Brief Answer: Dose is increased rapidly in severe conditions Detailed Answer: Hi ma'am, Thanks for your query. Firstly, the frequency of increase in the dose of Geodon depends on the diagnosis and the severity of the condition at the time the patient is seen by the doctor. In your daughter's case, you will appreciate that she had inflicted self-injury, which- I presume- was not serious. It was sheer good luck that she did not harm herself seriously. Had she not been sedated, there was every possibility of her trying to self-inflict a more life-threatening injury. Given the fact that she was in acutely agitated state, I am personally of the opinion that her dose was increased at 24 hours' interval was justified, with the SOLE aim of preventing her from possible re-infliction of injury. You will also appreciate with me that a doctor's first duty is to ensure that the patient's life is preserved. At the same time, I FULLY AGREE WITH YOU, that the dose should be increased at least 3-7 days' interval. HOWEVER, this schedule is followed in patients who are relatively stable and unlikely to cause self-inflicted threat to their lives. Lastly, the side effects of Geodon are just transient; they will disappear over the next few days. Thereafter, I am sure that your daughter's doctor will reduce the dose sequentially so as to reach to a minimal effective maintenance dose. It would therefore be reasonable on your part to discuss the entire matter with her treating doctor, who would be in a much better situation to justify his/her action. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Dr. Rakesh Karanwal

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