Norfolk and Suffolk NHS Foundation Trust
Pharmacy, Hellesdon Hospital, Norwich, NR6 5BE
http://www.nsft.nhs.uk/

Professor Stephen Bazire
01603-421452
steve.bazire@nsft.nhs.uk

Medication: Benperidol

Show answers too

Benperidol structure. Image from the Wikimedia Commons at http://commons.wikimedia.org/wiki/Image:Benperidol.pngBenperidol is commonly known by the brand name Anquil®. It is one of a group of drugs called antipsychotics or neuroleptics and belongs to the drug class butyrophenones. These drugs are usually used to help treat illnesses or conditions such as psychosis, schizophrenia and hypomania. They can also be used to help manage confusion, dementia, behaviour problems and personality disorders. They may also be used in smaller doses to help treat anxiety, tension and agitation. Some of them are used to treat dizziness, nausea and vomiting.

Benperidol is available in tablet form only. It was first made available in the UK in 1973. It was popular in the UK in the 1980s but is now used much less than it was. It isn't available in Republic of Ireland.

If you want to see all the questions and answers in full, click the “Show answers too” button.

Updated 12.11

  • Where can I print information about benperidol?

    If you want to see all the questions and answers in full, click the "Show answers too" button. There are several options for printing:

    • Click "Print this page" under the "Useful tools" header to print the whole section
    • Download a handy PILL (Patient Information Leaflet), a two-page summary of the main questions and answers from here. This can then be printed.

    There are many other Patient Information Leaflets (PILs) across the world for patients and carers. There are also official information leaflets (often called a Data Sheet, Package Insert, or Summary of Product Characteristics). They are not on our site, so we can't take any responsibility for them but you can click here for links to other sites and leaflets

    Updated 12.11

  • WHAT IT IS:
  • What are antipsychotics used for?

    These drugs are usually used to help treat illnesses or conditions such as:

    They can also be used to help manage

    They are often known as 'neuroleptics', 'antipsychotics' or (wrongly) as 'major tranquillisers'. They may also be used in smaller doses to help treat tension and agitation. Some of them are used to treat dizziness, nausea and vomiting.

    10.10

  • What is the usual dose of benperidol?

    The usual dose of benperidol for adults is 0.25-1.5mg (250-1500 micrograms) a day. This is usually split up into 2 or 3 doses through the day.

    The usual dose in the elderly should be about half the adult dose. It is not recommended in children but this is only because it has not been studied rather than because of any concerns about safety.

    Updated 10.11

  • What are the alternatives to this antipsychotic?

    This will rather depend on what you are taking it for. To help you choose, click on the links for the main options (self-help and help from others), the main medicines, and a handy chart comparing the main medicines:

    There are other treatments for the conditions above. The main ones are included in the section on each of the conditions above.

    Updated 1.12

  • How do antipsychotics work?

    There is a naturally occurring chemical ("neurotransmitter") in the brain called dopamine. Dopamine is the chemical messenger in the brain mainly involved with thinking, emotions, behaviour and perception. In some illnesses, this dopamine may be overactive and upsets the normal balance of chemicals in the brain. This excess dopamine helps to produce some of the symptoms of the illness. The main effect that these drugs have is to block some dopamine receptors in the brain, reducing the effect of having too much dopamine and correcting the imbalance. This reduces the symptoms caused by having too much dopamine.

    2.11

  • STARTING, TAKING AND STOPPING:
  • When should I take this antipsychotic?

    Take your medication as directed on the medicine label. Try to take it at regular times each day. Taking it at mealtimes may make it easier for you to remember as there is no problem about taking any of these drugs with or after food. If the instructions say to take them ONCE a day this is usually best at bedtime as they may make you drowsy at first. They are not sleeping tablets as such.

    Updated 1.12

  • How should I take this antipsychotic?

    Tablets and capsules:
    Tablets and capsules should be swallowed with at least half a glass of water whilst sitting or standing. This is to make sure that they reach the stomach and do not stick in your throat.

    Liquids:
    Your pharmacist should give you a medicine spoon, dropper or oral syringe. Use it carefully to make sure you measure the correct amount. Ask your pharmacist for a medicine spoon if you do not have one. Shake the bottle well before use as the drug can settle to the bottom and cause you to receive a lower dose at the start and too high a dose at the end of the bottle.
    "Stelazine" syrup (trifluoperazine) may be diluted in a drink of water or orange juice if necessary.

    Suppositories
    Chlorpromazine ("Largactil") is available as suppositories. Suppositories are specially shaped to be inserted into the anus (the rectum or "back passage"). After removing a suppository from its wrapping you should insert it as deeply as possible into your anus. You may find it easier to insert if you put one foot on a chair or lie on your side with one leg drawn up as high as possible under the chin. Do not swallow them. If you have any problems using your suppositories ask your pharmacist or doctor for advice.

    Injections
    It is sometimes necessary or helpful for these drugs to be given as 'depot' injections. A 'depot' injection is a long acting injection usually given into a buttock. The injection releases drug over several weeks and so you will not have to remember to take tablets at regular times each day. Depot injections are otherwise no more or less effective than tablets or capsules. If you are in hospital it will be given to you by a nurse. Outside hospital it may be given to you by a Community Psychiatric Nurse, as a day patient or by your G.P. or community nurse. You may need to have this injection every few weeks for some time. To start with you will be given a 'test dose' to make sure the drug suits you. Then, if there are no problems, 5 to 10 days later you will be given your first full dose injection which will then be repeated every one to four weeks. They are usually given into the buttock although some may be able to be given into the thigh.

    Updated 1.12

  • How long will this antipsychotic take to work?

    This may depend on what you are taking it for. Click the link below for the answer for that condition:

    Some of the effects start soon after starting e.g. drowsiness. The most important action, however, to help the symptoms of your illness may take weeks or even months of regular medication to become fully effective. In the same way if your dose or treatment is changed it may take an equally long period of time before you notice the effects of such a change.

    Updated 1.12

  • How long will I need to keep taking this antipsychotic for?

    This will depend on what you are taking it for. It may also depend on how unwell you have been or how severe the symptoms have been, as people respond differently. Click on the link below for the answer for that condition:

    Updated 1.12

  • Are antipsychotics addictive?

