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back in the days of thorazine and haldol...


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#1 swanny

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Posted 23 August 2010 - 05:15 PM

why was it back in the days of haldol and thorazine they used to give massive amounts of it?


#2 Stickler

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Posted 23 August 2010 - 05:52 PM

Ever heard a psych hospital called a looneybin?

There was an expectation that when someone was schizophrenic, they would go to the hospital to stay, and, at best come home for a visit or two. Rehabilitation was pretty much impossible. Docs had no tools with which to fight the symptoms, so they just really warehoused people.
Believe it or not, for some people getting a frontal lobotomy was actually a big improvement over this.
Then Thorazine and Haldol came along.
They did make people better in the sense that it made them less violent and more manageable in an institutional setting, as well as providing relief of symptoms to some degree.
And they seemed happier.
So the docs went pill-happy.

Since they were never expected to get out, the Tardive Dyskinesia they got from the meds was not considered a problem.

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#3 mika

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Posted 23 August 2010 - 11:13 PM

ever read the book, "My Lobotomy". That book is scary. Thank God they came up with meds to control symptoms rather than lobotomies!
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#4 Velvet Elvis

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Posted 23 August 2010 - 11:21 PM

What makes you think they used to give massive amounts of it?

The dosing range on Thorazine is really wide so you start small and work your way up to pretty large dose. It's like Seroquel in that respect.

But seriously, I want to know what the basis is for this claim?

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#5 Velvet Elvis

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Posted 23 August 2010 - 11:21 PM

What makes you think they used to give massive amounts of it?

The dosing range on Thorazine is really wide so you start small and work your way up to pretty large dose. It's like Seroquel in that respect.

But seriously, I want to know what the basis is for this claim?

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#6 sylvan

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Posted 24 August 2010 - 12:17 AM

My age is going to show here, but I took APs in the days before there were no AAPs. I wasn't given massive amounts of them. I was given enough to help. Just like today.

I was in a long-term psychiatric facility and they didn't over medicate me there either.

Edited by sylvan, 24 August 2010 - 07:45 PM.

It has been a year since one of the best people that I've ever had the pleasure of knowing passed away. He was strong, intelligent, caring, and honest. I had the honor of calling him Daddy. I will miss both my parents for as long as I live. I hope that I can be even half as good of a spouse, parent, and friend as the two of them were. Life is now forever changed for me. It will never be like it was. That doesn't mean it will all be bad, it will just be different.


#7 swanny

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Posted 24 August 2010 - 02:16 AM

What makes you think they used to give massive amounts of it?

The dosing range on Thorazine is really wide so you start small and work your way up to pretty large dose. It's like Seroquel in that respect.

But seriously, I want to know what the basis is for this claim?


google. internet. psych nurse. nurse said when thorazine first came out they had to give 2000mg of it coz they had nothing else to give them(schizophrenics). now days the recommended max dose is 800mg. so 2000mg is a shit load and would knock you out!

#8 crtclms

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Posted 24 August 2010 - 05:25 AM

My dad used to give me thorazine for upset stomachs. I kid you not.

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#9 confused

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Posted 24 August 2010 - 04:26 PM

Not sure how much you trust wikipedia, but this is the first paragraph on Thorazine

"First synthesized on December 11, 1950, chlorpromazine was the first drug developed with specific antipsychotic action, and would serve as the prototype for the phenothiazine class of drugs, which later grew to comprise several other agents. The introduction of chlorpromazine into clinical use has been described as the single greatest advance in psychiatric care, dramatically improving the prognosis of patients in psychiatric hospitals worldwide; the availability of antipsychotic drugs curtailed indiscriminate use of electroconvulsive therapy and psychosurgery, and was one of the driving forces behind the deinstitutionalization movement."

And this was later on

"Previously, higher doses, up to 1200 mg daily or more, were used in acute psychosis. However, this range has markedly decreased in recent years, and dosing aims for the lowest possible with good therapeutic effect."

http://en.wikipedia.org/wiki/Thorazine

I don't know why they used higher doses earlier.

My brother was treated in the late 1970's with Mellaril which I don't know much about. I don't know the dosage he was on, but it made him move really slowly. He looked drugged when he took it, but I don't think he stayed on it long. I know it's going off on a tangent, but it's my image of being over-medicated. The thing is, it didn't really help his psychosis. What helped him was lithium when he was eventually given that. I'm not sure what his dx was because he rarely saw any doctors.

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#10 sylvan

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Posted 24 August 2010 - 07:54 PM

My brother was treated in the late 1970's with Mellaril which I don't know much about. I don't know the dosage he was on, but it made him move really slowly.


Mellaril was popular in the late 70s. I took it then too. All they gave me was 10mg doses. As I recall, I could take it twice (maybe three times) a day. I don't believe that's a huge dose. So, whoever it was that was handing out huge doses of APs, they certainly didn't do it to me.

It has been a year since one of the best people that I've ever had the pleasure of knowing passed away. He was strong, intelligent, caring, and honest. I had the honor of calling him Daddy. I will miss both my parents for as long as I live. I hope that I can be even half as good of a spouse, parent, and friend as the two of them were. Life is now forever changed for me. It will never be like it was. That doesn't mean it will all be bad, it will just be different.






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