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When do you consider using multiple antipsychotic medications for chronic management of psychosis?

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Mednet Member
Mednet Member
Psychiatry · Maine Medical Center Outpatient Adult Psychiatry

I've used multiple antipsychotics in three different types of scenarios:

  1. Finding a good benefit when you're in the middle of a cross-titration (e.g., cross-titrated olanzapine to ziprasidone due to sedation and weight gain; ziprasidone monotherapy was less effective, but adding back 5 mg olanzapine...

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Mednet Member
Mednet Member
Psychiatry · Hollywood Mental Health Services

I use a second antipsychotic at times, mainly another generation for treatment-resistant hallucination and paranoia when clozapine is not an option for the patient (poor adherence to weekly blood draws). There is always a challenge to balance pros and cons, but at the end of the day, the quality of ...

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