    Antipsychotics are not addictive as such but if you have taken them for a long time you may get some effects if you stop them suddenly. So-called "cholinergic rebound" can occur with the phenothiazines (such as chlorpromazine, trifluoperazine, pericyazine) if stopped suddenly e.g. feeling sick, tiredness, sweating, anxiety and insomnia. It usually mild and only last a few days. Sometimes muscle stiffness and restlessness can occur. It is best to stop any antipsychotic slowly to let your brain get used to the change. The other main problem could be your symptoms coming back.

    For a drug to be addictive or produce dependence, then it must have a number of characteristics:

    • should produce craving for the drug when the last dose "wears off"

    • there should be a "reward" (e.g. a good feeling) from taking the drug

    • should produce tolerance ie you need more drug to get the same effect

    • should produce withdrawal symptoms specific to that drug.

    These characteristics come from the World Health Organisation. Antipsychotics may have some withdrawal or discontinuation effects but none of the others and so are not addictive. These discontinuation effects are probably more of an "adjustment" reaction from sudden removal of a drug rather than "withdrawal".

    Click here to read a bit more about this, where you can find our thoughts on this knotty problem.

    9.10

  • What should I do if I forget to take a dose of this antipsychotic?

    Start again as soon as you remember unless it is nearly time for your next dose then take the next dose as normal. Do not try to catch up by taking two or more doses at once as you may get more side-effects. You should tell your doctor about this next time you meet. Missing the occasional dose (e.g. once a week) is probably not a big problem.

    If you have problems remembering your doses (as very many people do) ask you pharmacist, doctor or nurse about this. There are some special packs, boxes and devices which can be used to help you remember. You can try leaving the pack somewhere you will see it each morning e.g. in the bathroom, kitchen, by the bed, in a car etc.

    Updated 1.12

  • Can I stop taking this antipsychotic suddenly?

    It is unwise to stop taking them suddenly, even if you feel better. Your symptoms can return if treatment is stopped too early. This may occur some weeks or even many months after the drug has been stopped and you may feel well before this happens. You could also experience some mild withdrawal symptoms (as explained above). When the time comes your doctor will usually withdraw the drug by a gradual reduction in the dose taken over a period of several weeks. You should discuss this fully with your doctor.

    Updated 1.12

  • UNWANTED EFFECTS:
  • What sort of side-effects might occur if I am taking this antipsychotic?

    The table below will show you some of the main side effects you might get from this antipsychotic.

    Side effect

    What happens

    What to do about it

    COMMON (more than about 1 in 10 people might get these)

    Sleepiness

    Feeling sleepy, drowsy or sluggish. It can last for a few hours after taking a dose.

    Don't drive or use machinery. Ask your doctor if you can take your antipsychotic at a different time.

    Movement disorders(extra-pyramidal side effects)

    Having shaky hands. Your eyes and tongue may move on their own. You may feel very restless, or stiff.

    It is not usually dangerous but is a well known side effect. If it is distressing or worries you, tell your doctor. He or she may be able to give you something for it e.g. an anticholinergic medicine.

    LESS COMMON (less than about 1 in 10 people might get these)

    Hypotension

    Low blood pressure - this can make you feel dizzy.

    Try not to stand up too quickly. If you feel dizzy, don't drive.

    Headache

    When your head is painful.

    Try paracetamol. Your pharmacist will be able to advise if this is safe to take with any other medicines you may be taking.

    Restlessness

    Being more on edge. You may sweat a lot more.

    Try and relax by taking deep breaths. Wear loose fitting clothes.

    Raised prolactin (hyper- prolactinaemia)

    It can affect breasts (including milk being leaked) and periods in women, or cause impotence and chest changes in men.

    It can be very distressing. Discuss with your doctor when you next see him or her as it may possibly even affect your bones if prolactin is raised for a long time.

    Constipation

    When you want to poop but can't (the opposite of diarrhoea). You can't pass a motion.

    Make sure you eat enough fibre, cereal or fruit. Make sure you are drinking enough fluid.
    Make sure you keep active and get some exercise e.g. walking. If this does not help, ask your doctor or pharmacist for a mild laxative.

    RARE (less than about 1 in 100 people might get these)

    Blurred vision

    Things look fuzzy and you can't focus properly.

    Don't drive. See your doctor if you are worried. You won't need glasses.

    Weight gain

    Eating more and putting on weight.

    A diet full of vegetables and fibre may help prevent weight gain. Ask for advice.
    See the separate section below and Click here to see a section on helping you to feel less hungry.

    Skin rashes

    Blotches seen anywhere.

    Stop taking - see your doctor now.

    Do not be worried by this list of side effects. Some people get no side effects at all and others may get some effects that are not listed in this table. Side effects tend to be worse with higher doses. Starting with a lower dose sometimes helps. If you think you might have a side effect to your medicine, you should discuss this with your doctor, nurse of pharmacist. You should also see the manufacturer's information leaflet.

    Updated 1.12

  • Will this antipsychotic make me sleepy?

    Antipsychotics may make you feel drowsy or sleepy. You should not drive (see below) or operate machinery until you know how they affect you. You should be careful as they may affect your reaction times or reflexes. They are not, however, sleeping tablets, although if you take them at night they may help you get to sleep.

    Updated 1.12

  • Will this antipsychotic cause me to put on weight?

    Weight gain with these antipsychotics is quite possible. Of the people who gain weight, most is gained during the first 6 to 12 months of treatment. It then tends to level out. It is thought that these medicines cause an increase in appetite which causes you to eat more and therefore put on weight. It is not possible to say what the effect on your own weight may be because each person will be different. All the phenothiazines seem to have the same sort of effect, but some other the other similar medicines seem to have less effect. If you do start to put on weight or have problems with your weight, you should tell your doctor. He or she may be able to adjust your drug or the dose of your drug to reduce this effect. Your doctor can also arrange for you to see a dietician for advice. If you do gain weight it is possible to lose it while you are still taking this medication, with expert advice about diet. In some people this can be a serious problem. If it causes you distress make sure your doctor knows about this. There is not thought that the other drugs cause major changes in weight.

    Weight gain can be part of the so-called ”metabolic syndrome”. You might want to read a bit more about this.

    Click here for a few tips on how to help you feel less hungry and lose weight.

    Updated 1.12

  • Will this antipsychotic affect my sex life?

