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Suggest Treatment For Akathisia

Posted on Fri, 2 Jan 2015

Question: Do you know of any new studies or advances for treatment of my son's condition? what is the most commonly used medication for akathisia? Remedy for dysphoria?

Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Brief Answer:
Most commonly B blockers are used for akathisia

Detailed Answer:
Hello,
Thanks for using helthcaremagic.

I read your query and understand your concerns.

The treatment of schizoaffective disorder is possible and more than two thirds of patients with it live normal or near normal life. Other than this as it is episodic disorder in majority, many times patient manages without medication although it is not a recommended strategy. There is no recent break through or study which says it can be cured but as usual symptomatic treatment is possible.

Similar prognosis holds for ADHD.

I like to emphasize here that people who get psychiatric illness following substance abuse have better prognosis in compare to their counterparts who develop schizoaffective without any inducer or substance.

Regarding treatment of AKathisia B blockers are most preferred medication although few psychiatrists prefer anticholinergics. The example of b blockers are metoprolol, propranolol and lot more.

Regarding treatment of dysphoria the treatment is dependent on severity and primary disorder causng it. For people with mood disorder there may be usefulness of mood stabilizers but for vast majority antidepressant are preferred treatment.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Dr Ashok Kumar

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Ashok Kumar Choudhary (2 hours later)

Do you think it likely that his current dose of remeron 45 mg @ hs and propanolol 15 mg bid need to be increased? He is having problems with both akathisia and dysphoria. The vitamin D and omega 3-6-9 help a bit. He has a SAD light but has to use it sparingly because he gets insomnia.

Answered by Dr. Dr. Ashok Kumar Choudhary (4 hours later)

Brief Answer:
Yes it can be increased

Detailed Answer:
Hello,
Thanks for reverting back to me.

The effective dose of remeron is 30 to 60 mg and any dose between this range can be effective. If his symptoms are not in proper control that the dose can beincreased to 60 mg after consulting his doctor.

In regard to propraolol it can be increased safely as the current dose is below effective dose. The effective dose of propranolol in adults is 40-240 mg per day and currently he is receiving 30 mg per day.

Having said this a change in medication should be done under guidance of treating doctor and he should be informed before making any change.

I hope this clears the situation for you.
If you have any more questions feel free to write back to me.
Thanks and regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Ashok Kumar Choudhary (44 minutes later)

Thanks. Yes, he will discuss with his psychiatrist soon. The appt today was cancelled so hopefully next week. Dr has the flu.

Answered by Dr. Dr. Ashok Kumar Choudhary (49 minutes later)

Brief Answer:
Thanks again

Detailed Answer:
Hello,
Thanks for your feedback.

If you do not have any query, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards
Dr Ashok

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju