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) 467-2825
In case of dysphoria (anxiety, rage, depression and despair), suicidal thoughts, self destructive impulses, anger, or other stress related symptoms:
A) If it doesnít work, repeat the dose 10-15 minutes later - donít take more than 4mg in an hour.
B) If 4mg of Haldol doesnít work, go on to the next step below.
C) If Haldol works you may continue taking it, but the maximum dose is 8mg in a 24 hour period.
D) When taking 4 or more mg of Haldol in a 4 hour period, take 25-50mg of Benadryl to prevent a dystonic reaction.
E) You may take the Haldol in advance of stressful situations.
F) Treat all anger as a medical emergency.
When Haldol doesn't work....
Take Tegretol 200mg once... (take an extra one if youíre already on it).
...if three hours later not doing better, take Risperdal (risperidone) 3mg.
A) Preferably with Zyprexa (olanzapine) 10mg.
B) This will likely make you too groggy to function for 24 hours, and it wonít work for 24 hours in most cases.
A) Take the Risperdal (risperidone) 3mg with Zyprexa (olanzapine) 10mg
B) Continue Zyprexa (olanzapine) 10mg for the next two nights.