Posted by mindevolution on February 2, 2007, at 19:56:57
In reply to Akathisia or RLS?, posted by halcyondaze on January 31, 2007, at 20:17:00
be careful!
akathisia is another word for torture. some people get stuck with it forever from ADs or APs, it can be so bad that people even commit homicides from the sensations.
people with severe akathisia simply will do anything to escape the terrible tormenting sensations they experience. if there was one side effect that could be held responsible for inducing serious violence in the mentally ill, it would be akathisia.
there is widespread denial of this fact by the psychiatric profession, and people who mention this viewpoint are usually discredited. however, the last 7 of 12 highschool homicide were by kids on ADs and APs.
anyone who has ever had serious akathisia knows what I am saying is true. Some forensic psychiatrists that I speak with, agree in private, and express sadness at the number of murders and suicides that this side effect induces.
Parnate does induce suicidal behaviour and akathisia:
http://www.drugs.com/pro/parnate.htmli would try another AD med as there is no cure for akathisia, and keep the doses low really low, rather than trying fixes like propananlol, clonidine, cogentin (is a harsh AC!) that usually contribute to a worsening of your long term position with only minor impacts on the akathisia.
If you are off the akathisia inducing med, I have heard that 1 or 2 low doses (high doses can induce or make it worse) tablets of fluvoxamine can potentially reduce the symptoms of severe akathisia. due to the harsh side effect profile, and the number of systems affected by fluvoxamine, I wouldn't recommend it for more than the minimum amount required for relief.
you won't see it recommended in the literature though as it is no longer a major brand. typically you will see reports of mirtazapine in low doses (7.5mg) used for the same purpose, but with mirtazapine there is the risk of agranulosytosis, but with only a couple of low doses, this may help too.
also I think you need a better pdoc, one who doesn't try and bandaid a potentially life threatening situation.
me
poster:mindevolution
thread:728565
URL: http://www.dr-bob.org/babble/20070201/msgs/729176.html