#clozapine

[schizoetic]

Just a reminder that you can be severely mentally ill and still happy.

#schizophrenia #anti psychotics #schizophrenic spectrum #actually schizophrenic #psychosis #psychotic break #psychotic #seriously schizophrenic #mental illness #schizo spectrum #clozapine

[i-am-thornqueen]

Give me a moment to scream into the void, okay?

I have managed a small triumph after being spitting mad for a whole week.

Drug-related pharmacist rant below.

There are a few drugs in this world that carry the label "do not fuck with me" and I happen to specialize in one of the areas of medicine with a gigantic 'do not fuck with me' drug: clozapine.

It's an antipsychotic, and it is more or less one of the biggest guns we have for treatment-resistant schizophrenia. But it is also a drug that needs to be treated with respect. It can do its job, and it can do it really fucking well, but there are trade-offs that require close monitoring in the beginning because if you don't, there are consequences.

This drug means so much business that when you start it, you have to be registered with a monitoring network of the brand of clozapine that you are started on. In the beginning, you need to be monitored for things like myocarditis (inflammation of the heart muscle, can be fatal), ileus (intestines stop moving, can be fatal), agranulocytosis (white blood cells basically disappear, can be fatal), among a host of other things.

It SOUNDS terrifying, I know, but the risks are low and we monitor patients to ensure that the moment it looks like anything is happening, we intervene IMMEDIATELY.

So imagine my ever-loving shock when I get a heads-up from my hospital that a clozapine patient's been admitted and they're not registered to any monitoring network. I called ALL of them. No one has eyes on this patient. I call the community pharmacy and find out they have failed to do their bare minimum due diligence of making sure the patient is registered and monitored.

Come to find the prescriber is not a psychiatrist, just a generalist.

We are not treating for treatment-resistant schizophrenia or any other severe condition which would necessitate the use of a big gun drug that requires massive amounts of monitoring.

No.

We're treating dementia-related agitation.

Dementia. Related. Agitation.

Who the FUCK prescribes clozapine - CLOZAPINE - for dementia-related agitation????????????????? You guys didn't even try anything before that??????????? There are so many things you could have done before you resorted to the nuclear option!!!!! Literally, you could have tried ANYTHING. There is TONS of information available for non-pharmacologic and pharmacologic recommendations to address agitation before you resort to clozapine, of all drugs. Literally, clozapine has an increased mortality risk in patients with dementia-related psychosis, so like, you have to think real long and hard before choosing this one.

But this random-ass doctor with no specialization in psychiatric medicine went 'nope, fuck it, common sense out the window' and reached for clozapine before he tried anything else.

And then the pharmacy went 'yeah, sure, that's completely normal' and started dispensing the med without making sure the patient was registered and appropriately monitored.

And now they're my patient.

So for a week, I've been trying to get this poor old patient sorted out with any semblance of sense to his medications and monitoring. Community pharmacy been giving me the run around. Prescribing doc is AWOL. The doctors in my hospital understand that you need to treat this drug with the respect that it deserves, so they've been wary to touch it.

Step by fucking step, I've been making headway. First, got the blood work ordered so I could prove to myself and god that SOMEONE was going to do the blood work. Got the drug placed on hold because, come to find, the spouse hasn't even been giving the clozapine as prescribed and was giving such a low, low, low dose that it probably wasn't even having any therapeutic effect - which, unfortunately, means nothing when myocarditis and agranulocytosis are not dose-related conditions. They just fucking happen.

And THEN when a new doctor tried to restart the med, I intervened and went to bat for this patient. Like, NO, you are NOT giving them the nuclear option antipsychotic at such a low dose it will have no effect but will put them at risk for every terrible thing under the sun. It's for AGITATION for god's sake, and the patient isn't even agitated!

So it goes back on hold.

Now, today, I do all my follow-ups and find the community pharmacy fucked off again. The monitoring networks still have not heard of this patient. I decide I'm making a call on this. Enough is enough. Patient has not had the drug in over a week. It's basically gone from his system. There is no sign of agitation to the degree that they require chemical restraints. They got dementia, that's it. Can be addressed in a more reasonable manner.

Call up the doc. Plead my case. He agrees with my assessment, orders clozapine to be discontinued, HALLELUJAH, he'll monitor for agitation and treat with a more appropriate drug, like QUETIAPINE (still not a fave, but gold-plated next to clozapine in this instance). Doc PROMISES to make it clear on the discharge that clozapine was discontinued.

I breathe a sigh of relief I've been holding for a week.

I have accomplished one (1) thing today, and it was worth it.

Moral of the story is: don't fuck with clozapine in my town and let me find out about it. I will hunt your pharmacy down, your doctor down, your family down, your monitoring network down, and I will chew through a fucking brick wall to make sure you stay SAFE and ALIVE.

#pharmacy stuff #clozapine #personal rant #just needed to get this off my chest

[schizophelia]

I’ve officially been on Clozapine for 3 years.

#personal #clozaril #clozapine #my life with schizophrenia

[troubledpastels]

Long ish update for the last 6 months

It's now 5-6 months since I started on clozapine and I'm not kidding when I say it saved my life. I'm able to socialise and get out from my flat and do more normal stuff. My psychosis is gone, I stil have some symptoms but not in the slightest as it used to be. I have a relationship with my dad, which my psychosis absolutely ruined by making me belive he was a spy sent from the cops. We are able to laugh about it now but it still hurts a bit. I mourned my dad who I thought was dead for over a year. Its bittersweet that I now know what's real but it hurts when I think about how much time I have wasted being scared and angry and just lost in my own world. I also got my permanent disability, so I don't have to stress over money. I'm also trying a new type of therapy that works really well on psychosis/schizophrenia patients, I'm a bit nervous but it'll hopefully work well.

If you told me 8 months ago how I've been doing since my med change I would not have believed it. It hurts to think about how scared and lost/disconnected I was from the real world. Schizophrenia almost made me end my life. I'm so extremely thankful for the people around me in my team who believed in me and sat with me while I ranted about my delusions and more.

I'm not saying everything magically changed just because of the clozapine, I worked a lot and still do to fight my symptoms. But the medication made it so much easier.

I still get to live in my home with 24/7 staff and both them and my therapy team agrees that I can stay as long as I need, which is a relief.

I know it's not rainbow and roses and I'll probably struggle with this illness for years to come, but right now I'm able to deal with it and enjoy life again

#mental health #actuallyill #actually psychotic #actually schizophrenic #actually mentally ill #actually hallucinating #schizo spectrum #psychosis #pseriouslyparanoid #pseriouslypsychosis #actually schizospec #schizophrenic spectrum #pseriouslymentallyill #pseriouslyschizospectrum #clozapine #troubledpastels

[a-schizoaffective-artist]

Today at cloz clinic...

So clozapine clinic has had a rotation of doctors and the doctor I saw today I had never met before. Well I was getting the round of questions you get when you see a doctor like ‘do you know why you’re on the medication’ ‘what do you experience’ etc... He asked me do I get a fever or infection, I was like no but I recently got a cold but hey that’s just bodies exposed to viruses. He then asked had I got covid, then how long ago I replied with ‘Oh I got covid I think when I graduated’ and he asks ‘Oh what did you graduate from?’ I say my masters degree and like the surprise and shock with him after saying that isn’t sitting well with me. Like yeah I have a masters degree and I am on clozapine, those things are mutually exclusive. And the shock continued when I said I’m applying for a PhD. I told my partner about it and he said along the lines of wow rude!

The tale of this story is, go get them goals regardless of being on cloz and ignore rude doctors.

#clozapine #cloz #clozaril #schizoaffective #schizoaffective disorder #schizophrenia #psychosis #doctors #personal

[gh0sttb0yy-vlad]

After a long streak of mostly feeling safe, I was almost in a bad situation with a gaggle of teenagers. They tried to block me from leaving the store to harass me. Thankfully, I pushed past them towards others who were walking, and they stopped pursuing me.

