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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by babs on February 25, 2003, at 14:40:07
I just returned from seeing my primary care doctor and she thinks I am experiencing extrapyramidal symptoms (my pdoc is on vacation). I am on 60 mg celexa, 2 mg risperdal and 15 mg adderall. I've been having these episodes where I get a headache and get really stiff (neck, arms, legs) and throw up. It's only happened twice but both times it has been really scary. She thinks it is EPS and has referred me to a neurologist. Just wondering if this sounds like EPS to you folks. The stiffness makes sense but I thought maybe the headache and vomiting was migraines (although I've never had a migraine before). I think both episodes were precipitated by my increasing the risperdal (I just recently increased the dose to 2 mg). I'm scared.
Posted by Thomas123 on February 25, 2003, at 16:19:33
In reply to extrapyramidal symptoms? I'm scared, posted by babs on February 25, 2003, at 14:40:07
2 milligrams of Risperdal is a low dose. I think this is something other than EPS. With seroquel there is almost no danger of EPS but seroquel is fairly sedating. Usually one has to get up in the 6 milligram range to get EPS from Risperdal.
Another thing to conisider is most EPS go away rapidly when the drug is discontinued.
Neurologists rarely use Risperdal. A pychiatrist knows more about Risperdal than a neurologist.
Posted by babs on February 25, 2003, at 17:19:43
In reply to Re: extrapyramidal symptoms? I'm scared, posted by Thomas123 on February 25, 2003, at 16:19:33
I think the stiffness makes sense but not the headache and vomiting. When I researched migraines on line (because that is what I suspected these episodes were) it said that stiffness in the limbs is also present with migraines. Seeing the neurologist should help with that one. I also have an appt with another pdoc for a second opinion (my primary pdoc is out of town and I wanted a second opinion anyway).
Posted by zenclear on February 25, 2003, at 17:33:06
In reply to Re: extrapyramidal symptoms? could it be migraines, posted by babs on February 25, 2003, at 17:19:43
What are the symptoms for EPS? I know stiffness can result when dopamine levels are low, becasue an ampetamine has drained the resources.
So how does one recognize EPS, orther than the obvious uncontrolled limb movements?
Posted by Thomas123 on February 25, 2003, at 17:39:16
In reply to extrapyramidal symptoms? I'm scared, posted by babs on February 25, 2003, at 14:40:07
Well, you are doing the right things.
Posted by stjames on February 25, 2003, at 18:40:18
In reply to extrapyramidal symptoms? I'm scared, posted by babs on February 25, 2003, at 14:40:07
I would see the neuro asap.
Posted by Ritch on February 26, 2003, at 10:36:03
In reply to extrapyramidal symptoms? I'm scared, posted by babs on February 25, 2003, at 14:40:07
> I just returned from seeing my primary care doctor and she thinks I am experiencing extrapyramidal symptoms (my pdoc is on vacation). I am on 60 mg celexa, 2 mg risperdal and 15 mg adderall. I've been having these episodes where I get a headache and get really stiff (neck, arms, legs) and throw up. It's only happened twice but both times it has been really scary. She thinks it is EPS and has referred me to a neurologist. Just wondering if this sounds like EPS to you folks. The stiffness makes sense but I thought maybe the headache and vomiting was migraines (although I've never had a migraine before). I think both episodes were precipitated by my increasing the risperdal (I just recently increased the dose to 2 mg). I'm scared.
I got EPS from Risperdal at just .5mg at bedtime after a couple of days. The vomiting and headache doesn't fit with it I'll agree there. You are on a fairly high dose of Celexa with it. It could be an interaction. Sounds like a mild serotonin syndrome.
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