Banana Smurf Posted April 22, 2020 Share Posted April 22, 2020 I have problems with increased psychotic symptoms the week before my period. I know there are several antipsychotics that can be taken prn, but I was wondering if one of them would be better to take in a style similar to Prozac with PMDD, and then tapered off, or if that's even possible. I was wondering if the PRNs will cause too many withdrawal effects if they are taken for only one week and would make you go nuts if you stopped taking them. I also take Latuda. Link to comment Share on other sites More sharing options...
Iceberg Posted April 22, 2020 Share Posted April 22, 2020 Depending on the dose and frequency, you may not get withdrawal from one week of PRNs - depending on the med choice and individual factors obviously. I don’t actually know if there is an obvious choice for that type of weekly schedule Link to comment Share on other sites More sharing options...
Iceberg Posted April 22, 2020 Share Posted April 22, 2020 For second generation APs, low doses of seroquel or zyprexa are often used. I would think that for treating psychotic symptoms zyprexa might be useful but can be sedating... risperdal would probably be another option Link to comment Share on other sites More sharing options...
jarn Posted April 22, 2020 Share Posted April 22, 2020 I took loxapine daily, and add ons as PRN - it stopped working, but I went off it with no withdrawal. Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted April 23, 2020 Share Posted April 23, 2020 Zyprexa Zydis! I use it as a PRN, well I am about to start using it again. ANYWAY, it works fast because it’s zyprexa! Even faster because it melts in your mouth and not in your hands. It calms me if I’m agitated because of hearing a lot of crap voices and getting disturbing messages from the universe. Link to comment Share on other sites More sharing options...
Gearhead Posted April 23, 2020 Share Posted April 23, 2020 3 hours ago, Wonderful.Cheese said: Zyprexa Zydis! I use it as a PRN, well I am about to start using it again. ANYWAY, it works fast because it’s zyprexa! Even faster because it melts in your mouth and not in your hands. It calms me if I’m agitated because of hearing a lot of crap voices and getting disturbing messages from the universe. OK, that was funny. Link to comment Share on other sites More sharing options...
Banana Smurf Posted April 23, 2020 Author Share Posted April 23, 2020 I'll ask my pdoc about it-I was wondering if it was even possible dosed like that. Thank you for the information. Link to comment Share on other sites More sharing options...
mikl_pls Posted April 25, 2020 Share Posted April 25, 2020 I'd like to throw my favorite, Stelazine, on the table of possibilities. It's an oldie (a first-gen), but if taken prn for short periods of time, shouldn't be harmful, especially if the dose isn't too high. I love Stelazine because it reduces anxiety, depression, agitation, psychosis, tics, all that, while brightening my affect instead of flattening it like Haldol does. Link to comment Share on other sites More sharing options...
notloki Posted May 1, 2020 Share Posted May 1, 2020 A PRN meds half life has a lot to do with whether it is an effective PRN med or not. Many of the AP/AAP's have very long half lives so it takes a while to get the full effect whereas AP's like Stelazine with a ~7 hour half life reach their peak in a more reasonable time, hours not days. Abilify never made it as a PRN med, with it's 75 hour half life and need to titrate to start off as to avoid side effects. Link to comment Share on other sites More sharing options...
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