Posted by Mitch on July 24, 2001, at 0:43:27
In reply to Re: Help! GEODON, EPS?-Medlib,Cam?, posted by Chloe on July 23, 2001, at 21:15:07
Chloe,
Hope you don't mind me responding to this. But I am hypersensitive to EPS and had it with Risperdal (another atypical and at JUST .5mg DAY) and mildly so with Seroquel AND with some SSRI's. The EPS thing I had with Risperdal was tongue pushing up against the roof of my mouth (which I had with Stelazine eons ago-but was MUCH worse than that) and also brushing behind the back of my teeth as well (also choking sensations-difficulty swallowing).
There are two possibilities here: 1) By dividing the dose ("licking up powders") the medication is getting absorbed through the soft tissues in your mouth/tongue and getting to the nerves more directly that is aggravating the EPS, or 2) It is being caused soley by the med itself-not the route of administration.
Just by the description of your symptoms despite how you are currently taking the med makes me want to recommend discontinuing it-I would call your pdoc and put your foot down about it! The only thing I can say (short term and if you are planning on continuing Geodon despite these effects) is try some OTC Benadryl 25mg (2-3x/daily) and see if the symptoms back off (that should also help with the sweating). If they do-it sounds like EPS for sure. I had SEVERE EPS with Stelazine (a conventional phenothiazine anti-psychotic) in the past and had to go to the ER and get IV Benadryl 100mg to stop it (after one dose!).
I can't believe your pdoc is telling you to "hang in there for a few more days-like no big deal"!
understand where you are at,
Mitch
> I am really having a tough time with this med. Now I feel a ton of tension in my mouth, clenching down really hard and my tongue brushing my lower teeth.
>
> Pdoc says it's probably EPS, try to hang in a few more days when she will have time to talk about it with me. How do you treat EPS? Is there anything? How about something for the excessive sweating, yuck!
>
> I still am having problems with the spacing of this drug. 10 mgs BID just isn't enough. I need a suppertime dose too. But I can't be licking up powders when I am not at home when the med runs out...Do you think if I took 20 mg cap in the am, I could last til the evening? Or would I still get the rebound effect at 3 or 4 pm like I did with ten mgs?
>
> Any thoughts on how to survive the EPS and the dosing. I did get the ok to increase the milligrams...I just am so confused AGAIN. That I know for sure!
> Chloe
poster:Mitch
thread:71234
URL: http://www.dr-bob.org/babble/20010720/msgs/71576.html