    Drugs can affect desire (libido), arousal (erection) and orgasmic ability. Phenothiazines have been reported to have an adverse effect on all these three stages, partly through causing drowsiness and partly by other means. Generally, the other medicines in this section have lesser effects eg. the butyrophenones and thioxanthenes. If this happens, you should discuss this with your doctor, as a change in dose or medicine may help minimise the problem. He or she might also do a blood test so see if your prolactin level is too high as high prolactin can have a negative effect on desire.

    Updated 1.12

  • INTERACTIONS, FOOD AND DRINK:
  • Are there any foods or drinks that I should avoid whilst taking this antipsychotic?

    You should have no problem with any foods or drinks, other than alcohol (see separate question).

    Updated 1.12

  • Can I drink alcohol while I am taking this antipsychotic?

    Whether or not it is safe to drink alcohol with any medicine will depend on:

    • How much you have to drink e.g. the amount and over how long
    • What you then try to do (e.g. sleep or drive)
    • If you have any other conditions e.g. asthma or a chest infection (as alcohol can make it harder to breathe), epilepsy
    • If you are taking any other medicines

    Alcohol reaches all parts of the brain and can affect many things e.g. thinking, reactions and breathing. Alcohol can also boost the effect of GABA (the brain's main calming chemical messenger).

    If you drink alcohol while taking an antipsychotic it may make you feel more sleepy. If this happens, you must take extra care if you need to drive or operate machinery. You must seek advice on this.  

    It is not safe to drive after drinking alcohol, with or without taking an antipsychotic. Some countries allow driving after a small amount of alcohol but others have a zero tolerance. The UK has the highest limit in Europe, France lower, Scandanavia even lower and zero in some Eastern European countries. It is not possible to say what blood level you might have from a drink so it is safest not to drink if you know you may have to drive. It is taken as a very serious offence in most countries. You should see National Guidelines, laws and regulations in the country in which you are driving.

    Updated 1.12

  • Will taking this antipsychotic affect my other medicines?

    Antipsychotics have many side effects. If antipsychotics are taken with other medicines with the same side effects, then a combined effect can occur.

    Antipsychotics (especially the phenothiazines such as pericyazine or chlorpromazine) have anticholinergic effects so be careful if taken with tricyclics (e.g. dosulepin, imipramine, lofepramine), or anticholinergics (e.g. procyclidine) as this may cause dry mouth, blurred vision, constipation and difficulty passing urine. Antipsychotics can also effect the heart (so be careful with amiodarone, disopyramide, clarithromycin), and can be quite sedative, so be careful with sleeping tablets, tricyclics (e.g. dosulepin/dothiepin, imipramine, lofepramine), older antihistamines (e.g. promethazine), benzodiazepines (e.g. diazepam, lorazepam, temazepam), phenobarbital, melatonin or alcohol.

    Antipsychotics have a few other drug interactions:

    • The effects of antipsychotics can sometimes be increased by beta-blockers, fluoxetine, itraconazole or venlafaxine
    • The effect of antipsychotics can be decreased by antacids (sometimes), carbamazepine, phenytoin, phenobarbital, rifampicin or smoking
    • Antipsychotics can increase the effect of some tricyclics (e.g. dosulepin, imipramine, lofepramine)

    This does not necessarily mean that this will happen in everyone or that some of these medicines can not be used together. It is just that you may need to follow your doctor's instructions very carefully. There are other possible drug interactions (e.g. you can try an external on-line drug interactions checker, although this is nothing to do with our site).

    Updated 1.12

  • Are there any problems with smoking with haloperidol or benperidol?

    Cigarette smoke contains over 3000 different chemicals. Some of these chemicals can make some of the enzymes in the liver work faster (called "enzyme induction" of e.g. CYP1A2 or P4501A2). This means that any medicine those enzymes break down will be broken down quicker. So, you'll end up with less of that medicine if you smoke. And also you will have more of it in the body if you stop smoking.

    Haloperidol or benperidol are those medicines. The amount of haloperidol in the body can drop by up to a quarter (25%) if you smoke, giving less effect or meaning you might need a higher dose to get the same effect. It also means that if you stop smoking, the levels will rise so you might get more side effects.

    3.11

  • What about illicit drugs such as cannabis, cocaine, ecstasy and opiates with haloperidol or benperidol?

    By including this section, we're not saying it's right to take illicit or illegal drugs, because it isn't. We're just trying to answer the questions as best we can under the circumstances. With illicit drugs, the full answer is usually that we don't really know. So, we can only go on a few studies, a few reports and what we know about the drugs themselves.

    Cannabis (illegal in most countries):

    Smoking cannabis increases the amount of dopamine in the pleasure centres of the brain, which is where the reward or buzz comes from. However, psychosis also comes from having too much dopamine in another area of the brain. You have to remember that cannabis can increase dopamine in all areas of the brain and so can make psychosis worse. Please be careful, everything in moderation and if dope makes you worse, keep off the grass. It really won't help you in the long-term. Don't forget that if you're a toker, you're also a smoker, so see the question above. However, there are no extra problems with smoking cannabis, other than the smoking itself (see above). But, it might make you feel a bit more drowsy and may have more dry mouth, blurred vision and finding it hard to pass water (wee). Also, don't forget that cannabis can make psychotic symptoms worse.

    Cocaine (illegal in most countries)

    Cocaine is of course highly addictive and has many adverse or side effects on the body and brain. It can make most mental health symptoms worse in the long-term. However, there are no reports of extra problems with haloperidol or benperidol and cocaine, although this doesn't mean it's safe. All antipsychotics can reduce the stimulant effects of cocaine.

    Ecstasy (illegal in most countries)

    Ecstasy has many effects on the brain, the main ones producing the high seem to be by boosting serotonin, noradrenaline and dopamine in the brain. While it can cause a high, the effect wears off fairly quickly. It seems that the toxic effects on the brain are cumulative i.e. the more tablets you have over your lifetime, the more chance you have of having damage to the brain e.g. long-term depression and poor memory. However, there are no reports of extra problems with haloperidol or benperidol and ecstasy, but again this doesn't mean it's safe.

