Psycho-Babble Medication Thread 705256

Shown: posts 1 to 11 of 11. This is the beginning of the thread.

 

Questions about TA treatments

Posted by fenix on November 19, 2006, at 14:20:16

Hi, I haven't posted in a long time.

Anyway, it is going to be about almost a year that I have been taking Diazepam (20mg) a day for treatment of Tardive Akathisia. It did reduce the symptoms a bit but I am thinking of other ideas now. (If you search for some of my previous posts you can read about my case.)

I have heard about Clozapine, for instance, as a treatment for Tardive cases, however, it is an antipsychotic medicine, the same kind of medicine that caused me to get TA. I have a few questions regarding the uses of antipsychotics as a treatment option:

1) Why would the same kind of medicine that caused me to get an illness treat the same illness?

2) If something like Clozapine for example is effective, must one stay on it indefinitely or only for as long as it is necessary to have a significant remedial effect? The same question goes for other drugs like Reserpine.

3) Is there anyone here who has been diagnosed with a form of Akathisia and been treated with opiates? I am guessing that they won't cure the illness but at least minimize the pain.

Also, as it stands, I have been suffering from this illness for around 3 years now I think.

 

Re: Questions about TA treatments » fenix

Posted by Phillipa on November 19, 2006, at 14:49:16

In reply to Questions about TA treatments, posted by fenix on November 19, 2006, at 14:20:16

No help from valium? Are you currently on an anatipsychotic and what for. Love Phillipa

 

Re: Questions about TA treatments

Posted by fenix on November 19, 2006, at 14:52:22

In reply to Re: Questions about TA treatments » fenix, posted by Phillipa on November 19, 2006, at 14:49:16

> No help from valium? Are you currently on an anatipsychotic and what for. Love Phillipa

No I haven't been on an antipsychotic for about 3 years.


 

Re: Questions about TA treatments

Posted by ronaldo on November 19, 2006, at 16:07:06

In reply to Questions about TA treatments, posted by fenix on November 19, 2006, at 14:20:16

Hello fenix,

You might get some help from this link:

http://www.dr-bob.org/babble/20050821/msgs/544745.html

ciao

...ronaldo

 

Re: Questions about TA treatments » fenix

Posted by ronaldo on November 19, 2006, at 16:16:40

In reply to Questions about TA treatments, posted by fenix on November 19, 2006, at 14:20:16

This may also be of use:

http://www.pahealthsystems.com/message198122.html

...ronaldo

 

Re: Questions about TA treatments

Posted by fenix on November 19, 2006, at 17:37:37

In reply to Re: Questions about TA treatments » fenix, posted by ronaldo on November 19, 2006, at 16:16:40

> This may also be of use:
>
> http://www.pahealthsystems.com/message198122.html
>
> ...ronaldo

Thanks.

They talk about movement disorders specialists and neurologists. But when I went to see a neurologist about it he wanted me to see a psychiatrist for the treatment of TA, but I just ended up being treated by my normal doctor instead because of the length of time it would have taken to make an appointment with a psychiatrist.

So I have only been on benzodiazepines for TA, however I was on propranolol for a little while but it did a sh*tty job really.

 

Re: Questions about TA treatments

Posted by fenix on November 20, 2006, at 7:37:45

In reply to Re: Questions about TA treatments, posted by fenix on November 19, 2006, at 17:37:37

> > This may also be of use:
> >
> > http://www.pahealthsystems.com/message198122.html
> >
> > ...ronaldo
>
> Thanks.
>
> They talk about movement disorders specialists and neurologists. But when I went to see a neurologist about it he wanted me to see a psychiatrist for the treatment of TA, but I just ended up being treated by my normal doctor instead because of the length of time it would have taken to make an appointment with a psychiatrist.
>
> So I have only been on benzodiazepines for TA, however I was on propranolol for a little while but it did a sh*tty job really.
>

ah! now I remember why I stopped posting, this place was worthless to me. I must of forgotten in all these months.

