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The alternatives are not all that good although some people have had success
with zyprexa.  Possibly giving the meds all at bedtime so that the major side
effects ar while sleeping or fine tuning the dose of the Clozaril might help.

Charlie

Mark Klapper wrote:
>
> We had to put my father in the hospital again over the weekend.  He
> developed an infection in his leg from a bedsore that had gone
> unnoticed.  He was totally out of it for about a day and a half, so the
> doc stopped his Clozaril so it would not sedate him further.
>
> As the infection has improved, we've noticed an interesting change.  The
> hallucinations have returned, but at the same time, dad is much more
> with it and in touch with reality.  He freely expresses what he is
> experiencing and asks about the family, where before he was totally self
> absorbed and only concerned about what food he wanted to eat.  The
> bedsore had probably been there since he'd left the hospital the first
> time, but he had never mentioned it to anyone.
>
> I'm calling the doc today to suggest we revisit the med issue again
> before he leaves the hospital.  He was clearly not ready to be
> discharged the first time, and I do not want to repeat the same mistake.
> Any thoughts on an alternative to Clozaril that will minimize the
> hallucinations without zonking him as much?
>
> Mark Klapper

--

CHARLES T. MEYER, M.D.
Middleton, WI
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