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clinic

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  1. Can i take EPS med(trihexyphenidyl) for parkinson and still have good cognition ? Can i add any new med for cognitive decline caused by EPS meds ?
  2. I can I'm taking artane for risperidone induced EPS side effects. Im not worried about akathisia cuz i already take a benzo. I'm worried if i get pseudoparkinsonism if i increase my risperidone dose. But i will take max 1mg risperidone and i dont think it will cause EPS at this dose. I will stop artane after being on 1 week of risperidone 1mg. Last year when i took risperidone 1mg, i didnt had any EPS side effects. I hope i dont get them this time.
  3. Well besides cogitive decline. It is also causing blurred/double vision, dry mouth
  4. Any solution to this ? I forget what im going to do or say, im also having memory problems on it.
  5. Well my pdoc said low dose flupenthixol or risperidone are sometimes used for ocd. I have read about risperidone which is atypical antipsychotics helping ocd in studies. But i have never read that flupenthixol which is typical antipsychotic helping ocd.
  6. Update: My meds were not fake. Lexapro 10mg is not working for OCD, and 15mg makes me cry. I will ask pdoc to reduce clozapine to 150 and add risperidone. After reducing clozapine to 150, i will try increasing lexapro again. If that fails, i will try prozac.
  7. I got lexapro from another pharmacy, i feel like its working again. Plus tiredness is back.
  8. Its been a month, but i experimented different doses and timings of the med during this time. So i guess steady state of lexapro has not developed consistently. I'm not feeling tired right now. But since past couple of days ocd has been super bad. Im thinking if my meds are fake, cuz ocd was better few weeks ago.
  9. My pdoc says low dose risperidone can help ocd. I’m suffering clozapine induced ocd already. I’m able to tolerate SSRIs after reducing my clozapine. My pdoc wants me to further reduce my clozapine to improve ocd and add risperidone for positive symptoms.
  10. Some pdocs suggest risperidone for ocd augmentation with SSRI. Anybody have experience with it ? Does it help ocd ? Any studies ?
  11. I takeclozapine 175mgparoxetine cr 37.5mgclobazam 10mgescitalopram 10mg 10mg lexapro(escitalopram) at 8am is working so damn well for ocd but I'm so tired/sleepy that i wake up at 3-4pm on it. I have tried all the different timings of taking the meds like divided dosing, all dose at bedtime etc - they don't work. I believe bedtime dosing doesnt work cuz clozapine decreases serotonin and lexapro increases it, so they prolly cancel each other out ? Only 10mg at 8am works perfectly. What should i do about tiredness and being sleepy ? Modafinil and coffee worsens my psychosis. My next option would be to stop lexapro and add prozac - but it inhibits 2d6 and 3A4 - which would further increase clozapine and paroxetine blood levels. Increasing clozapine is bad - cuz it worsens ocd and anxiety and makes me less likely to tolerate any SSRI.
  12. Im thinking of taking it around 8am, so it will prolly have complete absorbtion in the blood by 12-1pm
  13. I was wondering how much time it takes for a SSRI like lexapro(escitalopram) 10mg to reach bloodstream if taken orally ? I cant tolerate above 10mg. So lets say if its half life is 24 hours, then if i take 10mg at bedtime(9pm) then it will be 7.5mg by 9 am next day. So 2.5mg is wasted. So i thought i should take 10mg in morning so the day will start with 10mg of med in my bloodstream instead of 7.5mg in my bloodstream. Im still confused if i should take lexapro in morning or bedtime, I want maximum lexapro effectiveness when i am awake so taking at bedtime doesnt make sense right ? Cuz by the time i wake up, some amount of lexapro in my blood will be reduced to some extent. I just want that when i wake up my bloodstream of lexapro should start from 10mg. Another question i have - Is eating meals after taking meds will slow its absorption or will it reduce its absorption. My pdoc told me to take meds after meals but sometimes i eat meals after taking meds. Is that ok ?
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