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Glasgow Antipsychotic Side-effect Scale

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Personal Details

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Over the past week

I felt sleepy during the day: *

I find this distressing: *

I felt drugged or like a zombie: *

I find this distressing: *

I felt dizzy when I stood up and/or have fainted : *

I find this distressing: *

I have felt my heart beating irregularly or unusually fast : *

I find this distressing: *

My muscles have been tense or jerky: *

I find this distressing: *

My hands or arms have been shaky : *

I find this distressing: *

My legs have felt restless and/or I couldn’t sit still: *

I find this distressing: *

I have been drooling : *

I find this distressing: *

My movements or walking have been slower than usual: *

I find this distressing: *

I have had uncontrollable movements of my face or body: *

I find this distressing: *

My vision has been blurry: *

I find this distressing: *

My mouth has been dry: *

I find this distressing: *

I have had difficulty passing urine: *

I find this distressing: *

I have felt like I am going to be sick or have vomited: *

I find this distressing: *

I have had problems opening my bowels (constipation) : *

I find this distressing: *

I have wet the bed: *

I find this distressing: *

I have been very thirsty and/or passing urine frequently: *

I find this distressing: *

The areas around my nipples have been sore and swollen: *

I find this distressing: *

I have noticed fluid coming from my nipples: *

I find this distressing: *

I have had problems enjoying sex: *

I find this distressing: *

I have had problems getting an erection: *

I find this distressing: *

Over the last three months

I have noticed a change in my periods : *

I find this distressing: *

I have been gaining weight: *

I find this distressing: *

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Results

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St Lawrence Surgery
79 St Lawrence Avenue
Worthing
West Sussex
BN14 7JL

Telephone: 01903 222 900

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