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Brad The Therapist
Brad The Therapist, LCPC
Category: Mental Health
Satisfied Customers: 549
Experience:  10 years of experience in working with youth and adults
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Schizoaffective disorder (bi-polar type)

Resolved Question:

Can Trazasone (as a sleep aid - 100mg) be taken with Vistaril (50mg) and Respiridone (2mg), Benztropine (1mg night and morning). The diagnosis for all these drugs is schizoaffective disorder (bipolar type). 
Submitted: 2 years ago.
Category: Mental Health
Expert:  Brad The Therapist replied 2 years ago.

Brad The Therapist :

Thank you for your question. Although Trazadone is used as a sleep aid, it is technically considered an antipsychotic. Vistaril is an antihistamine and can cause drowsiness.

Brad The Therapist :

Was your brother prescribed all three medications by the same psychiatrist?

Customer:

Yes, After a psychotic break, he got better on Trazadone, Rispidone, and benztropine (for side effect - tremor). When I picked him up (he had been arrested - but cleared of charges), the prescriptions were the vistaril, respiridon and bentropine----we got them filled. Small packets were provided for three days. Left over Trazadone in sheets of say 8 individual pill were also given to me. His personality is back and I'm so glad. He is not sleeping well now and I was thinking to swap out the Vistaril for the Trazadone. This is all over a two week period.

Customer:

Any clarification I can provide, please let me know.

Brad The Therapist :

I see, before making any changes to his medications, I suggest for you to contact his doctor, if he has one. If he doesn't have one, I suggest for you to contact a pharmacist regarding the swapping out of the vistaril to trazadone only because I'm not sure if vistaril needs to be titrated off first before trazadone is used.

Customer:

Thanks

Brad The Therapist :

Do you have any other questions?

Customer:

Are there any psychiatrists on the pay per question site. I appreciate your input. (we have an appt on Wednesday with a new psychiatrists) but I did not want him to only get a few hours of sleep each night befor that appt.

Brad The Therapist :

I can opt out on this question as there are psychiatrists on this site. However, if you need immediate answers, I would contact a pharmacist at your locol drug store and that person will be able to give you some suggestions.

Customer:

Thank you I'd appreciate it if you would opt out. I really appeciate your trying and your concern.

Brad The Therapist :

Sorry to opt back-in. I just consulted with the psychiatrist at my office about the interactions between Vistaril and Trazadone.

Brad The Therapist :

I was informed that there is moderate risk for the interactions between two of these drugs, thus the combination should be avoided.

Brad The Therapist :

in addition, there is a 16 to 24 hour half-life for Vistaril, meaning that it takes 16 to 24 hours for 50% of the Vistaril to be metabolize, 32 to 48 hour to metabolize 75% of Vistaril. Thus it may take three to five days to completely metabolize this medication. It is recommended that your brother should not be switched to Trazadone until he is completed off of the Vistaril for at least two days, if not longer.

Brad The Therapist :

Hope this helps.

Customer:

Thank you very much for checking with your psychiatrists at your office. I now know that we must wait until Wednesday to make any changes. Maybe we will have him do more stationary biking to try and sleep better before the visit Wednesday.

Customer:

Thank you again

Brad The Therapist : I hope you found me helpful. If so, please consider pessing h "accept" button for me to receive credit for this question. All the best!
Customer:

I will.

Brad The Therapist, LCPC
Category: Mental Health
Satisfied Customers: 549
Experience: 10 years of experience in working with youth and adults
Brad The Therapist and 3 other Mental Health Specialists are ready to help you

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Brad The Therapist
Brad The Therapist
Mental Health Professional
549 Satisfied Customers
10 years of experience in working with youth and adults