Posted by mogger on October 13, 2014, at 0:39:47
In reply to Re: Sure this problem can be resolved. » mogger, posted by ed_uk2010 on October 12, 2014, at 20:51:46
Ed,
I can't thank you enough for your thoughtful response it is so helpful. You are spot on in that I will not reduce my clonazepam any further until I get the risperdal worked out. Today my depression was better as I believe that it takes me about 2.5 weeks to properly adjust to an 1/8th of a decreased dose of clonazepam as I have been on it for about 7 years. My doctor and I always do one thing at a time but we did decrease my risperdal 10 days ago so I believe it could have been a double whammy adjusting to the decrease in both medications.
I had an initial AD response to Latuda but akathisia kicked in even below sub therapeutic doses. My doctor has told me that in his experience he knows of abilify and clozapine to be the only two APs that can exacerbate OCD. My sister was put on Abilify and it manifested OCD in her. Not to say that would happen to me but the nice thing is that the risperdal really cuts into my OCD thoughts.
I think you are right about trying a decrease in sertraline as even before adding risperdal I can think of some decreased libido but the risperdal has definitely made it worse. I forgot to tell you that I take inositol for ocd and I remember it having an added negative effect on my libido. As you say all of these things added together perhaps is what is happening. I feel relieved that my prolactin is normal so I don't have to go off risperdal immediately.
My insurance is excellent at the moment so Invega would not cost much so that could be an option. Are you aware of any emotional differences between the two medications? Meaning does one tend to cause anhedonia or emotional blunting more than another at similar doses? I know this is impossible to answer unless I try it.
On a side note I can easily take a .5mg tablet and a half of a .25mg tablet so it would be in between .5 and .75mg to see if that is a optimal dose. I shall hang here for another week just to take a breather and then try tackling what you have discussed.
Many thanks again Ed for your thorough response. I have read everything a few times.
mogger
poster:mogger
thread:1071594
URL: http://www.dr-bob.org/babble/20140914/msgs/1072165.html