Hello Everyone. There have been a lot of questions about atypical anti-pyschotics(AAP's) lately, primarily dealing with their long term side effects. With the help of The Center for Addiction and Mental Health( a teaching hospital in Ontario) and a few other websites I have prepared what you might encounter in the long run taking them. Invega is not on the list as it is relatively new but many of the same side effects may be expected. These are all long term ones, not the short term stiffness etc you may expect.
The Chart goes from Highest and most likeky to cause something down to the med with the least potential for problems.
weight gain, diabetes : clozaril> zyprexa> seroquel> risperidone> zeldox>abilify
Movement effects, tremors stiffness, agitation(akathisia): risperidone> zyprexa, seroquel,zeldox, abilify
Sedation, low energy : clozaril, zeprexa seroquel> risperidone> zeldox
and abilify.
Decresed *** drive, missed periods,discharge from breasts: risperidone> zyprexa> seroquel> clozaril and abilify
The above chart is out of a current brochure by CAMH. They also state that all antipsychotics can cause Tardive Dykinesia.(TD) That's a condition that casues people to have repetive involuntary movements. They can range from mild to severve. I roll my first two fingers and thumb together all the time, barely noticable, but my doc imediately cut me off daily use AAP's. TD is usually permanent. It can cause very serious facial movements, involuntarily sticking out the tongue etc.
CAMH estimates that the average long term user has a 5% change per yr of getting TD. I got mine in about 5 and I know people who have never been bothered by it, so average does not guarentee anything. Women are twice as men to get this.
AAP's can also cause serious Akathisia which are involuntary tics or twitches often like restless leg syndrome only more severe. If you have to take an AAP you can talk to your doc about various meds tocontrol that. I know it's not great adding another med, but sometimes we have no choice.
Some unlucky people may feel wired on the AAP. It's supposed to cure that, but for some reason an AAP will make a person feel worse. A few really unlucky people will feel wired and tired on an AAP. The only solution for these two problems is to give the med a good try and if nothing changes stop taking it.
If you smoke, you will probably need more of this type of med, if you drink a lot of coffee you will probably need less. Docs can adjust for this.
Antiacids can prevent your AAP from being asborbed. Allow two hrs between taking one and taking your AAP.
Never suddenly stop taking your AAP, always talk to a doc.
One drink will probably have the effect of two or three so watch your booze.
Street drugs or pot, your kidding right?
Anything to do with pregnancy, www.motherrisk.org
Old people like myself have a lower tolernance to these meds in general. Plus due to dizzeness etc falls are more common.
Hope this helps. No one can explain everything on a forum like this. Take Care. paul m
The Chart goes from Highest and most likeky to cause something down to the med with the least potential for problems.
weight gain, diabetes : clozaril> zyprexa> seroquel> risperidone> zeldox>abilify
Movement effects, tremors stiffness, agitation(akathisia): risperidone> zyprexa, seroquel,zeldox, abilify
Sedation, low energy : clozaril, zeprexa seroquel> risperidone> zeldox
and abilify.
Decresed *** drive, missed periods,discharge from breasts: risperidone> zyprexa> seroquel> clozaril and abilify
The above chart is out of a current brochure by CAMH. They also state that all antipsychotics can cause Tardive Dykinesia.(TD) That's a condition that casues people to have repetive involuntary movements. They can range from mild to severve. I roll my first two fingers and thumb together all the time, barely noticable, but my doc imediately cut me off daily use AAP's. TD is usually permanent. It can cause very serious facial movements, involuntarily sticking out the tongue etc.
CAMH estimates that the average long term user has a 5% change per yr of getting TD. I got mine in about 5 and I know people who have never been bothered by it, so average does not guarentee anything. Women are twice as men to get this.
AAP's can also cause serious Akathisia which are involuntary tics or twitches often like restless leg syndrome only more severe. If you have to take an AAP you can talk to your doc about various meds tocontrol that. I know it's not great adding another med, but sometimes we have no choice.
Some unlucky people may feel wired on the AAP. It's supposed to cure that, but for some reason an AAP will make a person feel worse. A few really unlucky people will feel wired and tired on an AAP. The only solution for these two problems is to give the med a good try and if nothing changes stop taking it.
If you smoke, you will probably need more of this type of med, if you drink a lot of coffee you will probably need less. Docs can adjust for this.
Antiacids can prevent your AAP from being asborbed. Allow two hrs between taking one and taking your AAP.
Never suddenly stop taking your AAP, always talk to a doc.
One drink will probably have the effect of two or three so watch your booze.
Street drugs or pot, your kidding right?
Anything to do with pregnancy, www.motherrisk.org
Old people like myself have a lower tolernance to these meds in general. Plus due to dizzeness etc falls are more common.
Hope this helps. No one can explain everything on a forum like this. Take Care. paul m
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