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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Suggest Dosage For Propranolol

I look after a 47yr old man with profound retardation and is non verbal, his psychiatrist stopped Abilify almost 3wks ago due to it making him very restless. She prescribed 20mg Propranolol 3 days ago to stop the Abilify side effect and he still cannot sit in one place and keeps pacing back and forth. He also has a sprained ankle, but it cannot heal because he cannot not sit down for more than 2 minutes.....Is the Propranool dosage too low? Please Help!!!!!
Thu, 24 Jul 2014
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Psychiatrist 's  Response
hello,
You may increase the dosage of propanolol to 40mg, in form of 20mg in morning and then in afternoon.
If that dosent help- start trihexphenidyl 2mg in morning and 2mg in afternoon. I hope by taking this his akathesia ( irresistable moving of legs) will reduce and stop.
This (akathesia) is a common side effect of abilify and may also reduce with time.

Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
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Suggest Dosage For Propranolol

hello, You may increase the dosage of propanolol to 40mg, in form of 20mg in morning and then in afternoon. If that dosent help- start trihexphenidyl 2mg in morning and 2mg in afternoon. I hope by taking this his akathesia ( irresistable moving of legs) will reduce and stop. This (akathesia) is a common side effect of abilify and may also reduce with time. Wish you good health. Dr. Manisha Gopal MD Neuropsychiatry