Should i try clozapine or another 2nd generation?

Medications
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Iv reached a crossroads in my journey with schizophrenia.

My symptoms are there, thought insertion, paranoia about been gangstalked, thought voices. Im stable-ish.

Still avoid going out, and do hear voices which i do get lost in talking to but i manage to keep my insight.

My question is,

Should i try clozapine if my symptoms are kinda under control, and im stableish?

Or should i accept that living with schizophrenia and voices is my life now?

As i know, theres no perfect life, when living with schizophrenia

Id appreciate your opinions,

Regards,

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It’s something you need to decide in consultation with your pdoc together.

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You can’t always get rid of your symptoms. If your stable that may be better then taking a new drug that puts you in the Psych Ward.

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@Jonathan2

Are you the one on clozapine for sleep?

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Definitely talk to your pdoc. Maybe you can make a list of pros and cons with your pdoc, and then look it over for a few days before deciding?

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Ha iv been putting it off since january, the doc wants me on it, one doc says no dont, another doc says do what ya want,

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What meds have you tried so far?

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Was on olanzapine, haldol, quietiapine, now risperidone and abilify

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Risperidone helps, but does not eliminate all voices and paranoia. Bye the bye, do you know if taking meds by splitting the dose twice per day is allowed?

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I had a psychiatrist who suggested I do that with Abilify. But that’s all I know. I don’t know if it would work with all meds. For instance seroquel has a short half life, so it might not be a good idea with that.

You could ask your psychiatrist or pharmacist for a better answer.

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Do you stay on the meds for a bit? I know it took a few months before mine went away completely.

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Yes I am. I just take 12.5 mg which is a very low dose.

I think @Davincii also takes clozapine for sleep.

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Are you also on another AP then?

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Yes. I take 12 mg Invega, which is the max dose.

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If you are stable on your.current meds a meds swap to another.drug can get catastrophic if the Clozapine doesn’t work or cause some uacceptable side effects to you.
I was like you affected by voices for decades and was on none.Clozapine.treatment for all that time.
I’m now on.Clopixol depot 500 mgs depot every 3 week and have used that one for nearly 3 decades. Besides of that I’m on 800 mg
Qutiapine Sandoz and have used that for 13 years.
I don’t have positives anymore and negatives and cognitives improves day by day ss well as sleep.

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Im very paranoid about the certain suspicious people in public other than that i have voices externally and internally

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Yeah, but I do not like side effects, since next day I am very slow. Besides I get dry mouth and I eat like I’ve never seen food before…lol…I am talking about serious binging. Can not stop snacking every hour or so…
Other side effect from clozapine is blured vision and I get some acid reflux.

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Clozapine is a tough medication- try a combination if monotherapy doesn’t work. But, Clozapine is a medication of last resort.

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Clozaril was first med to finally stop positive symptoms

But it’s caused tachycardia for me
Getting off it slowly now

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I appreciate comments from anybody