Note - that should be 'Akathisia' in the title! Akinesia completely different..... Mother had her Mirtazapine increased from 15 mg to 30 mg three weeks ago. It has made her agitation and sleeplessness worse. So she was started on Olanzapine 2.5 mg last night. I stayed the night in the nursing home to keep an eye on her and it was a horror night. She could not keep any part of her body still - extreme restlessness and some 'jerks' which persisted even when she had some brief sleep from 2.30 to 5 am (known as akinesia). She was up and down out of bed about 40 times. Hyperventilating, panicky (she often has those anyway). Asking strange questions bordering on delirium (hasn't had these before). My question is will these side effects go away or does it mean the drug is not suited to her/not suited to her in combination with that dosage of Mirtazapine? I'm not sure I can stand another night like that and it's extremely unpleasant for her - should we push through it? It's a long weekend over here so can't ask her doctor. Nurses want to keep her on it - I guess she'll just end up in hospital if it gets worse tonight.....
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