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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 31 to 55 of 55. Go back in thread:
Posted by Jeroen on November 27, 2004, at 10:18:26
In reply to Re: im thinking of WHY!, posted by Sebastian on November 27, 2004, at 10:16:43
hey i reacted bad to ABILIFY, i took it 15 days, i got side effects like IRITABILITY, ANXIETY, BLURRED VISION, EYES BLINKING, INSOMNIA
did i go away after 3 weeks? did you feel good on it?
Posted by Sebastian on November 27, 2004, at 10:54:00
In reply to Re: im thinking of WHY!, posted by Jeroen on November 27, 2004, at 10:18:26
Abilify made me feel like crap. It took 3 weeks of getting worse before I started getting better. I was switching right back to zyprexa.
Posted by Jeroen on November 27, 2004, at 11:47:14
In reply to Re: im thinking of WHY!, posted by Sebastian on November 27, 2004, at 10:54:00
sebastian, you still take 3.75 mg abilify ive read on this board am i correct?
have you tryed amentadine with zyprexa or nizatidine for the weight gain?
Posted by ed_uk on November 27, 2004, at 18:03:43
In reply to Re: A message for Jeroen » Jeroen, posted by ed_uk on November 26, 2004, at 15:25:01
Hello Jeroen,
I am really trying to help you. Please can you answer my questions which I posted above.
Regards,
Ed.
Posted by Jeroen on November 28, 2004, at 5:06:40
In reply to Re: Jeroen, posted by ed_uk on November 27, 2004, at 18:03:43
> Hello Jeroen,
>
> I am really trying to help you. Please can you answer my questions which I posted above.
>
> Regards,
> Ed.i dont know what my diagnosis is, i dont hear voices, i have this problem since i was 14 years old, so it could be schizoaffective or something like that i really dont know
Posted by ed_uk on November 28, 2004, at 7:30:04
In reply to Re: A message for Jeroen » Jeroen, posted by ed_uk on November 26, 2004, at 15:25:01
Hi Jeroen,
Please could you answer these questions. I know it is difficult for you to read because of your eyes. Perhaps you could ask a friend to help you.
Do you see a psychiatrist?
Was the Zyprexa prescribed for you or did you buy it online? The problem with Zyprexa is that it can actually cause tardive dyskinesia in rare cases. You need to discuss with a doctor whether it is advisable for you to continue the Zyprexa.
If antipsychotic medication is no longer needed, the best way to ensure improvement in tardive dyskinesia might be to stop all antipsychotic medication. If what you are experiencing is blepharospasm, several treatments are available as I mentioned earlier. Your neurologist can tell you more. It is very important that your neurologist knows that you were taking Geodon. He won't be able to diagnose you unless you tell him the truth. No one on psycho-babble can diagnose you with tardive dyskinesia, only a neurologist can tell you your diagnosis.
If you look up blepharospasm on Google you can read about the treatments which are available.
Best Wishes,
Ed.PS. I know you are frightened about what will happen to you. Please be truthful with your neurologist.
Posted by DanielJ on November 29, 2004, at 9:12:08
In reply to Re: A message for Jeroen, posted by ed_uk on November 28, 2004, at 7:30:04
I have had some terrible eye twitching problems in the distant past. These can also be caused by dietary deficiency but mine were linked to caffiene consumption. In those days when I wasn't drinking coffee I was having a Coke. I short just too much caffiene. When I cut back on caffiene, after a few weeks my problem gradually disappeared. Caffiene can also contribute to the intensity of twitching even though it isn't the initial cause.
Posted by Sebastian on November 29, 2004, at 20:36:02
In reply to Re: im thinking of WHY!, posted by Jeroen on November 27, 2004, at 11:47:14
No, I don't take the abilify any more. It was too much for me to stop one med that worked great and take a new one. I went back to the zyprexa, like I've been taking now for the most part of the last 7 years.
I responded so badly to the abilify that even after I stoped taking it and went back to zyprexa, it still took 3 weeks of getting worse feeling, and then I slow recoperation over about the next 2 months.
Some times the bad effects take a while to rub off.
Do you still take abilify? How long were you taking zyprexa before?
Posted by Sebastian on November 29, 2004, at 20:40:11
In reply to Re: Jeroen, posted by Jeroen on November 28, 2004, at 5:06:40
part of my getting better was changing my thinking back to the way it was before the bad experience. That and the right med that worked before. Confidance always wins.
Posted by Jeroen on November 30, 2004, at 6:37:49
In reply to Jeroen, posted by Sebastian on November 29, 2004, at 20:40:11
geodon is same chemical compounds as abilify ive read,, my body rejects both,, and the geodon did some perm damage to my eyes
Posted by Sebastian on November 30, 2004, at 21:32:10
In reply to Re: Jeroen, posted by Jeroen on November 30, 2004, at 6:37:49
Its deffinitly permanent? What does that mean, will you blink a lot for ever, never getting any better?
