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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 5 to 29 of 51. Go back in thread:
Posted by Christ_empowered on September 29, 2014, at 15:14:07
In reply to Elavil + Geodon - yikes!, posted by Sheilac on September 29, 2014, at 13:38:05
they both affect the heart...I don't think you're supposed to take TCA antidepressants w/ Geodon or Seroquel.
Also, TCAs can raise neuroleptic blood levels and add a level of sedation. Elavil is particularly sedating.
Posted by Phillipa on September 29, 2014, at 15:19:20
In reply to Re: Elavil + Geodon - yikes!, posted by Christ_empowered on September 29, 2014, at 15:14:07
Can you call the covering doctor? Phillipa
Posted by Sheilac on September 29, 2014, at 15:21:34
In reply to Re: Elavil + Geodon - yikes!, posted by Christ_empowered on September 29, 2014, at 15:14:07
Elavil is not making me sleepy. Hardly anything makes me sleepy. I'm also taking antihistamines (hydroxyzine) which is supposed to knock you out.
The on call shrink says it's the Elavil causing the shaking and not the combo of Geodon. He said it was fine to take both!
So, I guess I'm stuck until my doc gets back on the 13th. I may go crazy by then.
Posted by Sheilac on September 29, 2014, at 15:25:47
In reply to Re: Elavil + Geodon - yikes!, posted by Phillipa on September 29, 2014, at 15:19:20
I've talked to the on call doc and he says there's no problem taking both meds. My doc is out of town until I see her on the 13th.
I feel like I could go even higher on the Elavil for the neuropathy. But at the same time, I feel like I need a more grounding mood stabilizer.
Makes me want to try throwing in 125mg of depakote.
Posted by Beckett on September 29, 2014, at 20:04:27
In reply to Elavil + Geodon - yikes!, posted by Sheilac on September 29, 2014, at 13:38:05
Sheila, have you taken cymbalta for neuropathy?
My knowledge of godown is slight. You've taken it before? Have you let a doctor know you are experiencing what seems to be anxiety and/or a mixed state? If not, that might get you some medical attention.
Posted by Lou Pilder on September 29, 2014, at 20:15:40
In reply to Re: Elavil + Geodon - yikes! » Phillipa, posted by Sheilac on September 29, 2014, at 15:25:47
> I've talked to the on call doc and he says there's no problem taking both meds. My doc is out of town until I see her on the 13th.
>
> I feel like I could go even higher on the Elavil for the neuropathy. But at the same time, I feel like I need a more grounding mood stabilizer.
>
> Makes me want to try throwing in 125mg of depakote.S,
You wrote,[..makes me want to try...Depakote...].
It could be attractive for people in the state that you describe here to think that some other drug will help you out of the state that you are in. And many go that way to their deaths.
The addition of Depakote could cause your death I base this on that the ingredient in the drug could exacerbate heart irregularities along with the two drugs that you are taking, which could lead to an exponential increase in the chances of death. You see, when these drugs are combined, the effects are exponentially increased. This is why people taking opiate drugs can die by taking one drink of vodka along with the opiate. And worse, your judgment can be impaired from these drugs exponentially also and one could, lets say, walk outside when it is 20 b3low zero and freeze to death, or other things that with their impaired judgment, they could kill themselves.
Lou
Posted by Phillipa on September 29, 2014, at 20:40:42
In reply to Lou's response- thabrkenrowd » Sheilac, posted by Lou Pilder on September 29, 2014, at 20:15:40
Lou Sheila isn't on an opiod, it isn't freezing cold. And she's a pretty smart cookie. And the doc knows. So I feel she is fine. Why do you feel all meds may cause death? You have taken them and you are still alive? Phillipa
Posted by Lou Pilder on September 29, 2014, at 21:11:45
In reply to Re: Lou's response- thabrkenrowd » Lou Pilder, posted by Phillipa on September 29, 2014, at 20:40:42
> Lou Sheila isn't on an opiod, it isn't freezing cold. And she's a pretty smart cookie. And the doc knows. So I feel she is fine. Why do you feel all meds may cause death? You have taken them and you are still alive? Phillipa
P and friends,
Many of you already know that I was given these same drugs by a psychiatrist/doctor. And many of you know that I wrote about a miraculous deliverance from being addicted to the drugs that the doctor gave me And he never said that they were addicting Yet today, many doctors acknowledge that over 40,000 people die each year from these drugs and I do not know how many are in a lifetime of misery from these drugs yet being alive. One doctor told me that over 400,000 die each year as only 10 percent are known.
