Posted by Lamdage22 on January 26, 2015, at 13:16:30
In reply to Re: Multiple mechanism with Zyprexa and some atyp, posted by ed_uk2010 on January 26, 2015, at 11:48:03
> >What would you recommend for my insomnia, ed?
>
> Initially, I'd suggest that you try taking more Seroquel in the evening and less during the day, rather than adding more medication. I'm unsure of the value or safety of adding a third antipsychotic acting on some of the same receptors which are already blocked by your current high dose antipsychotic treatment.
>
> The thing is about adding pipamperone.... low dose mainly block 5-HT2a receptors, high doses block D2 receptors as well. I imagine your 5-HT2a receptors are substantially blocked already by Seroquel and Zyprexa. I don't think the TD risk or the diabetes risk of pipamperone are well known. Pipamperone is usually classified as a typical antipsychotic but its receptor binding profile is slightly atypical, despite its chemical similarity to haloperidol (Haldol).
>
> How bad is your insomnia? Perhaps it would improve on treating your depression.
>
> Have you struggled to find a suitable treatment for depression? You seem to be on a very small dose of venlafaxine. Do you have a history of symptoms being worsened by antidepressants eg. a manic episode being induced?I take the low dose of venlafaxine to be able to orgasm.
Higher doses werent more effective.
I havent struggled, i didnt find anything for depression
Schizo-Affective, type depressive
Seroquel 900
Zyprexa 15
Lithium orotate 360mg
Metformin 1500
Effexor 20mg
Please keep conspiracy theories to yourself.
poster:Lamdage22
thread:1074889
URL: http://www.dr-bob.org/babble/20150102/msgs/1075598.html