgs per day. Any amount over that is unsafe. The hallucinations caused by too much benztropine can be associated with other dangerous effects. ...Read more

Anticholinergic (Definition)

Most drugs have some anticholinergic qualities, which means they interfere with the normal function ...Read more


Dr. Stephen Scholand
59 doctors shared insights

Cogentin (Definition)

Cogentin is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more