    Opiates

    The opiates include many chemicals, some of which are used in medical care (e.g. codeine for diarrhoea and stopping coughs, diamorphine and morphine for pain). However, there are no extra problems reported from taking opiates (e.g. heroin, methadone, codeine) with haloperidol or benperidol, although you might feel more drowsy.

    Updated 1.12

  • WOMEN'S HEALTH:
  • If I am taking a contraceptive pill, will this be affected by taking this antipsychotic?

    It is not thought that "The Pill" is affected by any antipsychotic.

    Updated 1.12

    Reviewed 9.11

  • Will emergency contraception (the "morning-after pill") work if I am taking a butyrophenone antipsychotic?

    In the UK, Levonelle one step® is available and is usually known as 'the morning after pill'. It is taken to reduce the chances of becoming pregnant after unprotected sex or failure of a contraceptive method. In fact "Emergency Contraception" is the better term because it can be taken up to 72 hours (3 days) afterwards. It can be bought over-the-counter without a prescription from pharmacies. EllaOne® tablets (which may work up to 5 days afterwards) and a coil (Intra-uterine device) can also be used but must be prescribed by a Doctor.

    If you are taking a butyrophenone, the usual dose should work if you follow the instructions carefully.

    N.B. We accept that for religious, cultural or ethical reasons some people do not approve of, or agree with, the use of the "Morning After" pill. However, we have answered the question because it is one of the most often asked of NHS Direct in UK, and they suggested we include it.

    Reviewed 9.11

  • Will benperidol affect my periods (menstrual cycle)?

    Several female functions such as menstrual cycle (e.g. your periods) are controlled by a hormone called prolactin. Prolactin in the body rises during and after pregnancy and this triggers the body to make breast milk. The amount of prolactin in the body is kept in control by one part of the brain (the tuberoinfundibular system if you want to know). This area of the brain uses dopamine as its chemical messenger. Some medicines (especially antipsychotics) block the effect of dopamine in the brain. This is just what we want to help reduce some of the symptoms caused by too much dopamine e.g. psychosis, paranoia. However, if these medicines also block dopamine in the area of the brain that keeps prolactin under control, prolactin can get out of control and increase. Higher than usual levels of prolactin in the brain and blood will stop your periods (or at least make them irregular or unpredictable). Much higher levels can lead to your breasts leaking milk or lactating (the medical term is galactorrhoea). The name of the hormone (prolactin) might help you guess this anyway i.e. pro- (meaning for) -lactin (as in lactation).  High prolactin can make it more difficult to become pregnant, and over many years can have an effect on your sex-life, and maybe even your bones.

    Benperidol is one of those medicines that can increase prolactin. It can happen within a few weeks and can carry on for the whole time you are on benperidol. So, if your periods are irregular or late, or you start leaking milk, then you should see your doctor about this to see if your prolactin is high and to find if there are any other causes. This should be easy to work out if you had a prolactin test before you started on benperidol. If it is caused by benperidol then you should talk to your doctor about the options e.g. reduce the dose (which doesn't often help much), or switch medicines to one that has less effect on prolactin. Sometimes adding another medication can help if nothing else works.

    Updated 11.11

  • What if I want to start a family or discover I'm pregnant whilst taking this antipsychotic?

    It is important to consider that there will be a risk to you and your child from taking a medicine during pregnancy but also a possible risk from stopping the medicine e.g. getting ill again. Unfortunately, no decision is risk-free. It will be for you to decide which is the least risk. All we can do here is to help you understand some of the issues, so you can make an informed decision. For your information, major malformations occur "spontaneously" in about 2-4% of all pregnancies, even if no drugs are taken. The main problem with medicines is termed "teratogenicity" i.e. a medicine causing a malformation in the unborn child. A medicine causing teratogenicity is called a "teratogen". Since a baby has completed it's main development between days 17 and 60 of the pregnancy (the so-called "first trimester") these first 2-16 weeks are the main concern. After that, there may be other problems e.g. some medicines may cause slower growth. The infant may also be affected after birth e.g. withdrawal effects are possible with some drugs.

    If possible, the best option is to plan in advance. If you think you could become pregnant, discuss this with your doctor and it may be possible to switch to medicines thought to carry least risk, and take other risk-reducing steps e.g. adjusting doses, taking vitamin supplements etc. If you have just discovered you are pregnant, don't panic, but seek advice from your GP within the next few days if possible. He or she may also want to refer you on to someone with more specialist knowledge of your medicine.

    Very few medicines have been shown to be completely safe in pregnancy and so no manufacturer or advisor can ever say any medicine is safe. They will usually advise not to take a medicine during pregnancy, unless the benefit is much greater than the risk. In the UK, there is the NTIS (National Teratology Information Service) who offer individual risk assessments. However, their advice should always be used to help you and your doctor decide what is the risk to you and your baby. There is a risk from taking the medicine and a risk should you stop a medicine e.g. you might become ill again and need to go back on the medication again. The advice offered here is just that i.e. advice, but may give you some idea about the possible risks and what (at the time of writing) is known through the medical press.

    It may be helpful to know that in the USA, the FDA (Federal Drug Administration) classifies medicines in pregnancy in five groups:
    A = Studies show no risk, so harm to the unborn child appears only a remote possibility
    B = Animal and human studies indicate a lack of risk but are not fully conclusive
    C = Animal studies indicate a risk but there is no safety data in humans
    D = a definite risk exists but the benefit may outweigh the risk in some people
    X = the risk outweighs any possible benefit

    The phenothiazines available in the USA are all classified as "C". There has been some research on the use of phenothiazines in pregnancy, but mostly only with low doses. This research showed a risk of problems that was about twice that of women not taking such drugs (one in 30 with problems, one in 60 without). Occasional problems of sleepiness and drowsiness in the newborn have been reported. At 2 and 7 years old, the children's development was normal one study of women who took phenothiazines during pregnancy. You should, however, still seek personal advice from your GP, who may then if necessary seek further specialist advice.

    Haloperidol is classified as "C". There is no proven evidence of a teratogenic effect, and animal tests show a low risk of danger but some problems have been reported and so you should seek personal advice from your GP, who may then if necessary seek further specialist advice.

    Flupenthixol and zuclopenthixol are not classified, as they are not available in the USA. There is no evidence of a teratogenic effect, animal tests show a low risk of danger but some problems have been reported and so you should seek personal advice from your GP, who may then if necessary seek further specialist advice.

