Posted by yxibow on December 24, 2005, at 4:58:35
In reply to Re: is this akathisia from abilifysabastian, posted by bigscreen on December 24, 2005, at 1:25:22
> do you think if i change the klonopin to ativan and take .25mg of risperdal, 10mg of celexa would that be a good med combo or does the dosages need to be higher.
10mg is a fairly low dose of celexa, but SSRI response varies highly, and do take some weeks to show full effect
>you said you had psychotic depression. well i took two meds that did not mix and i started having thoughts of hurting my youngest son only he lives with my mother.
If the medication combination caused some psychosis, it doesn't necessarily follow that there is a psychosis then, however you continue..
>but when i get depressed or under stress i start having those thoughts. is that what your psychotic depression was or similar to please inform me.
I don't hold an MD so it wouldn't be wise for me to diagnose, but it does sound more like some form of psychotic depression or possibly some form of the schizophrenia spectrum.
>my body is sensitive to meds. ive tried seroquel but it made me gain weight and abilify make me akathesia.
A lot of people are sensitive to neuroleptics, especially if what you have is more on the affective side of disorders.
If Abilify is any indication of akathisia, Risperdal would be at least twice as likely to do the same. But anything that is therapeutic is worth trying. It is the most powerful of the atypical antipsychotics in terms of side effect profiles; others will argue that Clozaril is the most powerful of atypical antipsychotics in general. However, I wouldn't go that route until all things are exhausted. .25mg of Risperdal is a fairly low dose of Risperdal; it does dramatically change its potency as it is increased, as Risperdal is actually fairly chemically closely related to Haldol.
I recognize that Seroquel can definately cause lipid changes and some weight gain but it is not as powerful in that direction as Zyprexa. If Risperdal causes undesirable akathisia, and predictably Geodon would too, then one would have to weigh the cost benefit of things. Revisiting Seroquel and managing a diet might be the thing.
But there's always anticholinergics to take the edge off of akathisia if you can tolerate the combination -- I would recommend Akineton or Artane -- Cogentin is a bit more on the sedating side. Then again, the Ativan might reduce the EPS a bit too.
If its true psychotic depression there is an old medication called Amoxapine which acts sort of like a antipsychotic with antidepressant features. It does carry the same risks as neuroleptics and is probably not prescribed very often.
tidings
poster:yxibow
thread:589900
URL: http://www.dr-bob.org/babble/20051221/msgs/591811.html