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Dr. Bob is Robert Hsiung, MD,
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Posted by B2chica on March 29, 2005, at 11:44:00
has anyone experienced becoming VERY paranoid while taking zyprexa?
i started back on this just this last friday (10mg) and yesterday paranoia was running rampid! (don't normally have this-at least to this degree. i was giving myself a panic attack freaking out that a certain person was going to get all my medical information and use it against me...i was freaking myself out big time.was this from zyprexa? from a leak through that hasn't been fixed from z yet? how long before you know for sure if z is working?
B2c.
Posted by med_empowered on March 29, 2005, at 16:18:07
In reply to more paranoid on zyprexa?, posted by B2chica on March 29, 2005, at 11:44:00
hey! The standard "trial" period of an anti-psychotic is (I think) 4 weeks at therapeutic dosage; longer if the dose has to be increased gradually to therapeutic levels. Anti-psychotics can, weirdly enough, make psychosis worse, induce psychosis, and induce mania/depression. More commonly, they cause intense anxiety and/or akathisia (intense restlessness/anxiety w/ weird, intense need to move around and fidget...I got this on 2.5mgs zyprexa). Anyway, the Zyprexa can certainly cause problems, and there are other meds, so I'd recommend trying something else...depending on what exactly you're taking zyprexa for, you could try another atypical (I personally don't like anti-psychotics, but I did OK on Abilify), an anti-convulsant (tegretol, trileptal,lamictal,depakote,topamax,etc.), and/or tried-and-true lithium. (Lithium actually helps with psychosis, at least in bipolar). Good luck!
Posted by B2chica on March 30, 2005, at 12:51:27
In reply to Re: more paranoid on zyprexa?, posted by med_empowered on March 29, 2005, at 16:18:07
THanks medE.
i have dx of Bipolar 2, dysthymia, ADD, ED, and a few others...however, an incident that happened while i was in the hospital...i think the nurses thought i was schizophrenic cuz they continually asked if i was hearing voices. so i must have been acting slightly so?? i've often thought of my dx as BP-mixed, and i could maybe see schizoaffective but my main symptom there is the 'thought disorder' aspect which could also be psychotic depression/mania right? i think so.Anyway, in the H they started me on zyprexa 5mg. was on it for three days and all i did was eat (see above) so i stopped taking it on a wednesday and that friday i got really freaky uncontrolled thoughts, was better saturday -had to suck it up for family fucntion- sunday i freaked out big time, was totally convinced i had to cut off my left hand- no voices told me...'I' told me, it was my own voice talking over my voice of reason/questions and overroad the other 'me's' in my head. -sorry, really hard to explain.
anyway, last friday i started up again (saw pdoc) he Rx 10mg. so i'm guessing maybe it just hadn't completely kicked in then.
thanks for the info.
-if you have any insight to Dx differential let me know.
b2c
> hey! The standard "trial" period of an anti-psychotic is (I think) 4 weeks at therapeutic dosage; longer if the dose has to be increased gradually to therapeutic levels. Anti-psychotics can, weirdly enough, make psychosis worse, induce psychosis, and induce mania/depression. More commonly, they cause intense anxiety and/or akathisia (intense restlessness/anxiety w/ weird, intense need to move around and fidget...I got this on 2.5mgs zyprexa). Anyway, the Zyprexa can certainly cause problems, and there are other meds, so I'd recommend trying something else...depending on what exactly you're taking zyprexa for, you could try another atypical (I personally don't like anti-psychotics, but I did OK on Abilify), an anti-convulsant (tegretol, trileptal,lamictal,depakote,topamax,etc.), and/or tried-and-true lithium. (Lithium actually helps with psychosis, at least in bipolar). Good luck!
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