What Causes Difficulty In Walking After Taking Perphenazine?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Wed, 16 Apr 2014
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Wed, 16 Apr 2014
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Sat, 3 May 2014
                                                
                                                
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                                            Question : am on perphenazine since 1987    hospitalized the initial time... recently I find myself unable to go upstairs or even walk across the pool in my development.  why?  
                            
                                    Brief Answer:
Antipsychotics cause movement disorders
Detailed Answer:
Hi dear.Thanks for writing on HCM.
Perphenazine is  a antipsychotic and I would like to know if you have been prescribed for Schizophrenia.
Musculoskeletal problems ranging from numbness and aching of arms and legs to dystonias - slow, sustained muscular contractions or spasms are the side effect (extrapyramidal side effects-EPS) of Perphernazine.
I were to gradually switch to any of the second generation (which are devoid of EPS) like Olanzapine instead of Perphenazine to overcome this limitation.  
Hope this answers your query.
                                    
                                    
                                    
                                    
                                    
                             Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    yes am according to progress notes am paranoid schizophrenia.
however, there is no muscular contractions or spasms
where I use to go up stairs.. I have a fear of going up too many and end up going back down.
the pool.. I cannot swim anyway, but I enjoy walking the pool... now it seems I am afraid to enter the pool
why?   
                                
                            
                                    Brief Answer:
Anxiolytic to overcome your fear
Detailed Answer:
Hi dear.Thanks for writing me back.
In such case, I wouldo add a mild anxiolytic in addition to your existing treatment to overcome your fear. Since you do not appear to have any limitations in your movements you may continue the same medication as per your MD's advise.
Wish your all the best.
                                    
                                    
                                    
                                    
                                    
                             Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Prasad
                                  
                              
                                         
 
                                    
                                    
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