Posted by yxibow on January 20, 2006, at 0:59:37
In reply to Re: Can you tell me about Geodon, posted by redscarlet on January 19, 2006, at 5:25:54
> The first time I took Geodon it worked like magic (for my bipolar).
> However soon, very soon I began to have akathisia and it keep getting worst and worst.
> I took Cogentin (benztropine) to help the akathisia then the Congentin made my eyes dilate to the point I could not see so I had to stop both the Congentin and Geodon.Cogentin is the worst offender of atropine toxicity for management of akathisia.
I would start with medium dose propranolol or low dose benzodiazepines; if they don't cover it then I would rather try the anticholinergics Akineton (biperiden) or Artane (trihexyphenidyl) which are much less offensive in the belladonna-like direction (dilation.) Also only use enough of the anticholinergic as possible. It builds up in the body and although the urge to take more doses may be there, it may take a while to eliminate, causing an atropine toxicity buildup before one realizes it. Loopiness can result.
poster:yxibow
thread:600345
URL: http://www.dr-bob.org/babble/20060115/msgs/600955.html