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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by nellie7 on February 22, 2006, at 10:42:00
Hi,
Has anyone with paranoid and psychotic symptoms found that their symptoms get worse on antipsychotics and better on ADs?
Thanks.
Posted by ed_uk on February 22, 2006, at 14:35:13
In reply to paranoia and meds, posted by nellie7 on February 22, 2006, at 10:42:00
Hi Nellie
Can you describe the paranoid/psychotic symptoms a bit more?
Thanks
Ed
Posted by blueberry on February 22, 2006, at 17:52:18
In reply to paranoia and meds, posted by nellie7 on February 22, 2006, at 10:42:00
> Hi,
>
> Has anyone with paranoid and psychotic symptoms found that their symptoms get worse on antipsychotics and better on ADs?
>
> Thanks.Yes. It used to be that anything higher than 5mg zyprexa made me paranoid and freaky. I'm on 1.25mg now, but even just a minor increase to 2.5mg freaks me out.
It's just my guess that the extra serotonin from the ADs squashes down the excess dopamine that's causing the symptoms. Antipsychotics block dopamine receptors, but only some of the receptors, and not that strong. But they also stimulate dopamine release at the same time. Sometimes the stimulation might be stronger than the blockade, depending on the person's unique brain wiring.
Antidepressants have always been, for me, better at calming and mood stabilization than any antipsychotic or mood stabilizer. Now if they only worked that good for depression I would be all set.
Posted by Phillipa on February 22, 2006, at 19:42:34
In reply to Re: paranoia and meds » nellie7, posted by blueberry on February 22, 2006, at 17:52:18
Anything but luvox ups my anxiety. You are fortunate. Fondly, Phillipa
Posted by linkadge on February 22, 2006, at 21:16:51
In reply to Re: paranoia and meds » blueberry, posted by Phillipa on February 22, 2006, at 19:42:34
I read a study once that showed the citalopram was actually as effective in schitsophrenia as a leading antipsychotic.
If it is psychotic depression, an antidepressant alone may be better than an antipsychotic alone.
Linkadge
Posted by MoparFan91 on February 23, 2006, at 3:24:02
In reply to paranoia and meds, posted by nellie7 on February 22, 2006, at 10:42:00
Mine get better with AD's (SSRI's).
AP's make them worse, though.
Been there, done that...I'm Bipolar II (or NOS), ultra-rapid/ultradian cycling. I have OCD, social phobia, and most likely Aspergers Syndrome as well.
> Hi,
>
> Has anyone with paranoid and psychotic symptoms found that their symptoms get worse on antipsychotics and better on ADs?
>
> Thanks.
Posted by nellie7 on February 23, 2006, at 12:25:04
In reply to paranoia and meds, posted by nellie7 on February 22, 2006, at 10:42:00
Posted by nellie7 on February 23, 2006, at 12:33:47
In reply to Re: paranoia and meds » nellie7, posted by ed_uk on February 22, 2006, at 14:35:13
I feel that I am being followed and that people are hiding something from me which would make me feel very guilty if I knew (or rather, more than I already do). APs make me more depressed and citalopram, as linkadge mentioned, works best for those symptoms.
Posted by ed_uk on February 23, 2006, at 13:35:27
In reply to Re: paranoia and meds » ed_uk, posted by nellie7 on February 23, 2006, at 12:33:47
Some people find that APs aggravate their anxiety. SSRIs can be effective for anxiety, perhaps your paranoia has improved due to a general reducation in anxiety?
ED
Posted by nellie7 on February 24, 2006, at 6:58:34
In reply to Re: paranoia and meds » nellie7, posted by ed_uk on February 23, 2006, at 13:35:27
Yes, anxiety and depression. Thanks for your thought.
Nellie.
This is the end of the thread.
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