Posted by J Kelly on March 5, 2016, at 6:12:40
In reply to Re: Nardil safe? » J Kelly, posted by SLS on March 4, 2016, at 6:56:45
Hi Scott :)
> Possible diagnosis: 296.53 (F31.4):
> Bipolar I Disorder; Most Recent Episode Depressed, Severe Without Psychotic FeaturesCould be. The pdoc I now see hasn't given me a formal diagnosis although I guess he must have one for billing purposes.
> a psychotic reaction to drugs indicates Bipolar Disorder I if the manic reaction persists after the offending drug is discontinued.Here's where I'm confused. I've always assumed it was the parnate that caused my psychosis. But it started after I/we added Dexedrine. The Dexedrine was removed but the psychosis continued for nine months. It stopped when parnate was removed AND I was put on a heavy dose of Geodon.
Any thoughts as to which was the offending med or was it possibly both?
>
> If you are concerned about a MAOI-induced psychotic reaction, you should consider:
>
> 1. Taking an antipsychotic or mood stabilizer right from the start to be used as a prophylactic. Once you respond to the MAOI and are stable for awhile, you can then try discontinuing the antipsychotic or mood stabilizer. You are likely to be Bipolar I based upon the severity of your psychotic reaction. Our cases are very similar.>
> 2. Start the MAOI by itself and take an antipsychotic (Zyprexa) as an emergency drug if psychosis develops. The problem with this strategy is that it often happens that the patient does not recognize the onset of psychosis early enough to want to act on it. Once the emergency has passed, you can then choose to use another antipsychotic with a more acceptable side effect profile.I am very concerned and I would definitely choose #1. Sick mind doesn't know its sick. I absolutely did not ever recognize that I was ill until it was over. In addition, I would likely continue on my Zyprexa while on an MAOI. Just can't risk it.
Geodon caused severe anxiety and hypersomnia in me (unless it was a result of the abrupt withdrawal from parnate)
>
>
> - ScottJade
poster:J Kelly
thread:1086626
URL: http://www.dr-bob.org/babble/20160131/msgs/1086727.html