Posted by jay2112 on February 8, 2022, at 15:44:58
In reply to Re: Can Antipsych's cause huge panic attacks?, posted by Christ_empowered on February 8, 2022, at 14:35:52
> hi. funny you should ask (LOL)...
>
> I somehow stumbled on a somewhat lengthy article a while back. I wish I'd bookmarked it...
>
> the shrinks were describing a number of cases in which treatment with neuroleptics for schizophrenia-spectrum disorders seemed to result in severe anxiety and/or panic attacks.
>
> If I recall correctly, most of the people/patients in the article had initially been prescribed older medications. Maybe that was or is standard practice in some nations? Haloperidol seemed to pop up frequently, which raises obvious questions such as...why do shrinks do this to us? etc.
>
> Again, if I recall correctly, the drug-induced intense anxiety and/or panic attacks resolved with a gradual switch to a newer tranquilizer (seroquel was frequent, although I seem to recall a couple of the patients being put on Abilify or amisulpride?), plus a short term prescription for xanax xr or some other flavor mother's little helper.
>
> haloperidol and many other tranquilizers seem to induce anxiety, panic, dysphoria, etc. in part because of their high affinity for D2 receptors, along with long lasting blockade, plus the relative lack of action at other receptors (serotonin, NE, etc...the so called "receptor rich" atypicals, such as quetiapine and olanzapine).
>
> risperidone is still considered "atypical," but it isn't that much better than good ole vitamin H in many respects. dysphoria, cognitive dulling, "neuroleptic-induced deficit syndrome," etc...
>
> plus the long term TD risk, EPS, etc...not so great. maybe a switch? is that an option?
>
> quetiapine is sedating, and it also seems to cause less dysphoria and EPS than equivalent doses of Thorazine, so...not the best drug ever, but a step above the older options for many people.
>
> Abilify is high potency, but the action at other receptors, plus the D2 partial agonism, make the neuroleptic induced deficit syndrome less of an issue than many other treatments.
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> olanzapine...I dunno. hated it myself, but it does seem to have some advantages over many of the other drugs, for many people.
>
> some doctors swear by very low dose loxapine. just a thought...
Hi C_E...thanks kindly for the response. Yeah, I had to stop the risperdal, for now, to get my brain back! lol. I seriously felt like a Parkinson's patient...like my engine wasn't firing on all cylinders. I was taking the risperdal for my bipolar switches, but it really, really messed me up unlike many times in the past taking it. Must be me getting older...ughhh..I am scared to crap of getting dementia, and this doesn't help.
So, I now rely on Tegretol and Lyrica to keep my mood balanced. I don't feel quite so secure, but I also don't feel like a Parkinson's patient.I think I also may have a hormone problem, needing testosterone supplementation. I am SO triggered easily, I crawl the walls daily. Maybe I should add Buspar again, as it seems to be like a 'mini-me' antipsych. Hi dose Lyrica sometimes helps me 'reset'...calms my maniac side down (literally...I become a maniac!) But, I tried Largactil, and ughh...worse than the risperdal. Seroqeul sent me to the hospital a few times! I had a panic attack x100 on that stuff. I seem to have a paradoxical reaction to antipsychotics. They don't calm me down...they set me up! I don't like messing with my dopamine, seriously, as even SSRI's do so, make me feel like I just had brain surgery.
Thanks kindly,
JayHumans punish themselves endlessly
for not being what they believe they should be.
-Don Miguel Ruiz-
poster:jay2112
thread:1118481
URL: http://www.dr-bob.org/babble/20220128/msgs/1118490.html