New warnings about Risperdal and all AP’s | ADHD Information
These aren't scientologists...lol. These are moms from the Conduct Disorders board who researach meds. Apparently there is concern than the antipsychotics (Risperdal, Zyprexa, Seroquel, Abilify, Geodon) can cause long-term psycosis after kids are withdrawn from them. I'm just the messenger. Here's the info. Click on the link, scroll downt o narcoleptic (antipsychotic) usage and withdrawal. That's what you want. Sorry about the big print. I can't get rid of it. Just click on the link and read there. It's easier.
It looks like the CT Department of Retardation recognizes what Sara suspects about symptoms of antipsychotic discontinuation...
NEUROLEPTIC DOSE REDUCTION PROTOCOL
http://www.dmr.state.ct.us/publications/centralofc/hcs_ma91- 1.htm
Psychotic Relapse:
Psychosis, which is a result of neuroleptic withdrawal and may occur from hours to months following neuroleptic reduction or withdrawal. Psychotic signs or symptoms may include hallucinations, delusions, thought disorder or bizarre behavior.
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Early Warning Signs of Psychotic Relapse
Early warning signs are behaviors or symptoms that occur prior to a severe psychotic relapse. If such behaviors can be recognized and the medication dose increased, a severe exacerbation can be avoided. These signs are listed in Appendix A, with a suggested checklist for documentation in Appendix B.
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3 sons
#1 age 19 - Eagle Scout, College Student, wonderful kid
#2 age 18 - Sweetie w/ADD, guitar freak, wonderful kid
#3 age 13 - Bipolar, video game junkie, wonderful kid
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Debbie MA
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Reged: 07/15/04
Posts: 24
Loc: MA
Re: Sara PA - would like more info [Re: Debbie MA]
#108597 - 06/12/06 04:35 PM
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From Appendix A mentioned above.
DMR MEDICAL ADVISORY # 91-1
APPENDIX A
TABLE 1: EARLY WARNING SIGNS CHECKLIST
Early warning signs of psychotic relapse can include the occurrence of the following
symptoms within days to weeks following neuroleptic dose reduction.
Before increasing neuroleptic dose, document the frequency and intensity of these
behaviors for at least three days.
In some cases, the intensity or frequency of the behavior may warrant a dose increase
before three days. Such decisions should occur after the physician examines the
individual and has an opportunity to discuss the plan with the treatment team.
· Sleep Changes
· Appetite Changes
· Occurrence of Aggressive Behaviors
____________Toward Self
____________Toward Others
____________Toward Objects
· Changes in motor activity: walking, running, pacing
· Talking non-sensically, screaming, making excessive or inappropriate noise
· Laughing or giggling
· Crying or sobbing with tears
· Sedation
· Lack of interest in usual activities
· Seclusiveness – spending unusual amounts of time alone
· Shaking, trembling and other involuntary movements
· Sweating
· Incontinence
· Preoccupation with one or two things
· Appearing too excited or agitated
Other
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3 sons
#1 age 19 - Eagle Scout, College Student, wonderful kid
#2 age 18 - Sweetie w/ADD, guitar freak, wonderful kid
#3 age 13 - Bipolar, video game junkie, wonderful kid
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Sara PA
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Reged: 06/02/04
Posts: 2157
Loc: Pennsylvania
Re: Sara PA - would like more info [Re: Debbie MA]
#108599 - 06/12/06 04:45 PM
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Thanks Debbie. Interesting that is called "Psychotic Relapse" but then go on to say it is "Psychosis, which is a result of neuroleptic withdrawal ....." They don't say that the "relapse" is the result of neuroplectic withdrawal, but the "psychosis" is.
I'd like to find something that doesn't use the word "relapse" which implies that everyone taking an AP was psychotic to begin with. We know that isn't true. Or, in some cases, the psychosis was the result of adverse reactions to another drug, generally an antidepressant. If the antidepressant has been removed previously, then there shouldn't be a "relapse" when the AP is removed.
Or so it would seem.
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Sara PA
Son 20, first diagnosed MDD, then bipolar and other things after gradual psychotic reaction to ADs. Now PTSD because of the AD psychosis; real disorder is temporal lobe partial seizures made worse by medications. Discontinued all meds, doing much better.
Dyslexic. Can't type, can't spell and can't proofread so just overlook the errors.
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Debbie MA
stranger
Reged: 07/15/04
Posts: 24
Loc: MA
Re: Sara PA - would like more info [Re: Sara PA]
#108600 - 06/12/06 05:07 PM
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