Posted by ed_uk on October 9, 2005, at 15:57:41
In reply to Re: Help!! mom needs serious help, posted by linkadge on October 9, 2005, at 14:23:37
Hi Link
Stelazine is a high potency AP, very different to Mellaril.
Chlorpromazine (Largactil, Thorazine) is closer to Mellaril.
Mellaril is a strongly anticholinergic drug, much more so than Zyprexa. Abrupt withdrawal of Mellaril can cause delirium, it must always be tapered gradually.
Sudden withdrawal of Mellaril provokes an 'anticholinergic rebound'. Paradoxically, confusion is a symptom. Your mom needs an anticholinergic antipsychotic with significant D2 blockade. Ideally, your mom should return to Mellaril and taper gradually. If she doesn't have any Mellaril left, Largactil can be used as a substitute.
~Ed
poster:ed_uk
thread:564836
URL: http://www.dr-bob.org/babble/20051003/msgs/564917.html