    Updated 1.12

  • Can I breast feed if I am taking haloperidol or benperidol?

    Almost every medicine passes into breast-milk. The main questions are how much and if this is likely to have an effect on your baby. But also remember that being ill (e.g. depressed, manic, psychotic) may have more harmful and lasting effects on you and your child (such as bonding and behaviour e.g. Field, 2010) than a small amount of an effective medicine. If you have been taking a medicine while you are pregnant, you should usually be able to carry on as the amount in breast-milk is much less than the baby would have got while you were pregnant. It is usually thought to be fairly safe if the baby gets less than 10% of the mum's dose. But there may be times when although a medicine gets into breast milk the benefit may be worth the risk, so you should seek personal advice on this.

    If you stop any medicine suddenly, some people can get discontinuation or withdrawal symptoms (see question above). If you have been taking a medicine during pregnancy, the same can sometimes happen to the baby when born. If the drug gets into breast milk, this can reduce the effect of suddenly not having the medicine (as well as coping with being in the big wide world too).

    If you want to breast-feed there are some things you can do to reduce any risk:

    • Nearly all medicines can be taken once a day. So, taking your daily dose just before the baby's longest sleep (often this will be at night) will reduce the amount the baby gets from the milk.
    • Any side effects in the baby will be higher if the mum is taking a higher dose. So, try to take the lowest dose possible to still get an effect.
    • Try not to take any medicines you don't really need. This includes any medicines you might buy over-the-counter
    • Make sure your nurse, health visitor or doctor checks your baby for any side effects e.g. being extra sleepy, having colic, feeding problems, being floppy or poor weight gain. If there are any problems you might need to switch medicines or drop your dose a bit
    • Hind milk (the second half of the feed) is likely to contain slightly more of any medicine than the first half
    • Avoid new medicines if possible as there is less information about them and breast-feeding.

    You must be extra careful of any medicines if your baby was pre-mature, or has kidney, liver, heart or brain problems.

    We know that haloperidol gets into breast milk but probably only at lower levels (?%). It is possible that your baby's development might be a little slower too. You should talk about this to your doctor, nurse or health visitor because you being ill might be more harmful to your baby than a small amount of haloperidol.

    6.11

  • OTHER QUESTIONS AND ANSWERS:
  • Can I drive while I am taking this antipsychotic?

    These drugs can affect your driving in two ways. Firstly, you may feel drowsy and/or suffer from blurred vision at first when taking any of these drugs. Secondly, the drugs can slow down your reactions or reflexes. This is especially true if you also have a dry mouth, blurred vision, constipation etc. (the so-called "anticholinergic side effects"). Until these wear off, or you know how your drug affects you, do not drive or operate machinery. You should be careful as they may affect your reaction times or reflexes even though you feel well.

    If you are taking any medicines, the rules about driving will depend on the country you’re driving in. Click on the links below for advice:


    General advice on driving safely

    If you want to drive, you should take sensible steps to reduce any risk. These could include:

    • Avoid driving when you are tired or ill
    • Do not drive after having any alcohol as this can make any drowsiness worse (a third of all fatal road traffic incidents involve alcohol-dependent drivers)
    • Avoid driving at night, dusk or in bad weather
    • Avoid motorways, dual carriageways and the rush hour
    • Give yourself plenty of time. Don’t rush
    • Be extra careful if you have not slept well the previous night

    As some medicines can affect your driving, be extra careful:

    • If starting a new medicine
    • After a change in dose (especially an increase)
    • If you are on a high dose or seem very sensitive to side effects
    • If you are taking any medicines for other symptoms e.g. antihistamines for hay fever or allergies
    • If your medicine causes you blurred vision, drowsiness, poor co-ordination, poor attention

    If you are driving less than 2000 miles a year, once you consider insurance, tax, MoT, repairs, maintenance, parking and petrol, you may actually find it is cheaper to get taxis and busses, and walk the short journeys.

    Updated 11.11

  • Will I need any blood or other tests if I am taking this antipsychotic?

    You might sometimes, to check on some possible side effects e.g. prolactin levels, blood sugar etc. Some people who need to take higher doses occasionally need a blood test. You might also need your blood pressure tested.

    Updated 1.12

  • Where can I get further information?

    There are a wealth of people, groups, organisations and resources that can provide you with further information about mental health conditions and treatments including medication. Use the links below to help you find out more.

    • Where can I find out more information about anxiety?

      Use the resources below to find out more information about anxiety. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could do no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about anxiety disorders so click here to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      Information about local mental health trusts is available on the NHS Choices website.

      Updated 11.11

      Resources

      • Evidence-based guidelines for the pharmacological treatment of anxiety disorders

        Download the British Association for Psychopharmacology guidelines (PDF 254 KB) from www.bap.org.uk.

        Credit: British Association for Psychopharmacology

      • Anxiety and Phobias leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

         

        Credit: Royal College of Psychiatrists

      • Anxiety and Phobias leaflet for carers and professionals

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • Understanding anxiety leaflet

        Read the leaflet on the MIND website.

        Credit: MIND

      • NHS Direct

        NHS Direct is at the forefront of 24-hour health care - delivering telephone and e-health information services day and night direct to the public.
        Tel: 0845 4647
        Website: http://www.nhsdirect.nhs.uk/

        Credit: NHS Direct

      • NetDoctor.co.uk

        NetDoctor.co.uk is a collaboration between committed doctors, health care professionals, information specialists and patients who believe that medical practice should be based on quality-assessed information and, wherever possible, on the basis of the principles of evidence-based medicine.
        Website: http://www.netdoctor.co.uk/

        Credit: NetDoctor.co.uk

      • MIND

        MIND is one of the leading mental health charities in England and Wales. MIND works to create a better life for everyone with experience of mental distress.
        Tel: 0845 766 0163
        Website: www.mind.org.uk

        Credit: MIND

      • National Institute for Health and Clinical Excellence

        National Institute for Health and Clinical Excellence (NICE) is an independent organisation responsible for providing national guidance on promoting good health and preventing and treating ill health.
        Address: National Institute for Health and Clinical Excellence, MidCity Place, 71 High Holborn, London, WC1V 6NA
        Telephone: +44 (0)845 003 7780
        Fax: +44 (0)845 003 7784
        Email: nice@nice.org.uk
        Website: www.nice.org.uk

        Credit: National Institute for Health and Clinical Excellence

      • Computerised cognitive behaviour therapy for depression and anxiety

        Evidence based technology appraisal from NICE recommend the options of psychological therapies and drugs for serious mental illness. NICE guidelines on depression state "cognitive -behavioural therapy should be offered as it is of equal effectiveness to anti-depressants".

