Posted by delna on November 3, 2009, at 2:57:31
In reply to Re: Need help trying to 're-create' Geodon's effects.. » delna, posted by Phidippus on November 2, 2009, at 20:33:40
>> Abilify is very similar to Geodon but I found it more stimulating and it caused me lots of akathisia.
I tried it for a brief period but it was titrated up very slowly so I didn't get akathisia. I didn't find it activating but I believe you need to go to a highish dose for that. What dose were you taking? Did you have to quit because of the akathisia or did it pass?
>> TD would not have caused your genital irritation.
You know, I never dreamed it was possible because TD does not present like that, at all. But then I stumbled upon this paper in 'Neurology' journal quite accidentally.
The paper describes 'genital tardive pain syndrome', in which genital pain can be the only symptom. But it is still a presentation of TD, nonetheless.
It's so rare and hardly documented so that explains why my pdoc in NY didn't even consider it.>>Its more likely you incurred priapism. Was your clitoris engorged? (sorry to ask) Priapism can occur with Geodon and can be very painful.
In fact, priapism was what was suspected at one point (by my pain speacilist) She changed her mind when she sent me for tests and found that there was no engorgement whatsoever.
Plus the pain was time dependent. It only occurred once the drug levels fell (ie just before my next dose was due). That sort of masking effect by an AP is so typical of TD. Plus increasing the dose got rid of the pain.(for a while at least)Well, I hope my pdoc in NY rules TD out because I can find a way to deal with the pain (if its not TD related). There are nerve blocks etc that you can try. I think it's worth it.
>> Try Abilify and look into Solian, which has a great antidepressant profile and has been compared to Geodon.
I am waiting for some sort of response from my US pdoc. He recommended Abilify as the next option but then he didn't know about 'genital tardive pain syndrome'
He may tell me to stay away from all APs because of the changes in the brain that occur when u have had TD. It makes you more likely to get TD (full fledged maybe) the next time you take an AP.
Solian sounds good too.>> What is your current med regime?
Pretty much nothing because I am waiting for that horrible parnate to wash out. So it's just Lamictal 200mg and Provigil 200mg. I have 7 days left before I can add anything. I was on nortryptline (my pdoc here was trying to 'cover' me during this period) but I couldn't tolerate it. It made me feel ill so I gave it up.
Thanks a lot for your input. I truly do appreciate it.
Take care
Love
D
poster:delna
thread:923807
URL: http://www.dr-bob.org/babble/neuro/20090701/msgs/924248.html