Posted by yxibow on September 20, 2008, at 1:29:19
In reply to seroquel..., posted by med_empowered on September 16, 2008, at 1:08:42
> I personally hated seroquel. It gave me akathisia, nightmares, and a terrible drug-induced depression. I've known other people who have had similar reactions, so I'm kind of inclined to think that while Seroquel might be less likely to cause problems than some other antipsychotics, a lot the current Seroquel-pushing that's going on can be chalked up to hardcore marketing, the low levels of observable EPS, and the increasing benzo-phobia of pdocs and general practitioners.
Everybody has a different reaction to atypicals (and typicals -- some typicals are fairly "mild" in EPS, although that is more rare if you study a set of patients, than atypicals). Risperdal at like 1mg caused awful nightmares; Geodon and Abilify both had big time akathisia. But I'm sensitive to akathisia in the descending order of potency of neuroleptics in general. Some people aren't.
No, I don't approve of random use of Seroquel just to not use a benzodiazepine...(I refused Zyprexa and Seroquel when they first came out in the late 90s, but that was when I was much younger, under different circumstances at college in a different town -- just really because I was scared of TD and also because I felt it was unnecessary).... but some anxiety disorders are really much stronger than a benzodiazepine, and something has to switch eventually to an SSRI, TCA, or some other agent because using a benzodiazepine indefinitely as I am unfortunately caught in....(as well as needing Seroquel, which I also don't like... but that's another story, there is use for it in my case to a fair extent)
.... can cause habituation and short term memory loss over the longhaul.
I hope that run-on sentence made some sense...
Sure, for the short (however that can be labeled) term, Klonopin can be very good for social phobia, etc -- but its unknown how long one can stay on one and still feel the "zing" (well actually I never originally felt any zing from Klonopin, it was way too subtle, rather than the PRN use of Xanax or Ativan here and there).-- Jay
poster:yxibow
thread:852061
URL: http://www.dr-bob.org/babble/20080915/msgs/853046.html