And I have been to the Mountain top, and have seen that broken road, with people lost and in the wilderness, going astray, vulnerable to the wolves, for they have no shepherd to bring them back to the green fields that they used to know.
And if anyone hears the voice of the Shepherd, they are called to return to the Joy of Life. But there is something stopping one from hearing the voice of the Shepherd. I have come here to remove what is stopping those from hearing.
Lou
Posted by Phillipa on September 29, 2014, at 22:25:32
In reply to Lou's reply-- thabrkenrowd » Phillipa, posted by Lou Pilder on September 29, 2014, at 21:11:45
Lou I know you mean well and really wish to help others. I'm so sorry you were not informed by your doctor that the meds you took could cause wasn't it a noise or something in your ears? I myself experienced loss of taste and smell from biaxin XL when had lyme's disease. It was a very rare side effect and lost so much pleasure in life. But to have not taken this antibiotic could have led to more severe effects as a bacteria. I chose the biaxin . So Sheila must also chose. I do wish you would disclose the name of the med and exactly what it did to you. I feel this would help more people. P
Posted by Sheilac on September 30, 2014, at 5:51:23
In reply to Re: Lou's reply-- thabrkenrowd » Lou Pilder, posted by Phillipa on September 29, 2014, at 22:25:32
I just don't know what to do. I'm shaking so bad I can't stand it. The on call shrink was of no help. He said Elavil does that and to either deal with the neuropathy or the shaking.
But I really think the Geodon isn't helping. I'm desperate.
I feel like I need a mood stabilizer.
I'm not sleeping well either.
I have Depakote and Trileptal. I really think I need to wean off Geodon and immediately add a mood stabilizer. I can't wait 2 weeks.
So far this morning I took 2mg Klonopin and 100mg Atarax.
I need something quick.
I don't think going higher on Geodon is the answer. I think it might make things worse.
I think the antidepressant is making me hypomanic.
Any suggestions as to how to make it 2 more weeks?
Posted by Christ_empowered on September 30, 2014, at 6:13:49
In reply to Depakote + Elavil ?!, posted by Sheilac on September 30, 2014, at 5:51:23
can't you take lyrica or Neurontin for the neuropathy? maybe ultram?
Posted by Sheilac on September 30, 2014, at 6:19:40
In reply to Re: Depakote + Elavil ?!, posted by Christ_empowered on September 30, 2014, at 6:13:49
I have ultram and it helps but not completely.
I failed neurontin and Lyrica. Elavil is the only thing that's brought me relief.
But I'm jumping out of my skin. I feel like the Geodon don't the best mood stabilizer at this point.
Maybe I'm getting too much serotonin or I'm just hypomanic.
That's why I thought the Depakote or Trileptal would help.
I hate feeling this way.
Posted by Lou Pilder on September 30, 2014, at 6:27:03
In reply to Depakote + Elavil ?!, posted by Sheilac on September 30, 2014, at 5:51:23
> I just don't know what to do. I'm shaking so bad I can't stand it. The on call shrink was of no help. He said Elavil does that and to either deal with the neuropathy or the shaking.
>
> But I really think the Geodon isn't helping. I'm desperate.
>
> I feel like I need a mood stabilizer.
>
> I'm not sleeping well either.
>
> I have Depakote and Trileptal. I really think I need to wean off Geodon and immediately add a mood stabilizer. I can't wait 2 weeks.
>
> So far this morning I took 2mg Klonopin and 100mg Atarax.
>
> I need something quick.
>
> I don't think going higher on Geodon is the answer. I think it might make things worse.
>
> I think the antidepressant is making me hypomanic.
>
> Any suggestions as to how to make it 2 more weeks?S,
You wrote,[...I just don't know what to do...I'm desperate...I need something quick...any suggestions...]
The addition of the two drugs could cause confusion and also create another increase in the chances of heart failure and death. The impairment of your thinking that the additional drugs could cause, makes the probability of death even more likely in these two weeks that you need.
I question as to if one in the condition that you are in is competent to make your own decisions to make it the two weeks. This is because the drugs themselves can cause impaired thinking and gross confusion even to the point of committing suicide or adding a drug that you may have shelved years ago that could cause death. This is because the combination of these drugs can create an exponential effect to the point that one can have suicidal and/or homicidal thinking induced into them exacerbated by what you describe as shaking, which could be akathesia that can cause desperation. It is this state of desperation that you include here that can cause one to do things that they think will be OK, not knowing that they could be killed by doing it, such as driving while in this state.
I am prevented here by the prohibitions posted to me by Mr Hsiung to lead you out of the desperation that you describe.
Lou
Posted by Sheilac on September 30, 2014, at 6:40:28
In reply to Lou's response-shrinknohelp » Sheilac, posted by Lou Pilder on September 30, 2014, at 6:27:03
I don't feel mentally imparted or suicidal. I just know my body and it is super shaky and hypomanic.
My thinking (as well as my pharmacist) is that maybe I'm getting hypomania from the combo of Geodon & Elavil.
I'm just saying I think I need to taper the Geodon and take a mood stabilizer.
Not sure which one would help the fastest at this point. Depakote or Trileptal.
Posted by Lou Pilder on September 30, 2014, at 7:15:28
In reply to Re: Lou's response-shrinknohelp » Lou Pilder, posted by Sheilac on September 30, 2014, at 6:40:28
> I don't feel mentally imparted or suicidal. I just know my body and it is super shaky and hypomanic.
>
> My thinking (as well as my pharmacist) is that maybe I'm getting hypomania from the combo of Geodon & Elavil.
>
> I'm just saying I think I need to taper the Geodon and take a mood stabilizer.
>
> Not sure which one would help the fastest at this point. Depakote or Trileptal.
>
> S,
I question as to how one could self-prescribe mind-altering drugs, if that is what you are doing. If they have them on hand from previous uses, they could be contaminated. But worse, taking the un prescribed drug could cause death because of the interaction between the drugs being prescribed may not be known by the self-prescriber.
Lou
Posted by Sheilac on September 30, 2014, at 7:43:27
In reply to Lou's reply-pselphprescibe » Sheilac, posted by Lou Pilder on September 30, 2014, at 7:15:28
I know both depakote and Trileptal work to put out the hypomania fire. Geodon & elavil are causing hypomania.
It makes sense to me to wean off Geodon and add a true mood stabilizer. Unless upping the Geodon is an option, which I think it's not.
This seems simple to me. I just don't know what to do.
Posted by Lou Pilder on September 30, 2014, at 7:57:28
In reply to Re: Lou's reply-pselphprescibe, posted by Sheilac on September 30, 2014, at 7:43:27
> I know both depakote and Trileptal work to put out the hypomania fire. Geodon & elavil are causing hypomania.
>
> It makes sense to me to wean off Geodon and add a true mood stabilizer. Unless upping the Geodon is an option, which I think it's not.
>
> This seems simple to me. I just don't know what to do.
S,
Are you going to do this modification to your taking of drugs on your own? If so, where are you going to get the drug(s)?
Lou
Posted by Sheilac on September 30, 2014, at 8:01:40
In reply to Lou's reply-howyagonnagetum » Sheilac, posted by Lou Pilder on September 30, 2014, at 7:57:28
I have both depakote and Trileptal at home. For the past 8 months I've only been taking Geodon it worked for depression and mood stabilization.
The elavil has thrown me into a hypomanic state.
I'm not sure what med to take, but I have to do something before I go crazy. I don't think Geodon is a good mood stabilizer with elavil.
Posted by Lou Pilder on September 30, 2014, at 8:20:34
In reply to Re: Lou's reply-howyagonnagetum » Lou Pilder, posted by Sheilac on September 30, 2014, at 8:01:40
> I have both depakote and Trileptal at home. For the past 8 months I've only been taking Geodon it worked for depression and mood stabilization.
>
> The elavil has thrown me into a hypomanic state.