        Credit: National Institute for Health and Clinical Excellence (NICE)

      • The Depression Report: A New Deal for Depression and Anxiety Disorders

        This report also known as the Layard Report recommends increasing access to psychological therapies, especially Computerised Behavioural Therapies (CBT) in order to help alleviate the suffering of people with mental health problems.

        Credit: Professor Lord Richard Layard, Centre for Economic Performance's Mental Health Policy group, London School of Economics

    • Where can I find out more information about ADHD?

      The resources below provide more information about Attention Deficit Hyperactivity Disorder. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      ADHD and You, a website from Shire, who make Equasym XL, with some handy stuff on ADHD for parents/carers, teachers, professionals and, of course, people with ADHD

      Updated 11.11

      Resources

      • Attention-deficit hyperactivity disorder and hyperkinetic disorder: for parents and teachers

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

         

        Credit: Royal College of Psychiatrists

      • Attention Deficit Disorder Information and Support Service (ADISS)

        ADDIS provide people-friendly information and resources about Attention Deficit Hyperactivity Disorder (ADHD) to anyone who needs assistance parents, sufferers, teachers or health professionals. For more information:
        Telephone: 020 8906 9068, Website: www.addiss.co.uk, Email: info@addiss.co.uk.

        Credit: Attention Deficit Disorder Information and Support Service

      • Evidence-based guidelines for management of attention deficit hyperactivity disorder in adolescents in transition to adult services and in adults

        Download recommendations (PDF 389 KB) from the British Association for Psychopharmacology website at www.bap.org.uk.

        Credit: British Association for Psychopharmacology

    • Where can I find out more information about bipolar mood disorder?

      The resources below provide specialist information on bipolar disorder. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about bipolar disorder so click here to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Manic depressive illness leaflet

        Download the leaflet from the Royal College of Psychiatrists.

          

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

      • Introduction to bipolar disorder

        A useful introdution by the WHO UK Collaborating Centre
        Read online at the National Library for Health Mental Health Specialist Library
        Download this article as a PDF

        Credit: WHO UK Collaborating Centre

      • Bipolar Disorder: the management of bipolar disorder in adults, children and adolescents, in primary and secondary care

        Download the NICE Guideline from the National Institute for Health and Clinical Excellence website.

        Credit: National Institute for Health and Clinical Excellence

      • Evidence-based guidelines for treating bipolar disorder

        Download the British Association for Psychopharmacology guidelines (PDF 166 KB) from www.bap.org.uk.

        Credit: British Association for Psychopharmacology

      • MDF The Bipolar Organisation

        MDF The Bipolar Organisation is a user led charity working to enable people affected by manic depression to take control of their lives.
        Tel: 08456 340 540
        Website: http://www.mdf.org.uk/
        Email: mdf@mdf.org.uk
        Address: MDF The Bipolar Organisation, Castle Works, 21 St. George's Road, London, SE1 6ES

        Credit: Manic Depression Fellowship (MDF)

      • Flowcharts to illustrate the evidence-based guidelines for treating bipolar disorder

        Download flowcharts (PDF 30kB) to illustrate the guidelines, produced by the British Association for Psychopharmacology in consultation with the Manic Depression Fellowship from www.bap.org.uk.

        Credit: British Association for Psychopharmacology, Manic Depression Fellowship

      • Depression Alliance

        The Depression Alliance provides information, support and understanding for people who suffer with depression, and for relatives who want to help.
        Tel: 0845 123 23 20
        Email: information@depressionalliance.org
        Website: www.depressionalliance.org

        Credit: Depression Alliance

      • Depression UK

        Depression UK (Previously the Fellowship of Depressives Anonymous) is a national mutual support group for people suffering from depression.
        Tel: 0845 123 23 20
        Email: info@depressionuk.org
        Website: www.depressionuk.org

        Credit: Depression UK

    • Where can I find out more information about dementia?

      The resources below provide more information  about dementia and Alzheimer's disease. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      The Mental Health Foundation have recently launched a range of information materials produced by Dementia Choices, covering Dementia and Self Directed Support, for sufferers, carers and professionals.

      The NHS has produced "Alzheimer's in the news - A Behind the Headlines Special Report" in August 2011 to review the dozens of media reports about Alzheimers, spot some of the more important stories and examine some stories that were "wide of the mark".

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      Updated 8.11

      Resources

      • Memory and Dementia leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

      • At your Fingertips: Alzheimer’s and other dementias. Your questions answered.

        Read the full text of the book on the Royal College of Psychiatrists website.

        Credit: Mr. Harry Cayton, Dr. Nori Graham and Dr. James Warner. Class Publishing (London) Ltd. 2nd edition 2002.

      • Clinical practice with anti-dementia drugs

        Download the consensus statement (PDF 361 KB) from the British Association for Psychopharmacology website www.bap.org.uk.

        Credit: British Association for Psychopharmacology

      • Drug Treatment of Alzheimer's disease leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

        Credit: Royal College of Psychiatrists

      • Understanding dementia leaflet

        Read the leaflet on the MIND website.

        Credit: MIND

    • Where can I find out more information about depression?

      Use the resources below to find out more information about depression. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about antidepressants so click here, to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      Resources

      • Depression Alliance


        Depression Alliance is one of the leading UK organisations trying to improve the care of depression. They have a document called "Daring to choose", which has some key needs for depression, plus a website called whatyoushouldknowaboutdepression, which has a helpful guide on choosing your own treatment and antidepressant by John Donoghue.
      • Depression leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: mailto:Royal%20College%20of%20Psychiatrists%3Crcpsych@rcpsych.ac.uk%3E?subject=Message%20from%20Choice%20and%20medication%20website

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

      • Depression: a leaflet for carers and professionals working with people with depression

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • Computerised cognitive behaviour therapy for depression and anxiety

        Evidence based technology appraisal from NICE recommend the options of psychological therapies and drugs for serious mental illness. NICE guidelines on depression state "cognitive -behavioural therapy should be offered as it is of equal effectiveness to anti-depressants".

