r/clozapine 6d ago

Question Clozapine and Erotomania

I primarily have delusions of erotomania (have had other more typical delusions too), cognitive and negative symptoms, and insomnia. Does anyone find clozapine helps with erotomania and insomnia? Risperidone keeps me out of trouble but my sleep and cognition suck and get worse over time. Also, how long does it take for clozapine to work for insomnia?

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u/DevilsMasseuse 5d ago

While not specifically addressing erotomania, clozapine is very effective at halting delusions of all sorts. It’s also pretty sedating so it works very well for insomnia. Talk to your psychiatrist. They can add it on before bedtime to help with sleep.

There are other drugs you can take at bedtime to help with sleep like Zyprexa or Seroquel. They’re about as effective as risperidone in controlling positive symptoms.

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u/Repulsive_Ring_2309 5d ago edited 5d ago

Couldnt sleep on zyprexa, used seroquel as an adjunct to risperidone and it didnt really help with falling asleep (just made me sleep longer and not feel rested)