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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Preston7979 on February 27, 2002, at 18:55:29
Doc just called in .25mg of risperdal to add to my zoloft and klonopin. As anyone ever heard of taking ap's for anxiety/panic disorder????
Posted by Sunnely on February 27, 2002, at 22:47:53
In reply to anti-psychotics for anxiety?, posted by Preston7979 on February 27, 2002, at 18:55:29
There seems to be a growing trend to use the ATYPICAL antipsychotics (except Clozaril) for anxiety and panic disorder. The dose generally recommended is much lower than for psychosis. Among the atypical antipsychotics, Seroquel seems to fit this role because of its sedating effect, less propensity to cause EPS and weight gain. A dose of 12.5 mg - 25 mg three times a day as needed is usually sufficient. It may also alleviate the problem of insomnia.
> Doc just called in .25mg of risperdal to add to my zoloft and klonopin. As anyone ever heard of taking ap's for anxiety/panic disorder????
Posted by SoS on February 27, 2002, at 23:26:05
In reply to Re: anti-psychotics for anxiety?, posted by Sunnely on February 27, 2002, at 22:47:53
I find risperdal pretty calming. It helps me sleep, and I haven't had any noticeable side effects. I hated seroquel though.
Posted by Alan on February 28, 2002, at 0:49:23
In reply to Re: anti-psychotics for anxiety?, posted by SoS on February 27, 2002, at 23:26:05
Unless nothing else in the book works first, Neuroleptics are at a relatively high risk for TD which in most cases irreverseable and I think it's a fad treatment as of lately. I certainly was discouraged by my doc - even at the lower doses. Even the MAOI's are lower risk generally speaking.
Alan
Posted by SoS on February 28, 2002, at 1:05:21
In reply to Re: anti-psychotics for anxiety?, posted by Alan on February 28, 2002, at 0:49:23
I'm under the impression that the newer anti-psychotics are a low risk for TD. Am I wrong? I did some research, and I came to the conclusion that I shouldn't really be concerned if I'm taking a small dose. I love that my Pdoc didn't even tell me that seroquel or risperdal were AP's, or anything about TD.
Posted by Alan on February 28, 2002, at 8:00:34
In reply to Re: anti-psychotics for anxiety? » Alan, posted by SoS on February 28, 2002, at 1:05:21
> I'm under the impression that the newer anti-psychotics are a low risk for TD. Am I wrong? I did some research, and I came to the conclusion that I shouldn't really be concerned if I'm taking a small dose. I love that my Pdoc didn't even tell me that seroquel or risperdal were AP's, or anything about TD.
**********************************************
Low is a relative term. Low compared to all other treatments for anxiety including ssri's, BZD's (alone or with other compounds), aniepileptics, MAOI's?No. And the fact that it is at a low dose has relatively little to do with that risk. Look at the side effect that you are risking by the way...TD? (Mild or severe, it's permanent once you've got it). My doc who specilises in the treatment of anxiety disorders is a pretty liberal thinking person. I asked once and he said uneqivocably NO. The KIND of risk is much higher - "and I'm not doing it to cover my ass either", he said.
Alan.
Posted by mdertinger on February 28, 2002, at 12:46:19
In reply to Re: anti-psychotics for anxiety? » SoS, posted by Alan on February 28, 2002, at 8:00:34
Sorry, what is TD?
Posted by SoS on February 28, 2002, at 13:16:38
In reply to Re: anti-psychotics for anxiety? » SoS, posted by Alan on February 28, 2002, at 8:00:34
It's things like this that make me not want to trust my Pdoc. He won't even try benzos for me. GRRR. When do you just get a new pdoc?
Posted by Alan on February 28, 2002, at 21:12:30
In reply to Re: anti-psychotics for anxiety?, posted by SoS on February 28, 2002, at 13:16:38
> It's things like this that make me not want to trust my Pdoc. He won't even try benzos for me. GRRR. When do you just get a new pdoc?
******************************************Sounds like right away. I sacked 3 before I found one that wasn't an idealogue trying to fit a square peg in a round hole. Those that don't offer BZD's on an equal footing with all other treatments for anxiety are simply ignorant of the facts or are prejudiced...or highly influenced by the strident anti-benzo/ - anti/choice lobby.
Find a doc that gives you ALL the choices and informs you of ALL the risks out there...preferably a specialist that treats anxiety disorders as a main part of their practice and considers BZD monotherapy on equal footing with any other med for anxiety.
Second and third opinions are sought from doctors about life changing illnesses every day. Why any different for the anxiety disorders? Be your own advocate.
Alan
Posted by Alan on February 28, 2002, at 21:16:40
In reply to Re: anti-psychotics for anxiety?, posted by SoS on February 28, 2002, at 13:16:38
> It's things like this that make me not want to trust my Pdoc. He won't even try benzos for me. GRRR. When do you just get a new pdoc?
***********************************************
Read:
http://bearpaw8.tripod.com/pd.html
and scroll down to BZD's - the whole page is excellent and well worth understanding.
Take it to your doc. If they don't listen, run, don't walk to someone that will treat you right.
Alan
Posted by Cam W. on February 28, 2002, at 22:00:09
In reply to Re: anti-psychotics for anxiety?, posted by mdertinger on February 28, 2002, at 12:46:19
> Sorry, what is TD?
Tardive Dyskinesia: Involuntary movements such as tongue thrusting or facial grimacing caused by side effects of certain drugs, including antipsychotic medications (haldol) and other dopamine antagonists. The condition may be reversible if recognized in the earliest stages by stopping the offending agent but may be permanent. Paradoxically, if the anti-psychotics are stopped after the tardive dyskinesia has been present for a long period, the condition may become significantly worse.
The word dyskinesia (dis-ki-ne´ze-a) is logically derived from two Greek roots: dys-, trouble kinesis, movement = trouble moving.
The presence of involuntary movements, such as the choreaform movements seen in some cases of rheumatic fever or the characteristic movements of tardive dyskensia. Some forms of dyskensia are a side effect of using certain medications, particularly L-Dopa and, in the case of tardive dyskensia, the anti-psychotics.
Difficulty in performing voluntary movements. The term dyskinesia is commonly used in relation to Parkinson's disease and other so-called extrapyramidal disorders.
- Cam
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This is the end of the thread.
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