 

Re: Questions about TA treatments

Posted by fenix on November 20, 2006, at 14:15:13

In reply to Re: Questions about TA treatments, posted by fenix on November 20, 2006, at 7:37:45

> > > This may also be of use:
> > >
> > > http://www.pahealthsystems.com/message198122.html
> > >
> > > ...ronaldo
> >
> > Thanks.
> >
> > They talk about movement disorders specialists and neurologists. But when I went to see a neurologist about it he wanted me to see a psychiatrist for the treatment of TA, but I just ended up being treated by my normal doctor instead because of the length of time it would have taken to make an appointment with a psychiatrist.
> >
> > So I have only been on benzodiazepines for TA, however I was on propranolol for a little while but it did a sh*tty job really.
> >
>
> ah! now I remember why I stopped posting, this place was worthless to me. I must of forgotten in all these months.
>

Hmmm... worthless might be too strong of a statement, more like "not very useful". At least as far as asking questions about Tardive Akathisia is concerned, at most well... to every most thing I ask. But luckily there is a wealth of information on the Internet (many scientific studies) with answers to questions and I usually find it more useful to not ask in forums or message-boards, unless I am looking for personal answers from the users at the specific place.

 

Re: please be civil » fenix

Posted by Dr. Bob on November 22, 2006, at 9:58:31

In reply to Re: Questions about TA treatments, posted by fenix on November 20, 2006, at 7:37:45

> this place was worthless to me.

I'm sorry if you haven't felt helped here, but please don't post anything that could lead others to feel put down.

But please don't take this personally, either, this doesn't mean I don't like you or think you're a bad person.

If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please first see the FAQ:

http://www.dr-bob.org/babble/faq.html#civil
http://www.dr-bob.org/babble/faq.html#enforce

Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above post, should of course themselves be civil.

Thanks,

Bob

 

Re: Questions about TA treatments » fenix

Posted by Declan on November 23, 2006, at 14:31:46

In reply to Questions about TA treatments, posted by fenix on November 19, 2006, at 14:20:16

Fenix, what's the rationale for treating tardive akathasia with clozapine? Or is that what you were wanting to know? Sounds dodgy to me.

 

Re: Questions about TA treatments

Posted by mindevolution on November 29, 2006, at 3:50:43

In reply to Questions about TA treatments, posted by fenix on November 19, 2006, at 14:20:16

> Hi, I haven't posted in a long time.
>
> Anyway, it is going to be about almost a year that I have been taking Diazepam (20mg) a day for treatment of Tardive Akathisia. It did reduce the symptoms a bit but I am thinking of other ideas now. (If you search for some of my previous posts you can read about my case.)
>
> I have heard about Clozapine, for instance, as a treatment for Tardive cases, however, it is an antipsychotic medicine, the same kind of medicine that caused me to get TA. I have a few questions regarding the uses of antipsychotics as a treatment option:
>
> 1) Why would the same kind of medicine that caused me to get an illness treat the same illness?
>
> 2) If something like Clozapine for example is effective, must one stay on it indefinitely or only for as long as it is necessary to have a significant remedial effect? The same question goes for other drugs like Reserpine.
>
> 3) Is there anyone here who has been diagnosed with a form of Akathisia and been treated with opiates? I am guessing that they won't cure the illness but at least minimize the pain.
>
> Also, as it stands, I have been suffering from this illness for around 3 years now I think.

stay away from clozapine unless you are schizo and need an antipsychotic that doesn't cause akathisia. why make your situation worse than it need be?

I got akathisia from one dose of solian. it got worse from then on. 3 months later i was sleeping 3 hours a week and suicidal, I mean almost shoving a knife into my heart.

I tried cogentin it made everything worse, my eyes burned, hallucinations, confusion, pain in my lymph nodes and genitals. stay away from anticholinergics like benedryl, cogentin, biperiden, etc. amantadine is the best option if you run out of other alternatives. stay away from the strongly anticholinergic TCAs too, although a lot have used Mianserin for relief from akathisia except i think it has less of an anticholinergic effect than most TCAs.

so what are your options then?

I found that a couple of 25mg tablets of luvox gave my tachycardia and made me walk like a spaz so i stopped it, but 3 days after I started, I started sleeping and the akathisia went away for 3 months. So try a low dose of this if you can tolerate it, it may work for you too.

Now I use tamazepam, and have mirtazapine in case it gets suicidal bad again. I would only take 7.5-15mg, very low dose, as I am extremely sensitive, and don't want to put on 20kg.

A lot of people have good responses with clonidine although I haven't tried it yet myself.

Now if these fail, as the dopamine blockade caused the akathisia, maybe a dopamine agonist may correct the problem? taking a very low dose of Bromocriptine (less SE than the really strong Pergolide) may do the trick. Worth a try if nothing else works.

Also you could try levodopa, although careful of dyskinesias.

Opiates or tramadol (opiate + serotonin) sound like pleasant options to try as well.

Good luck

Akathisia is hell, respect.


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