Posted by Ritch on May 12, 2003, at 9:54:22
In reply to Re: stimulant psychosis, posted by cybercafe on May 11, 2003, at 22:53:28
> > Only on the Risperdal/Neurontin/Adderall combo. Seroquel was just too sedative, period. The Risperdal I could take the night before at bedtime (1/2mg), and I would just be a *little* foggy-headed when I woke up, but would feel fairly clear after my Adderall dosage the next day.
>
> Hmmmm... so you had movement disorders on both risperdal and seroquel, that's too bad. Did you give them time to remitt? I found it took about 3 weeks for dystonia to disappear on zyprexa.
> Was risperdal much worse than seroquel?When I start getting EPS from an AP, it *always* gets worse the longer I stay on it. The only AP I didn't get EPS from was thioridazine (a conventional). Of course, I haven't tried the newest atypicals, but really don't want to however (don't think I *need* to). Risperdal was definitely MUCH worse than Seroquel. I was the one who asked about it first and was told by my pdoc ("they SAY it doesn't cause EPS, but it DOES"), and let me give it a low-dose trial, and sure enough it DID. No akathisia though, this was different. It was disturbed gait. I could walk and feel my muscles "lock up" at certain points while I was walking-like somebody flipping a switch off and on. I also got the stiff-tongue thing (dystonia) on it like I got from Stelazine.
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> > I'm really beginning to believe that my "ADD" symptoms really are the primary symptoms of bipolar depression. Perhaps a "limbic ADD" of
>
> Yes and no. bipolar depression = atypical depression = mood reactivity. But in my case I get dramatic mood swings depending on how stimulated I am.
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> However! Even when i am hypomanic I still have some problems with ADD, for sure.I notice this when I am *transitioning* from wintertime depressive bipolar (w/ atypical features), to springtime manic symptoms. It is like my head is still all dulled up (and I am sleeping too much), but I start having dozens of projects to start and I can't get started on any given one and can't follow through and stay on one task-what a mess! Kind of like a mild mixed picture of sorts.
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> >sorts. IOW, the stims are creating a dramatic positive improvement in my concentration probs., because they are creating a dramatic improvement in my bipolar depressive symptoms-of which poor concentration and mental slowing are the primary symptoms. I'm not taking any stims or ADD meds, now and I'm not having much trouble at all-I'm also not in the seasonal depressive phase of my cycling either.
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> So now you don't have problems with neither depression nor ADD? Your ADD disappeared on it's own? I am jealous dude :)
Not much to envy really! I still have another layer of 20 day rapid cycling going on and that means several days of depressive mood despite the seasonal component being gone (temporarily). They are just much milder and manageable. They highs can get a bit wirey however.>
> > I think it is interesting they are studying Provigil for use in bipolar depression. From, what I understand it has little effect on NE, but DA instead. For me wakefulness=concentration.
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> Hmmm... maybe your problem is a sleep disorder?
> For me wakefulness=the quest for stimulation
>
I think so too. My sleep quality/architecture/quantity mirrors my mood states almost to a tee. If I try a med that causes insomnia and sleep deprivation-watch for highs to get exaggerated down the road. If I take something that is too sedative and I get to sleeping in too much-I start to get into a depressive snowball. I doing enforced darkness right now and it is helping me to sleep better and my highs are much less jagged than they normally are at this time of year.
poster:Ritch
thread:225269
URL: http://www.dr-bob.org/babble/20030505/msgs/226069.html