Benzos vs benztropine for EPS in the elderly
So I got an outpatient consult recently for med recs on an 65ish year old lady with well-documented late-onset schizophrenia (onset around 52-53) who has been on Invega LAI for years and done very well with it. Patient and daughter are adamant about staying on it, as apparently previous periods without meds were disastrous. She's also been taking benztropine 1 mg BID for EPS (appears to be parkinsonism and akathisia) and clonazepam 1 mg daily for anxiety. When clonazepam was previously...
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Source: Student Doctor Network - November 25, 2022 Category: Universities & Medical Training Authors: Stagg737 Tags: Psychiatry Source Type: forums
When to start an anticholinergic on Haldol?
Hi,
So I'm trying to find literature to support starting Benztropine on a young guy in his 20's who is on Haldol. My attending is against it, however, I am truly concerned about him having EPS symptoms. We are only doing Haldol 5 mg BID, but will plan on doing Decanoate later on as we uptaper the dose.
If anyone has any guidelines they have for this, I'd love to hear them.
Also, for Risperdal and Atypicals like Zyprexa, do you guys typically do Benztropine?
My logic is, he is young and...
When to start an anticholinergic on Haldol? (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2017 Category: Universities & Medical Training Authors: cyano22 Source Type: forums