Posted by Jeroen on December 1, 2004, at 0:21:14
In reply to Re: Jeroen, posted by Sebastian on November 30, 2004, at 21:32:10
i dont know, i just went outside to store and bank, my eyes were blinking every second, they feel irritated
i already lost a good friend because of this condition
i am falling into depression
Posted by Sebastian on December 1, 2004, at 11:54:33
In reply to Re: Jeroen, posted by Jeroen on December 1, 2004, at 0:21:14
I wonder if the sedating effects of a drug like zyprexa, maybe in a higher dose, would help to relax some of the blinking? Then after taking it for a while maybe the blinking would get better, then you could ease off on the dose, for less weight gain, add some bupropion for the weight also. Initialy with out bupropion. Sounds like zyprexa is the right med for your condition. Do you also drink sugar free caffinated drinks, that help weight also.
With your blinking, is it so bad that you can not see? Are you able to work?
May also help to take an anti-depressant, SSRI, like celexa, which is weight nutral. I have also noticed how celexa helps make vision more pleasant with bright colors. Kind of makes you open your eyes. You could take as much as 80 mg. Personaly I take 60 mg. I've found that 10 mg zyprexa is a very good dose, not too sedating and not too weak. I'm also taking lamictal, which is pleasant for my moods.
Posted by Jeroen on December 1, 2004, at 12:02:29
In reply to Re: Jeroen, posted by Sebastian on December 1, 2004, at 11:54:33
today is exactly 2 weeks since i take zyprexa
my condition is worsened because of zyprexa, blinking all the time
Posted by ed_uk on December 1, 2004, at 12:27:31
In reply to Re: Jeroen, posted by Jeroen on December 1, 2004, at 12:02:29
Hello,
I am worried that you are taking Zyprexa. Zyprexa can cause tardive dyskinesia.
Ed.
Posted by Jeroen on December 1, 2004, at 12:30:22
In reply to Re: Jeroen, posted by ed_uk on December 1, 2004, at 12:27:31
too late, i think im already suffering from it caused by this drug www.geodon.com IT HAS DESTROYED MY LIFE!!! IM 20 YEARS OLD
i only took it 3 weeks enough for TD to be permanent
Posted by jujube on December 1, 2004, at 16:34:02
In reply to Re: Jeroen, posted by Jeroen on December 1, 2004, at 12:30:22
I am so sorry that you are having to go through this. Please don't give up, and never think that it is too late until you have exhausted all possible avenues.
I had read about a couple of natural supplements that may be useful in treating TD. You may want to discuss these with your doctor.
I am sorry that you are having to go through this. Please don't give up yet, and don't say it is too late until you have exhausted all possible avenues. I read recently that a couple of nutritional supplements (vitamins, etc.) can help with TD.
One is DMAE, which is said to, among other things, "exert favorable effects on those chronic Dyskinesias (including Tardive Dyskinesia) that occur as a result of long periods of use of Major Tranquilizers".
Another is Lecithin (phosphatidyl choline), but I am not sure what dosage would be effective.
Anyways, I hope you find something to help with the problem. Keep working with the doctors, and have faith.
Tamara
> too late, i think im already suffering from it caused by this drug www.geodon.com IT HAS DESTROYED MY LIFE!!! IM 20 YEARS OLD
>
> i only took it 3 weeks enough for TD to be permanent
Posted by Sebastian on December 1, 2004, at 19:21:36
In reply to Re: Jeroen, posted by Jeroen on December 1, 2004, at 12:30:22
Have you stoped taking all meds? That might be the best.
Posted by Jeroen on December 2, 2004, at 5:38:51
In reply to Re: Jeroen, posted by Sebastian on December 1, 2004, at 19:21:36
yes i stoped taking zyprexa yesterday, the thing is im suffering from a mental problem what if i never can take these drugs again?
Posted by Sebastian on December 2, 2004, at 12:11:46
In reply to Re: Jeroen, posted by Jeroen on December 2, 2004, at 5:38:51
How is the blinking since you stoped all APs? I think it would be unusual that all APs would have that affect. Unless its just that they make your eyes very sensitive to light? Maybe a drug like: Depakote or lamictal would work? They are not considered APs, but do a simalar effect, with moods, lamictal is saying it has shown affective with scitzoaffective disorder, bipolar, and epilepsy. Might be worth a try.
Posted by Jeroen on December 2, 2004, at 13:10:45
In reply to Re: Jeroen, posted by Sebastian on December 2, 2004, at 12:11:46
my diagnose is schizoaffective yes
but its a medication for epilepsy,, are you sure about this?
Posted by Sebastian on December 2, 2004, at 19:03:28
In reply to Re: Jeroen, posted by Jeroen on December 2, 2004, at 13:10:45
Do a
www.google.com
seach for
"Lamictal schizoaffective"
You will get a lot of talk about using lamictal in the treatment of schizoaffective.