This does not help the fact I think I may be already dead. Even though since clozapine I hear less voices and stuff, it makes me think once more that I am already dead but delayed. I want to desperately help the Absolute come to a singularity with its personas, even though my consciousness feels eternal. I guess in some way I experience cognitive dissonance, but my ambivalence (in terms of indecisiveness and not extremes) makes me fail to have any concrete opinion or make proper decisions.

I just hope that after my top surgery that I come off it swiftly even despite the community treatment order.

#mental health #mental illness #toronto #tw harassment #clozapine #clozaril

[drpedi07]

Clozapine Drug

Medical information for Clozapine on Pediatric Oncall including Mechanism, Indication, Contraindications, Dosing, Adverse Effect, Interaction, Renal Dose, Hepatic Dose.

#Clozapine #medication #medications #medicine #drug #drugs #drug information #medical information #drug index #drug center #pediatric dose #Antipsychotics #clozapine mechanism

[valiumgf]

ok anyone been on clozaril? (clozapine)

#txt #clozapine #clozaril

[confessions-of-a-humanoid]

I keep ending up in inpatient, back on clozapine.

The doctor here keeps telling me lies and putting words in my mouth, and he thinks he is God because his face is plastered on the hospital's website (very few doctors get that). So what if he is associated with 113 papers on schizophrenia or clozapine, he is biased against me already and he won't let me leave.

#schizoaffective #schizophrenia #mental illness #mentally ill #canada #ontario #clozaril #clozapine #camh #centre for addiction and mental health #centre for addictions and mental health

[schizoetic]

One minute I was a teenager. When the psychosis ended I was a grown man.

#time was lost #schizophrenia #anti psychotics #schizophrenic spectrum #psychosis #actually schizophrenic #psychotic break #psychotic #seriously schizophrenic #mental illness #schizo spectrum #clozapine #clozaril #mental hospital #mental disorder #mental ill health

[mysterycitrus]

writing from dick grayson’s perspective (especially dick grayson as a not-entirely-repressed-yet 17yo) is just the smartest person alive saying the most heinous thing imaginable vs the worst survivors guilt ever experienced by man vs truly believing he has created a weapon in robin that bruce will use to hurt other children without consequence vs actively engaging in doublethink vs backflips

#someone get this boy some clozapine #dick grayson #nightwing #dc comics #spokes #persephone tag

[schizophelia]

Psychiatrist Appointment: November 15, 2023

I saw my psychiatrist today. We're trying Nozinan. I take 50mg a day for 1 week and then 100mg until I see him again. He mentioned the hospital but I said I can't go in right now. He said that we'll see if the medication works. He said he's away parts of December so it would be best once he comes back from holidays.

I'm still taking my Clozaril.

I see my doctor again December 22, 2023 at 3pm.

#personal #medication #doctors appointment #doctor's appointment #Nozinan #clozapine #clozaril

[boxwinebaddie]

UNCLE NINA I LOVEDD CHAP 6 IVE ALREADY READ IT TWICE JUST CAUSE STAN WAS BEING SO CUTE AND NERDY

MY SWEETHEART MY LOVELY !! YOU HAVE NO IDEA HOW MUCH I NEEDED TO READ THIS TODAY!!! ;-; <3333 NOT TO BE RAVENSTAN BUT THIS SERIOUSLY ALMOST MADE ME CRY!!!! TY

( you guys know how much i beat myself up, so messages like this mean everything to me...also sorry most of under the cut isn't relevant i just like to ramble about the boys and their dynamic <3 )

but anyways! back to you being my starlight starbright:

lately...i've just been having so much anxiety and imposter syndrome about my writing -- it's bad to the point where when i posted rm6 like two days ago, where i was supposed to be happy and in high spirits, i was so nervous and anxious ( it's this dull, awful ache in my sternum ) that i spent the day pacing w/ my heart racing, ugh. </3

because my brain is so bad, it's hard for me to convince myself when i post that i made the right creative decisions, that you guys are enjoying where the story is going, that it makes sense etc.

so when i get really nice asks like this one from you ( mon ange ) telling me directly that you enjoyed the chapter...oh my god, i feel so much better i can't even tell you. i was really worried people didn't like it or it was too weird bc...its a lot, but...it was cute!

we got to see who raven is offstage and see hes stan and hes a literal angel! that hes down to earth and a fucking loser and so wonderful!!!

