Moderator Emeritus ChessieCat Posted March 19, 2018 Moderator Emeritus Share Posted March 19, 2018 On 27/02/2018 at 9:31 AM, Boomer said: Does anyone know of a website that explains how a particular drug is metabolised please? https://www.drugbank.ca/ * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Boomer Posted March 19, 2018 Author Share Posted March 19, 2018 10 minutes ago, ChessieCat said: https://www.drugbank.ca/ Thank you. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted March 29, 2018 Author Share Posted March 29, 2018 Hi - Just needing some assistance with tapering the Olanzapine please. We have made previous reductions of 1.25mg then .625mg and another reduction of .625, holding each reduction for a month. We are now at 10mgs. I have just realised that perhaps I should have made a 10% reduction as I cannot continue to reduce at .625mg as doing it that way the percentage is going up. It just seemed easier to cut a 2.5mg tablet into 4 and we thought it might be easier for hubby . This last reduction wasn't too difficult for him. Not sure how to do the next reduction. Shall I start from 10% and if so how on earth do I work out the cuts with the scales? Using the excel sheets on the Tapering forum it asks for the amount and weight. Do I weight a 5mg and two x 2.5mg to find out the weight? Any help would be great please? Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted March 29, 2018 Administrator Share Posted March 29, 2018 Yes, you can continue with 10% decreases. See Tips for tapering off olanzapine (Zyprexa) To use the weighing method, get a baseline weight for each tablet. For example, a 10mg olanzapine tablet might weigh 19mg as it contains fillers. 10% of 19mg is 1.9mg. (YOU WILL NEED TO WEIGH YOUR ACTUAL TABLET. I DO NOT KNOW HOW MUCH YOUR 10MG OLANZAPINE TABLET WEIGHS.) You would subtract the weight of 10% of the tablet from the entire tablet weight. The Excel spreadsheets will help with the other reductions. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted March 29, 2018 Author Share Posted March 29, 2018 2 hours ago, Altostrata said: Yes, you can continue with 10% decreases. See Tips for tapering off olanzapine (Zyprexa) To use the weighing method, get a baseline weight for each tablet. For example, a 10mg olanzapine tablet might weigh 19mg as it contains fillers. 10% of 19mg is 1.9mg. (YOU WILL NEED TO WEIGH YOUR ACTUAL TABLET. I DO NOT KNOW HOW MUCH YOUR 10MG OLANZAPINE TABLET WEIGHS.) You would subtract the weight of 10% of the tablet from the entire tablet weight. The Excel spreadsheets will help with the other reductions. Thank you Alto I didn't explain properly as hubby takes 5mg evening and 5mg morning making a total of 10mg. We were going to reduce the 5mg morning dose. We have 5mg and 2.5mg tabs on hand to help make it easier to reduce. So how do I make the reduction? He has handled the .625mg cut which is 1/4 of a 2.5mg tab. I guess we try the 10% reduction and if too much then next reduction we reduce by 5%? Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted March 29, 2018 Administrator Share Posted March 29, 2018 If all you want to do is reduce the 5mg morning dose, he should be fine with a 10% reduction of that dose. It's only a 5% reduction of the entire daily dose, so you'll be going extra carefully already. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 1, 2018 Author Share Posted April 1, 2018 It was suggested to give my husband a Calcium Magnesium mixture to assist with anxiety etc. Has anyone used this or know whether it is useful please? Put 1 level tablespoon of calcium gluconate in a normal-sized drinking glass. Add one half level teaspoon of magnesium carbonate. Add 1 tablespoon of cider vinegar (at least 5 % acidity). Stir it well. Add one half glass of boiling water and stir until all the powder is dissolved and the liquid clear. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Moderator Emeritus ChessieCat Posted April 1, 2018 Moderator Emeritus Share Posted April 1, 2018 Calcium and magnesium should be taken separately. I'll try and find where it is. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Moderator Emeritus ChessieCat Posted April 1, 2018 Moderator Emeritus Share Posted April 1, 2018 On 12/7/2011 at 1:21 PM, Altostrata said: When I had waves of withdrawal anxiety, I found mixing mag citrate powder in ice water and sipping it to be very calming. For those of us coping with withdrawal, taking magnesium apart from calcium makes sense. Magnesium is "nature's calcium channel blocker," that's how it's calming. If calcium is competing for the calcium channel, magnesium can't do its calming work. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Boomer Posted April 1, 2018 Author Share Posted April 1, 2018 1 minute ago, ChessieCat said: Calcium and magnesium should be taken separately. I'll try and find where it is. ChessieCat it is calcium gluconate and magnesium carbonate. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted April 1, 2018 Author Share Posted April 1, 2018 1 minute ago, ChessieCat said: okay thanks - I just wondered whether it being Calcium Gluconate and Magnesium Carbonate - it may be different to the ordinary Calcium and Magnesium? But it doesn't make a difference?? Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted April 1, 2018 Author Share Posted April 1, 2018 On 3/30/2018 at 8:28 AM, Altostrata said: If all you want to do is reduce the 5mg morning dose, he should be fine with a 10% reduction of that dose. It's only a 5% reduction of the entire daily dose, so you'll be going extra carefully already. We plan to reduce the 10mg as there is still conflict using medication but will use the 5mg first to reduce as we are using 2 x 5mg. Is it advisable to reduce always decreasing the percentage or is it okay to reduce even if percentage increases but as long as the reduction is 10% or under? For example if we remove 1/4 each time using a 2.5mg tab .625mg = 6.25% .625mg = 6.67% .625mg = 7.14% .625mg = 7.69% Once we get him down to say 5mg then hold for a few months then reduce slower. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 2, 2018 Administrator Share Posted April 2, 2018 20 hours ago, Boomer said: .625mg = 6.25% .625mg = 6.67% .625mg = 7.14% .625mg = 7.69% This schedule should be okay -- but it depends on how he reacts to it. Are you keeping daily notes on paper about symptoms, when he takes his drugs, and their dosages? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
DaveB Posted April 2, 2018 Share Posted April 2, 2018 20 hours ago, Boomer said: We plan to reduce the 10mg as there is still conflict using medication but will use the 5mg first to reduce as we are using 2 x 5mg. Is it advisable to reduce always decreasing the percentage or is it okay to reduce even if percentage increases but as long as the reduction is 10% or under? For example if we remove 1/4 each time using a 2.5mg tab .625mg = 6.25% .625mg = 6.67% .625mg = 7.14% .625mg = 7.69% Once we get him down to say 5mg then hold for a few months then reduce slower. How is he doing? Still one good day one bad? Has his baseline improved? 2008 - October 28th, 2016: Zoloft 50 - 150 mgs, settled on 50mgs from 2011 - 2016. January 23rd - March 1st 2017: Zoloft 50mgs, direct switch to Lexapro. March 1st - May 1st 2017: Lexapro 10 mgs, down to 5mgs for a week, then off. June 1st - July 31st 2017: Paxil 20mgs, Lyrica 600mgs August 1st - September 30th 2017: Paxil 40mgs, Zyprexa 2.5mgs October 1st - November 12th 2017: Paxil 60mgs, Zyprexa 2.5mgs November 12th, 2017 - September 4th 2018: Paxil 40mgs, Zyprexa 2.5mgs September 4th - September 27th: Paxil 30mgs, Zyprexa 2.5mgs September 28th - November 7th: Paxil 20mgs, Zyprexa 2.5mgs (Also Testosterone Therapy started in June 2018 and ended in November 2018) November 7th 2018 - February 22nd 2019: Paxil 10mgs, Zyprexa 2.5mgs February 22nd 2019 - April 17th: Zyprexa 2.5mgs, Klonopin 1mgs April 17th - Now: Zoloft 25mgs, Zyprexa 2.5mgs, Klonopin .5mgs Link to comment
Boomer Posted April 2, 2018 Author Share Posted April 2, 2018 2 hours ago, Altostrata said: This schedule should be okay -- but it depends on how he reacts to it. Are you keeping daily notes on paper about symptoms, when he takes his drugs, and their dosages? Yes I am but the symptoms aren't consistent. The only symptom that is consistant is that he wakes up extremely fearful. Fearful of everything! The fourth day after last reduction he was for the first time in a year back to his old self for the day. This has not continued to that extent but we have had five settled evenings in a row which is unusual but great. we have been reducing the Propranolol slowly after he kept experiencing dizziness and would fall to the ground upon standing! Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 3, 2018 Administrator Share Posted April 3, 2018 How have you been reducing the propranolol? Has the faintness gone away? You know we advise against changing two drugs at once. It gets very confusing, then you're back to the doctor and on more drugs. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 5, 2018 Author Share Posted April 5, 2018 On 4/3/2018 at 2:51 PM, Altostrata said: How have you been reducing the propranolol? Has the faintness gone away? You know we advise against changing two drugs at once. It gets very confusing, then you're back to the doctor and on more drugs. Have reduced the propranolol slowly 10mg per week. The faintness has gone. But it seems like once the Olanzapine is reduced then the Propranolol appears too high and he has blood pressure dropping too quickly or his blood pressure is far too low! Bummer about shouldn't reduce the Propranolol, thought it would be okay! It worries me about his Blood Pressure dropping too low! Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted April 5, 2018 Author Share Posted April 5, 2018 On 4/3/2018 at 5:27 AM, DaveB said: How is he doing? Still one good day one bad? Has his baseline improved? Hi DaveB - thanks for asking. He is still not settled and is experiencing good day bad day. There is some improvement and he can manage his bad day better. He has some unusual thinking at times but I guess that is to be expected with reducing. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 5, 2018 Administrator Share Posted April 5, 2018 How often are you reducing propanolol? How much is he taking now? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 5, 2018 Author Share Posted April 5, 2018 1 hour ago, Altostrata said: How often are you reducing propanolol? How much is he taking now? 10mg per week except when reducing Olanzapine. He is on 290mg per day, I have changed signature. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 5, 2018 Administrator Share Posted April 5, 2018 That seems okay to me. Just be sure to wait a while after he changes olanzapine, to see the effect of that decrease, before decreasing propanolol. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 18, 2018 Author Share Posted April 18, 2018 On 4/6/2018 at 10:06 AM, Altostrata said: That seems okay to me. Just be sure to wait a while after he changes olanzapine, to see the effect of that decrease, before decreasing propanolol. okay thank you. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted April 18, 2018 Author Share Posted April 18, 2018 My husband is experiencing what could be called panic attacks, although there is no shaking but there is fear in his eyes and pupils can be dilated and he stares. He seems to experience what he calls a feeling and this causes him to withdraw and is unable to speak. Its like he goes into a place where he says he gets locked in and can't get himself out straight away. He does eventually come out of it. I hope somebody will be able to understand what I am trying to say. He shakes his head and blinks and comes out of it. Just wondering if anyone on this forum would have any ideas please? Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Boomer Posted April 18, 2018 Author Share Posted April 18, 2018 On 12/20/2017 at 6:01 PM, Undiagnosed1 said: I would also be worried about the mirt CT it hit me really hard. I'm 10 months out and struggling. I wanted to drop by and weigh in on the beta blocker ordeal. I had been quickly eliminating drugs for many months trying to figure out what was causing me to feel so depressed and almost psychotic daily. I eliminated or reduced all my drugs except one the beta blocker with no reduction in symptoms. I started cutting the beta blocker "coreg" and things started to change quickly managed to get off in about two months ( not recommended ) psychotic feeling went away depression went way down and here's the kicker my BP came down a fair amount. Unfortunately I'm paying for reducing other drugs to fast. But I knew there was cause for feeling the way I did. Never in a million years would have blamed the beta blocker... Thanks for the information on the Beta Blocker. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 18, 2018 Administrator Share Posted April 18, 2018 Boomer, what does your husband say is going on when he has these spells? What is the feeling? It could be The Windows and Waves Pattern of Stabilization What are his other health problems? What other drugs is he taking now? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 25, 2018 Author Share Posted April 25, 2018 On 4/19/2018 at 5:54 AM, Altostrata said: Boomer, what does your husband say is going on when he has these spells? What is the feeling? It could be The Windows and Waves Pattern of Stabilization What are his other health problems? What other drugs is he taking now? He just describes it as being locked in. He says he can hear me speak and is trying to process what I am saying. But since I last wrote on this forum - I notice he has a fixation on eating food - usually lunch. I don't know if you call it an episode of psychosis where he tenses up and becomes scared, doesn't want to eat. He forces the food down and when I ask what is wrong he says he frightened it gone down the wrong way! Is this Psychosis? One of my previous posts the person said that the beta blocker caused him psychosis! Hubby can be just like his old self, and then have one of these episodes come out of it! He says he feels silly carrying on that way! He is now only on Olanzapine, Propranolol and Effexor. What drug would be causing this - I guess that is the big question. He had a Head Injury in 1983. No other health issues. He is displaying Parksonian symptoms which may be drug induced - we hope! Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 25, 2018 Administrator Share Posted April 25, 2018 "Locked in" sounds like he might be experiencing sensor deadening from the drugs. Can you reassure him this will decrease as he decreases the drugs? Otherwise, it could be he has some cognitive issues as well. You'll have to delve further into why he's worried about eating. Maybe his insides feel funny, or his throat is dry and he's afraid of choking. Or he could have an irrational fear of food. When you say Parkinsonian symptoms, what do you mean? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 25, 2018 Author Share Posted April 25, 2018 57 minutes ago, Altostrata said: "Locked in" sounds like he might be experiencing sensor deadening from the drugs. Can you reassure him this will decrease as he decreases the drugs? Otherwise, it could be he has some cognitive issues as well. You'll have to delve further into why he's worried about eating. Maybe his insides feel funny, or his throat is dry and he's afraid of choking. Or he could have an irrational fear of food. When you say Parkinsonian symptoms, what do you mean? Thanks I will reassure him it could be sensor deadening from the drugs. He says he has an irrational fear of food. When you say Parkinsonian symptoms, what do you mean? Sorry wrong spelling. What drugs cause drug-induced parkinsonism? Any drug that blocks the action of dopamine. (referred to as a dopamine antagonist) is likely to cause parkinsonism. At times he has symptoms of Parkinson (slight bobbing movement, shuffling gait, blank stare (maybe this is what his locked in is!), difficulty swallowing (maybe this is why he fears eating), ,neck tightness, trembling. At this stage his fear of food is at lunchtime. He takes Olanzapine at 10am and SRPropranolol at 11am! Would one of these drugs be the cause? Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 25, 2018 Administrator Share Posted April 25, 2018 Boomer, we always come back to this: You have to ask him what he's feeling. You can't work backward from the drug. It's very, very difficult for me to feel confident about making guesses for someone who can't answer questions here. Ask him if his throat feels tight early in the day and if it get worse later in the day. You have to keep track of the symptom pattern relative to when he takes the drugs. Is he okay about eating before he takes olanzapine? Does he become afraid after taking olanzapine? If so, when? What changes after he takes olanzapine? Does anything change for him? Olanzapine would cause worse adverse effects than propanolol, but he could be developing Parkinson's or other tremor independently. When he has a blank stare, what is he thinking? Is he unable to communicate verbally? Can he write or use sign language? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 26, 2018 Author Share Posted April 26, 2018 15 hours ago, Altostrata said: Boomer, we always come back to this: You have to ask him what he's feeling. You can't work backward from the drug. It's very, very difficult for me to feel confident about making guesses for someone who can't answer questions here. Ask him if his throat feels tight early in the day and if it get worse later in the day. You have to keep track of the symptom pattern relative to when he takes the drugs. Is he okay about eating before he takes olanzapine? Does he become afraid after taking olanzapine? If so, when? What changes after he takes olanzapine? Does anything change for him? Olanzapine would cause worse adverse effects than propanolol, but he could be developing Parkinson's or other tremor independently. When he has a blank stare, what is he thinking? Is he unable to communicate verbally? Can he write or use sign language? Boomer, we always come back to this: You have to ask him what he's feeling. Alto - I ask him and try and get as much information from him as possible but he finds it difficult to explain. All he says is it is an irrational fear. During those episodes he won't answer me. He is just so full of fear! And he has just told me tonight his mind goes blank. I apologise for the lack of information but I do ask and he can't explain! Thanks anyway for trying to assist. One other problem has just happened the other night and then again tonight and that is "food is getting stuck at the top of his stomach". Interestingly he is very calm when this happens. It sounds like he has Reflux as we notice gurgling sounds carrying on in the mornings! Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 26, 2018 Administrator Share Posted April 26, 2018 Ask him to point where the top of his stomach is. Does it hurt? When does this happen? How often does it happen? Does he get any exercise? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 26, 2018 Author Share Posted April 26, 2018 1 hour ago, Altostrata said: Ask him to point where the top of his stomach is. Does it hurt? When does this happen? How often does it happen? Does he get any exercise? Below the neck is where the food gets stuck and it causes a tightness across his chest. It has only occurred twice in his life and that was this week. Has never suffered from this or morning gurgling noises in his stomach with a type of hiccup or spasm in the past but it has ocurred since taking Olanzapine or Propranolol. He exercises every day, mainly low grade mountain biking. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 26, 2018 Administrator Share Posted April 26, 2018 Below the neck is his esophagus, not his stomach. Please keep notes about when this happens. Once or twice is not a pattern. Is he able to keep his own notes? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 26, 2018 Author Share Posted April 26, 2018 14 minutes ago, Altostrata said: Below the neck is his esophagus, not his stomach. Please keep notes about when this happens. Once or twice is not a pattern. Is he able to keep his own notes? He is not able to keep own notes. I wish he could. He cant even explain what is going on. The food being stuck in esophsgus has occurred twice. I have noted dates. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
Administrator Altostrata Posted April 26, 2018 Administrator Share Posted April 26, 2018 Did the food get stuck before or after he took olanzapine? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
Boomer Posted April 26, 2018 Author Share Posted April 26, 2018 1 hour ago, Altostrata said: Did the food get stuck before or after he took olanzapine? He had his olanzapine medication at 9.30am and food got stuck at 7.30pm which was before his evening olanzapine medication. Effexor Brand changed over to Enlafax XR sometime during the first three months of 2017. Reduced to 12.5mg Olanzapine, last reduction 25/4/17 on advice from PDoc to reduce the severe Akathesia, Panick Attacks and other disabling symptoms. 7/4/17 Propronolol @ 40mg x 3 times per day increasing as required. 160mg Slow Release x 3 times per day for disabling Panic Attacks. 15/5/17 medication mix up, somewhere prior Mirtazapine increased to 60mg per day. PDoc concerned of Seratonin Syndrome reduced to 30mg per day. 21/6/17 Effexor 37.5mg reduced. 22/8/17 Mirtazapine reduced 15mg. 14/9/17 Developed GERD added 40mg Omeprazole x 1, 200mg x1 Ferrous Fumarate, 17/9/17 Propranolol dosage between 320mg to 400mg 3 to 4x per every second day for disabling Panic Attacks. 17/9/17 Current Medication: 12.5mg Olanzapine, 187.5mg Enlafax XR, 15mg Mirtazpine, Propranolol Slow Release 160mg x 3 pd, Propranolol 320mg to 400mg x 3 or 4 x perday. 40mg Omeprazole x 1, 200mg x 1 Ferrous Fumarate 29/9/17 Propranolol Slow Release 160mg x 3pd, Propranolol 120mg x 3 pd = 840mg per day. 9/10/17 Propranolol Slow Release 160mg x 3 per day, Propranolol 80mg x 3 per day = 720mg per day. Increased 10/9/17 Propranolol 840mg per day. 14/10/17 Reduced Mirtazapine to13.5mg 18/10/17 Removed Mirtazpine 13.5mg 23/10/17 Reducing Propranolol by 10mg every second day down to 400mg per day. 13/12/17 Now at 400mg Propranolol per day - holding. 20/12/17 Reduced Olanzapine by 10% to 11.25mg. 21/1/18: Reduced Olanzapine by .625mg Reducing Propranolol by 10mg per week. 8/3/18 Reduced Olanzapine by .625mg . 6/4/18 Reduced .625mg Olanzapine. 4/5/18 Reduced .625 Olanzapine 31/5/18 Changed from Propranolol 160 SR to Propranolol 160. 8/6/18 Morning Olanzapine changed to wafer and reduced by .10mg. 15/6/18 Reduced Olanzapine by .10mg per week Current Medication: 8.345mg Olanzapine; 187.50 Enlafax SR; Propranolol 55mg x 4 per day. Minimum 30mins exercise per day. Fortisip x 2 per day. 6/7/18 Admitted to Hospital with Chronic Aspiration Pneumonia - medications reduced. 8/11/18 Effexor XR 75mg morning and 37.5mg evening, Madopar Rapid 62.5mg x 4 per day. Link to comment
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