Here is one:
Lamotrigine in the Treatment of Schizoaffective Disorder
Andreas Erfurtha, Jörg Waldenb, Heinz GrunzeaDepartments of Psychiatry,
aUniversity of Munich and
bUniversity of Freiburg,Germany
Address of Corresponding AuthorNeuropsychobiology 1998;38:204-205 (DOI: 10.1159/000026540)
There is accumulating evidence for the efficacy of lamotrigine in the treatment of bipolar disorder, including bipolar depression, both as monotherapy and in combination with sodium valproate. We present the cases of 3 female patients admitted to our hospital with the diagnosis of schizoaffective disorder who were treated with lamotrigine. While dosages up to 200 mg/day, resulting in serum concentrations of less than 5 mg/l, were only partially effective, 400 mg/day (with serum concentrations >10 mg/l) led to considerable mood stability, with complete remission from paranoid symptoms. We suggest that lamotrigine might be helpful in the treatment of schizoaffective disorder, probably with serum concentrations of more than 5 mg/l.
Do a google search. I have schitzoaffective and was just prescribed Lamictal.
Posted by ed_uk on December 3, 2004, at 9:20:27
In reply to Re: Jeroen, posted by Sebastian on December 2, 2004, at 19:03:28
Hello Jeroen,
Have a look at this report. To summarise, it suggests that if you stay away from antipsychotics (neuroleptics) your blepharospasm may improve or go away completely. Don't take anymore Zyprexa unless you absolutely have to.
Tardive blepharospasm.
Sachdev P.
School of Psychiatry, University of New South Wales and Neuropsychiatric Institute, The Prince Henry Hospital, Sydney, Australia.
I report on five patients with tardive blepharospasm seen in a movement disorders clinic, out of 25 tardive dystonia patients. They were young (aged 25-50 yrs); four were men and three had a schizophrenic disorder. The onset was gradual while on maintenance neuroleptics in four and on withdrawal in the fifth. There were no significant antecedent events precipitating the disorder. The disorder was bilateral but asymmetric in two cases. Dyskinetic blinking was often an initial feature and tended to persist after the resolution of the blepharospasm. Orolingual dyskinesia was present in one case and tardive akathisia in two other cases. The symptoms fluctuated in severity with a number of exacerbating and relieving factors.
**Reduction of neuroleptic dose led to improvement with complete reversal in one of two patients who could be withdrawn off neuroleptic medication.**
These reports suggest that TB, although uncommon, can be a disabling disorder that may improve considerably with the cessation or dose reduction of the neuroleptic drugs. Its treatment and longitudinal course should be further examined.
If you need an antipsychotic to treat your mental health problems, clozapine (Clozaril) might be the best option. Clozapine can also be an effective treatment for blepharospasm.
J Clin Psychiatry. 2000 Feb;61(2):140-3. Related Articles, Links
Clozapine in the treatment of neuroleptic-induced blepharospasm: a report of 4 cases.Levin H, Reddy R.
University of Pittsburgh, Department of Psychiatry and Western Psychiatric Institute and Clinic, PA 15213-1444, USA.
BACKGROUND: Blepharospasm, the forcible closure of eyelids, is an infrequent consequence of neuroleptic treatment that, when severe, can interfere with the ability to walk, drive, or work. Like tardive dyskinesia, blepharospasm can be disfiguring and aesthetically distressing, contributing to the increased stigmatization of patients. CASE REPORTS: We report 4 patients with DSM-IV schizoaffective disorder, paranoid schizophrenia, or chronic undifferentiated schizophrenia who developed neuroleptic-induced blepharospasm. In all patients, blepharospasm remitted without the reemergence of psychosis within 3 to 5 months of treatment with clozapine, 100-200 mg/day. CONCLUSION: The results suggest that clozapine may successfully treat neuroleptic-induced blepharospasm without the reemergence of psychosis in patients with schizophrenia, schizoaffective disorder, or schizophreniform disorder.
Another potential treatment for blepharospasm is Neurontin (gabapentin). Here is a little report.
Gabapentin as a promising treatment for antipsychotic-induced movement disorders in schizoaffective and bipolar patients.Hardoy MC, Hardoy MJ, Carta MG, Cabras PL.
Institute of Psychiatry, University of Cagliari, Italy. [email protected]
Improvement of antipsychotic-induced blepharospasm and involuntary oral-mandibulo movements was observed with the use of the anticonvulsant drug gabapentin among 14 of 16 affectively ill patients who had been exposed to maintenance neuroleptics of the conventional type. In many cases, the movement disorders of these patients had not responded to more standard measures such as clozapine. This finding permits a potential strategy for patients with treatment-emergent tardive dyskinesia, a well-known complication of extended conventional neuroleptic use. Gabapentin, whose mood stabilizing properties have been reported in several clinical reports, represents a more natural treatment in the setting of bipolar spectrum disorders.
As I have said before, Botox can also be a very effective treatment for blepharospasm.Best Wishes,
Ed.
Posted by Jeroen on December 7, 2004, at 7:13:54
In reply to Re: The future is bright for Jeroen, posted by ed_uk on December 3, 2004, at 9:20:27
im currently taking AMANTADINE 100 MG
when does this start to work?
Posted by Jeroen on December 7, 2004, at 9:10:35
In reply to Re: The future is bright for Jeroen, posted by ed_uk on December 3, 2004, at 9:20:27
what dosage for NEURONTIN do i need?
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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