i can not tell you guys how painful it was for me just to feed you those starboy snippets of raven being rizzgod and all untouchable and sexy

because...yes he did that thing...but when hes not doing that thing...hes watering his plants and singing to them and wearing the big anime boy tee-shirts and crying and using a tortilla chip as a fork.

so this update!!! meant a lot to me because we got to watch stan be himself and be embarrassing and slip on every surface whilist actually fruedian slipping w/ kyle bc hes so nervous around him and be a lover boy and a crybaby and a crunchy nerdy nervy plant boy

and we also got to watch how the affects kyle, who thinks he knows everything, but then gets immediately humbled because ravenstan is not like the awful ravenraven he made up in his brain who he hates vs. the nice cute awkward boy in his living room who lies badly when nervous, brought him a succulent and is actually...sort of lovely?

...but when you're on a hate with your best friend who you don't know is dead and are a cynical skeptical messticle of a man and having your phantom theres stan syndrome flaire up everytime a literal celebrity smiles or bites his lip and looks like...Your Stan...its...not fun.

but more on that later! next chapter, the boys call ike! which! yay!

but x 2, thank you for being so kind. i seriously thought people were like not enjoying it or the plot progession or thought it was underwhelming/too choppy/messy. so this means a lot to me!

tldr: ravenstan is actually a sweet, sloppy, pathetic nervous wreck and jerseykyle, if nothing else ( sorry king ) is eating his words, because he just might be enjoying his horrible little hate...w/ a deplorable boy who is being weirdly adorable ...

enough to forgive and pardon the most criminal offense outlined in the extensive k.b law handbook...

being ~fashionably~ late :) <3

( and recklessly rizzing him in spanish without a license )

my boys my boys my boys,

uncle nina <3333333

p.s. thank you again for enjoying the update i'm glad you liked weird boy raven i love him so much hes so cute we will see more of him <3

#i have so much to say abt their relationship and how it develops its just so...kyle is so confused and cynical abt it #like his brain is spliting in half like ravens the one being nervous but its actually making kyle SUPER nervous bc hes like #why isnt he being awful what the fuck is wrong with him why is he being nice to me why does he remind me of stan what kind of game is this #his phantom theres stan! disorder be wildin like #gdi can this guy who i thought was hot but a tool and annoying go back to doing and not cute and sweet and pretty #can he stop reminding me of everything i loved about my best friend who is dead like fuck you clozapine nice try bitch #but yeah nerd raven rights! he knows all the scientific plant names volunteers at so many animal shelters is so clumsy and embarrassing #hes a pr disaster but its not bc hes mean its bc hes a chaotic bisexual disaster boy who just wants do everything right #and accidentally does everything wrong :( but hes very endearing and so so nice i swear #he be melting kyles heart he be confusing his brain raven did the stan wowza and his heart was RACING #raven: uses the super sexy rockstar voice to try and rizz kyle #kyle: moderately turned on but mostly pissed off #ravenstan: gets nervous and goes i like your ears! you look like an elf! i meant i like ur hair! its so pretty when its up! or d-down! #whichever! you always look good! not that i look all the time i look a normal amount i am SO normal!!! haha *starts coughing* #kyle: not pissed off at all more than moderately turned on also wants to kiss him extremely bad on all surfaces #slay olay baby!

[saltaired]

my extended family is too big like u could think of anything at all and it’s prob happened to one of my relatives

#like not taking the piss btw my muslim grand mother and great aunt after like 3 of my uncles got psychosis were like #no this is jinn! baby that is a mental health disorder immediately after they did too many drugs with their friends #they thought an exorcism will sort it nan they need clozapine

[a-schizoaffective-artist]

Told the doctor at cloz clinic today that I want to harm myself and guess what HE DIDN'T GIVE A FUCK! What else am I to say to this.

#personal #clozapine

[withswords]

it is too bad that james ransone is out of his fucking mind because i really do like him as an actor dfghdgh

#he has a compelling energy i find him very electric to watch #but let it not be forgotten he is like an insane antisemite. hope you get on the clozapine dude good luck