Dr. Heller's Dysphoria Instruction Sheet
(This is the sheet Dr. Heller gives to his patients)
Leland M. Heller, M.D.
Okeechobee Family Practice, P.A.
1713 US Hwy 441 N, Suite E
Okeechobee, FL 34972
Phone (863) 467-8771
Fax (863) 467-1883
Dysphoria instructions:
In case of dysphoria (anxiety, rage, depression and despair),
suicidal thoughts, self destructive impulses, or other
stress related symptoms:
Haldol (haloperidol)
Haldol 1-2mg.: If it doesn’t work, repeat the dose
10-15 minutes later - don’t take more than 4mg in
an hour. If 4mg of Haldol doesn’t work, go on to
the next step below. If Haldol works you may
continue taking it, but the maximum dose is 8mg in
a 24 hour period. When taking 4 or more mg of
Haldol in a 4 hour period, take 25-50mg of
Benadryl to prevent a dystonic reaction.
When Haldol doesn't work....
Take Tegretol 200mg once... (take an extra one if you’re already on it)
...if three hours later not doing better, take Risperdal 3mg or Abilify 30mg
During the most severe crises.....
Take Tegretol 200mg plus Risperdal 3mg or Abilify 30mg
at the same time.
(You may need to take 25-100mg of Benadryl to prevent a
dystonic reaction)
March 25, 2005