        Credit: National Institute for Health and Clinical Excellence (NICE)

      • Evidence-based guidelines for treating depressive disorders with antidepressants

        Download the revision of the 2000 British Association for Psychopharmacology (BAP) guidelines (PDF 491 KB) from http://www.bap.org.uk/.

        Credit: British Association for Psychopharmacology

      • The Depression Report: A New Deal for Depression and Anxiety Disorders

        This report also known as the Layard Report recommends increasing access to psychological therapies, especially Computerised Behavioural Therapies (CBT) in order to help alleviate the suffering of people with mental health problems.

        Credit: Professor Lord Richard Layard, Centre for Economic Performance's Mental Health Policy group, London School of Economics

      • More to depression

      A 2011 survey on choice in antidepressants can be found at: http://www.moretodepression.co.uk/.

      6.11

      Resources

      • Depression leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

      • Depression: a leaflet for carers and professionals working with people with depression

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • Computerised cognitive behaviour therapy for depression and anxiety

        Evidence based technology appraisal from NICE recommend the options of psychological therapies and drugs for serious mental illness. NICE guidelines on depression state "cognitive -behavioural therapy should be offered as it is of equal effectiveness to anti-depressants".

        Credit: National Institute for Health and Clinical Excellence (NICE)

      • Evidence-based guidelines for treating depressive disorders with antidepressants

        Download the revision of the 2000 British Association for Psychopharmacology (BAP) guidelines (PDF 491 KB) from www.bap.org.uk.

        Credit: British Association for Psychopharmacology

      • The Depression Report: A New Deal for Depression and Anxiety Disorders

        This report also known as the Layard Report recommends increasing access to psychological therapies, especially Computerised Behavioural Therapies (CBT) in order to help alleviate the suffering of people with mental health problems.

        Credit: Professor Lord Richard Layard, Centre for Economic Performance's Mental Health Policy group, London School of Economics

    • Where can I find out more information about eating disorders?

      Use the resources below to find out more information about eating disorders. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Eating Disorders : a leaflet for carers and professionals working with people with eating disorders

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • Eating Disorders leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

        Credit: Royal College of Psychiatrists

    • Where can I find out more information about epilepsy?

      The resources below provide more information  about epilepsy. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Epilepsy article

        Read the article on the NHS Direct website.

        Credit: NHS Direct

      • What is epilepsy?

        Read the article on the National Society for Epilepsy website.

        Credit: National Society for Epilepsy

      • Epilepsy: a guide for patients and carers

        Read the guide on the British Brain and Spine Foundation website.

        Credit: British Brain and Spine Foundation

      • What is epilepsy leaflet

        Read the leaflet on the Epilepsy Action website.

        Credit: Epilepsy Action

      • Epilepsy in adults and children: Information for the public

        Download the Clinical Guidelines from the National Institute for Health and Clinical Excellence.

        Credit: National Institute for Health and Clinical Excellence

      • Epilepsy Action

        Epilepsy Action is the largest member-led epilepsy organisation in Britain, acting as the voice for the UK's estimated 456,000 people with epilepsy, as well as their friends, families, carers, health professionals and the many other people on whose lives the condition has an impact. Epilepsy Action offers assistance to people in a number of ways including a national network of branches, accredited volunteers, regular regional conferences and freephone and email helplines.
        Freephone Helpline: 0808 800 5050
        Email Helpline: mailto:helpline@epilepsy.org.uk
        Free Fax Helpline: 0808 800 5555
        Website: www.epilepsy.org.uk
        Email: epilepsy@epilepsy.org.uk

        Credit: Epilepsy Action

      • National Society for Epilepsy

        The National Society for Epilepsy is provides information and support to people with epilepsy. They also provide care for people with epilepsy through medical and residential services.
        Tel: 01494 601300
        Fax: 01494 871927
        UK Epilepsy Helpline: 01494 601400 (10am-4pm, Monday to Friday)
        Website: www.epilepsynse.org.uk

        Credit: National Society for Epilepsy

    • Where can I find out more information about mania or hypomania?

      The resources below provide specialist information on mania or hypomania. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about bipolar disorder so click here to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      Updated 8.11

      Resources

      • Medications for mania

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • MDF The Bipolar Organisation

        MDF The Bipolar Organisation is a user led charity working to enable people affected by manic depression to take control of their lives.
        Tel: 08456 340 540
        Website: http://www.mdf.org.uk/
        Email: mdf@mdf.org.uk
        Address: MDF The Bipolar Organisation, Castle Works, 21 St. George's Road, London, SE1 6ES

        Credit: Manic Depression Fellowship (MDF)

    • Where can I find out more information about insomnia?

      Use the resources below to find out more information about insomnia. Please note that this is not an exhaustive list and we can take no responsibility for the content of these sites. We welcome your feedback on resources that you think should be listed here.

      • How did you sleep? has lots of useful stuff. Last time we checked it out, you could download a Sleep Guide to improve your sleep, find out why sleep matters, and test your sleep in-depth with the Great British Sleep Survey.

      • Mental Health Ireland has a great links page on this extensive site
      • Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Sleep Problems in Childhood and Adolescence: for parents and teachers

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

      • Sleeping Well leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

        Credit: Royal College of Psychiatrists

      • How can I get a good night's sleep?

        Read the article on the NHS Direct website.

        Credit: NHS Direct

      • British Sleep Society

        The British Sleep Society (BSS) is an professional organisation for medical, scientific and healthcare workers dealing with sleeping disorders.
        Website: www.sleeping.org.uk
        Email enquires for professional related issues: professional@sleeping.org.uk

        Credit: British Sleep Society

    • Where can I find out more information about OCD?

      Use the resources below to find out more information about Obsessive Compulsive Disorder. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about anxiety disorders so click here, to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Obsessive-Compulsive Disorder leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

        Credit: Royal College of Psychiatrists

    • Where can I find out more information about panic disorder?

      Use the resources below to find out more information about panic disorder. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about anxiety disorders so click here, to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Anxiety and Phobias leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

         

        Credit: Royal College of Psychiatrists

    • Where can I find out more information about post traumatic stress disorder?

