Switching haldol decanoate to oral

The presence and severity of akathisia can be measured using the Barnes Akathisia Scale , [27] [28] which assesses both objective and subjective criteria. [27] Precise assessment of akathisia is problematic, as it is difficult to differentiate from a multitude of disorders with similar symptoms. In a study of movement disorders induced by neuroleptics, akathisia was found in only 26% of patients originally diagnosed with akathisia. [11] The primary distinguishing features of akathisia in comparison with other syndromes are primarily subjective characteristics, such as the feeling of inner restlessness. [29] Akathisia can commonly be mistaken for agitation secondary to psychotic symptoms or mood disorder , antipsychotic dysphoria, restless legs syndrome (RLS), anxiety, insomnia , drug withdrawal states, tardive dyskinesia , or other neurological and medical conditions. [17]

Antidepressant medications are the primary medical treatment for the depressive symptoms of bipolar disorder. Examples of antidepressants that are commonly prescribed for that purpose include serotonergic (selective serotonin reuptake inhibitor or SSRI) medications like fluoxetine ( Prozac ), sertraline ( Zoloft ), paroxetine ( Paxil ), citalopram ( Celexa ), escitalopram ( Lexapro ), vortioxetine (Trintellix), and vilazodone (Viibryd); there are also combination serotonergic/adrenergic medications (SNRIs) like venlafaxine ( Effexor ), duloxetine ( Cymbalta ), desvenlafaxine ( Pristiq ), and levomilnacipran (Fetzima), as well as bupropion ( Wellbutrin ), which is a dopaminergic antidepressant. While antidepressant medication remains a mainstay of treatment for the sadness of bipolar disorder, the prescribing physician will remain watchful since there is some risk that antidepressants can induce a manic or near-manic (hypomanic) episode or to the rapid mood-cycling pattern of symptoms.

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It is very important for patients to not feel too discouraged if the first medications used are less than optimally effective or that there are problematic side effects. A sign of a competent and compassionate psychiatrist is her willingness to be persistent in carrying out systematic medication trials until the best treatment is finally identified. Sometimes side effects can be minimized; however, many people end up having to find ways to tolerate some side effects. Obviously, this is not pleasant, but is ultimately necessary to reduce or eliminate severe mood swings. Unfortunately, a very small number of people are simply unable to tolerate any bipolar medications.

Switching haldol decanoate to oral

switching haldol decanoate to oral

It is very important for patients to not feel too discouraged if the first medications used are less than optimally effective or that there are problematic side effects. A sign of a competent and compassionate psychiatrist is her willingness to be persistent in carrying out systematic medication trials until the best treatment is finally identified. Sometimes side effects can be minimized; however, many people end up having to find ways to tolerate some side effects. Obviously, this is not pleasant, but is ultimately necessary to reduce or eliminate severe mood swings. Unfortunately, a very small number of people are simply unable to tolerate any bipolar medications.

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