>
> I'm not sure what med to take, but I have to do something before I go crazy. I don't think Geodon is a good mood stabilizer with elavil.S,
You wrote,[...I'm not sure what med to take...I have to do something...].
I am unsure as to what you are wanting to mean here If you could post answers to the following, then I could have the opportunity to respond accordingly.
True or False:
A. The only choice that I have, Lou, is to take either Trileptal or Depakote
B. My prescribing doctor says that I can take drugs without consulting him/her that I have shelved from previous prescriptions.
C. I know, Lou, what the tragic consequences could be to me by combining the drugs that I am already taking with either Depakote or Trileptal.
D. I will either add Depakote or Trileptal to the drugs that I am taking now, on the basis of what another poster says to me here.
Lou
Posted by SLS on September 30, 2014, at 10:00:12
In reply to Re: Depakote + Elavil ?! » Christ_empowered, posted by Sheilac on September 30, 2014, at 6:19:40
You might want to discontinue the Elavil for now and develop a coherent plan to follow with your doctor. That would be the simplest thing to do.
You are not necessarily experiencing serotonin syndrome, so I would not act on that conclusion until you gather more information. It could explain things, though.
If you feel that it is urgent to treat mania, go with what you know works for you, understanding that it will only be a temporary measure. In other words, if Trileptal or Depakote works to treat the mania, but produces depression as a side effect, just know that you will be able to discontinue it once you and your doctor meet and discuss your present condition.
You often contradict yourself in your descriptions. Because of this, I am reluctant to say very much more than to recommend that you work more closely with your present doctor or search for a different doctor. You could go for a second opinion. I know it is frustrating to be in a painful state and not be able to do something about it immediately.
- Scott
Posted by Sheilac on September 30, 2014, at 10:33:27
In reply to Lou's reply-tehykehychanz » Sheilac, posted by Lou Pilder on September 30, 2014, at 8:20:34
So noted. I get your point. Luckily my doc called me and said I should not be taking Geodon and Elavil. She switched me over to depakote so the Elavil won't make me manic.
Posted by Sheilac on September 30, 2014, at 10:38:34
In reply to Re: Depakote + Elavil ?! » Sheilac, posted by SLS on September 30, 2014, at 10:00:12
Thanks Scott. Yes it is terrible to feel so hypomanic. But unfortunately the Elavil is working for my pain condition. My doc did call me and said to wean off Geodon immediately and add the depakote, which I will do until I see her next time.
I don't think the depakote will induce depression considering the Elavil is having a profound antidepressant effect on me.
My doctor agreed.
Posted by SLS on September 30, 2014, at 12:06:40
In reply to Re: Depakote + Elavil ?! » SLS, posted by Sheilac on September 30, 2014, at 10:38:34
> Thanks Scott. Yes it is terrible to feel so hypomanic. But unfortunately the Elavil is working for my pain condition. My doc did call me and said to wean off Geodon immediately and add the depakote, which I will do until I see her next time.
>
> I don't think the depakote will induce depression considering the Elavil is having a profound antidepressant effect on me.
>
> My doctor agreed.
Sounds good to me!:-)
- Scott
Posted by Lou Pilder on September 30, 2014, at 21:02:51
In reply to Re: Lou's reply-tehykehychanz » Lou Pilder, posted by Sheilac on September 30, 2014, at 10:33:27
> So noted. I get your point. Luckily my doc called me and said I should not be taking Geodon and Elavil. She switched me over to depakote so the Elavil won't make me manic.
>
> S,
Now you have a whole new host of life-threatening problems by adding the Depakote to replace the Geodon. You see, Depakote can cause a disruption of the heart beat function with the other drugs that you take and be life-threatening. Also, confusion and seizures, and movement disorders and poor judgment can also come from this combination. And Depakote can attack the organs and cause even blood disease. Suicidal and homicidal thinking can emerge with this combination.
Lou
Posted by SLS on September 30, 2014, at 21:32:43
In reply to Lou's reply-leadztudizstrkun » Sheilac, posted by Lou Pilder on September 30, 2014, at 21:02:51
Are these effects dosage-dependent?
- Scott
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Dr. Bob is Robert Hsiung, MD,
[email protected]
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