      Use the resources below to find out more information about post traumatic stress disorder. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      If you want a more in-depth read, you could no better than visit the BAP (British Association for Psychopharmacology) public web pages, where there are some fairly scientific articles, including about anxiety disorders so click here, to get there.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Post Traumatic Stress Disorder leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

         

        Credit: Royal College of Psychiatrists

    • Where can I find out more information about psychosis?

      The resources below provide more information about psychosis. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Severe Mental Illness (Psychosis): a leaflet for carers and professionals working with people with severe mental illness

        Download the leaflet from the Royal College of Psychiatrists.

         

        Source: Royal College of Psychiatrists

        The Royal College of Psychiatrists is the professional and educational body for psychiatrists in the United Kingdom and the Republic of Ireland.

        Address: 17, Belgrave Square, London, SW1X 8PG

        Email: rcpsych@rcpsych.ac.uk

        Website: http://www.rcpsych.ac.uk/

         

        Credit: Royal College of Psychiatrists

      • What is psychosis?

        Read the leaflet on the Mental Health Care website, developed by the Institute of Psychiatry, the South London and Maudsley NHS Trust and mental health charity Rethink.

        Credit: Institute of Psychiatry, the South London and Maudsley NHS Trust, Rethink

      • Psychosis article

        Read the article on the NHS Direct website.

        Credit: NHS Direct

      • Understanding psychotic experiences

        Read the leaflet on the MIND website.

        Credit: MIND

      • What is psychosis?

        Read the article on the Rethink website.

        Credit: Rethink

    • Where can I find out more information about schizophrenia?

      The resources below provide specialist information on schizophrenia. Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Rethink, Head Office, 5th Floor, Royal London House, 22-25 Finsbury Square, London EC2A 1DX, 0845-456 0455 http://www.rethink.org/

      MIND, 15-19, Broadway, London E15 4BQ 0208 519 2122, http://www.mind.org.uk/

      SANE, 1st floor, Cityside House, 40, Adler Street, London E1 1EE  0845 767 8000  http://www.sane.org.uk/

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      6.11

      Resources

      • Schizophrenia leaflet

        Read the leaflet on the Royal College of Psychiatrists website.

        Credit: Royal College of Psychiatrists

      • Schizophrenia the key facts

        Download the leaflet from the Royal College of Psychiatrists.

        Credit: Royal College of Psychiatrists

      • Schizophrenia article

        Read the article on the NHS Direct website.

        Credit: NHS Direct

      • Understanding schizophrenia

        Read the leaflet on the MIND website.

        Credit: MIND

      • Your Treatment, Your Choice survey results

        Rethink conducted a survey to collect the views of people who have experienced treatment for schizophrenia. Findings include:

        • Two thirds of people had not been given any choice about which medication to take.
        • Fewer than half the respondents had potential side effects of medication discussed with them.
        • Only 14% of the sample had had Cognitive Behavioural Therapy
        • Fewer than half the respondents had discussed their physical health with their GP or psychiatrist in the last 12 months

        These findings have been included in the full National Institute for Health & Clinical Excellence (NICE) on how schizophrenia should be treated.

        Credit: Antonia Borneo, Senior Policy Officer, Rethink

      • Rethink National Advice Service

        Rethink severe mental illness (formerly National Schizophrenia Fellowship) is the leading charity with information on schizophrenia. Rethink run day services, support services, respite care, advice and help lines, and courses for both people with mental illness and their carers.Rethink are also involved in campaigning and challenging stigma.

        Tel: 0208 974 6814
        Email:
        advice@rethink.org
        Website:
        http://www.rethink.org/
        Address:
        28 Castle Street, Kingston-upon-Thames, Surrey, KT1 1SS

        Credit: Rethink

      • Clinical Knowledge Summaries - Schizophrenia

        This guidance is based on the NICE guideline on Schizophrenia (December 2002) and takes into account the full guideline document produced by the National Collaborating Centre for Mental Health (2003). It covers the primary care management of schizophrenia in adults, where the onset of schizophrenia occurred before 60 years of age. Read more at http://www.cks.library.nhs.uk/schizophrenia

        Credit: National Library for Health

      • Guidance on the use of newer (atypical) antipsychotic drugs for the treatment of schizophrenia

        The choice of antipsychotic drug should be made jointly by the individual and the clinician responsible for treatment based on an informed discussion of the relative benefits of the drugs and their side-effect profiles. Download the guidance

        Credit: NICE

    • Where can I find out more information about seasonal affective disorder?

      Use the resources below to find out more information about Seasonal Affective Disorder (SAD). Please note that this is not an exhaustive list. We welcome your feedback on resources that you think should be listed here.

      Mental Health Ireland has a great links page on this extensive site

      Your Mental Health Ireland, with a young person’s page as well

      Updated 2.12

      Resources

      • Understanding Seasonal Affective Disorder

        Read the leaflet on the MIND website.

        Credit: MIND

      • Seasonal Affective Disorder Association

        The Seasonal Affective Disorder Association is a voluntary organisation and registered charity which informs the public and health professions about SAD and supports and advises sufferers of the illness.
        Address: PO Box 989, Steyning, BN44 3HG
        Website: www.sada.org.uk

        Credit: Seasonal Affective Disorder Association

Main pharmacy contact points

Main Trust switchboard in Norwich, tel: 01603-421421
Dispensary and all enquiries, tel: 01603-421212, fax: 01603-421365
Pharmacy office tel: 01603-421319
Medicines Information tel: 01603-421212
Unthank Road pharmacy tel: 01603-750031
Deputy Director and Clinical Pharmacy Manager John Hunter, tel: 01603-421364

Opening hours:
Main pharmacy open Monday to Friday: 8.30-16.30 (open at 9.15 on Wednesdays for staff meeting)
Unthank Road pharmacy tel: 01603-671917 open 9.15-12.00 Monday to Friday, also Tuesday and Wednesday afternoons for dose assessments.

Service objectives:
The pharmacy service to Norfolk and Suffolk NHS Foundation Trust has five main aims:

  1. Efficient drug distribution and purchasing
  2. Provision of accurate and independent education and information about medicine therapy to service users and carers
  3. Information and education for Trust and other professionals, and voluntary helpers
  4. Clinical activities to help ensure the optimum use of drug therapies
  5. Medicine management to ensure the most cost-effective use is made of resources