Can Fluphenazine And Risperidone Cause Akathisia?
Fluphenazine can also cause akathesia
Detailed Answer:
Hello thanks for asking from HCM
Please describe in details what were your symptoms?
Why did the doctor advise you to take Risperidone?
Any history of pervasive depressed mood, suspiciousness or psychotic symptoms?
Any serious anxiety and restlessness?
Risperidone is a second generation antipsychotic drug. Fluphenazine is not a generic version of Risperidone but is different drug. the drug belongs to first generation antipsychotic drugs. Even in high dose these drugs result in akithesia. Both Risperidone and Fluphenazine can lead to akathesia. So I don't think shifting to this would cause much change. Other second generation antipsychotic drugs like Olanzapine or Quetiapine can be tried. These are very safe drugs and are tolerated better.
Thanks, please provide me more details about the problem.
In my opinion there is need to add some antidepressant.
Detailed Answer:
Hello thanks for asking again
You haven't had any psychotic symptoms. Your main issues are depression with anxiety. The anxiety and depression are associated with pain symptoms at multiple body areas, some neurological symptoms and muscle symptoms. If neurological causes have been ruled out then most likely cause of these symptoms you're having is Depression with somatic symptoms. A lot of individuals develop pain symptoms in depression.
Risperidone can help to beat depression and anxiety symptoms. For pain symptoms and akathesia in my opinion there is need to add some good antidepressant drug.
SNRI drugs like Duloxetine or Venlafaxine can be used for your persistent symptoms. Duloxetine not only helps in depression but also reduces the pain, somatic symptoms, numbness, earaches, muscle weakness etc symptoms. You can discuss with your doctor for these drugs. Use of these drugs with Risperidone will definitely reduce your symptoms.
For relief of sudden anxiety attacks drugs like low dose benzodiazepines can be used on SOS basis.
Thanks. Take care