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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 Jeroen on June 13, 2008, at 19:14:55
expert advice on pooped out anti psychotic please
what happens in body so it will never work again
for example: seroquel is a salt from what ive ready
like lithium
is it because of that?
i currently take clozapine so if this dont work i should take lithium ???
Posted by med_empowered on June 13, 2008, at 19:22:43
In reply to expert advice on pooped out anti psychotic please, posted by Jeroen on June 13, 2008, at 19:14:55
sometimes people respond to mixes of antipsychotics. For instance, clozapine+abilify has been used, and I imagine there are a bunch of other possible combos you could try. Adding depakote or another anticonvulsant is an option.
Posted by Jeroen on June 13, 2008, at 19:28:18
In reply to ask your doc, but..., posted by med_empowered on June 13, 2008, at 19:22:43
anticonvulsant --> psychosis
no thanks took one and ended up emergency room
Lamictal is eviler then geodon loooooooooooooooooooooooooooooool :P
Posted by med_empowered on June 13, 2008, at 20:00:32
In reply to anticonvulsant --) psychosis, posted by Jeroen on June 13, 2008, at 19:28:18
have you tried Depakote?
Posted by Jeroen on June 13, 2008, at 20:45:54
In reply to Re: anticonvulsant --) psychosis, posted by med_empowered on June 13, 2008, at 20:00:32
no
Posted by Phillipa on June 13, 2008, at 23:31:06
In reply to Re: anticonvulsant --) psychosis, posted by Jeroen on June 13, 2008, at 20:45:54
Jeroen Med is very knowledgeable. Listen to him he's expert in antipsychotics. Love You Phillipa of course you doc is the real expert listen to him too.
Posted by yxibow on June 14, 2008, at 5:28:11
In reply to expert advice on pooped out anti psychotic please, posted by Jeroen on June 13, 2008, at 19:14:55
> expert advice on pooped out anti psychotic please
>
> what happens in body so it will never work again
>
> for example: seroquel is a salt from what ive ready
>
> like lithium
>
> is it because of that?
>
> i currently take clozapine so if this dont work i should take lithium ???Seroquel is not a salt, its a dibenzothiazepine derived atypical antipsychotic, just happens to be attached to a fumarate base like other medications are attached to HCl.
Yes, antipsychotics can "poop out" or lessen in some cases -- it still baffles and annoys me that Seroquel isn't quite doing what it was doing before, although it is still improving or keeping a level of functionality.. But there are other explanations than merely overloading dopamine cells -- psychological ones too.I don't know if its the best idea, if there is a history of psychosis to "vacation" antipsychotics because one may get into a state they don't particularly want to be in.
Lithium is usually indicated for bipolar -- I mean, it is one of the fastest ways also to prevent suicide, in some cases, and it can be a mood stabilizer, but there are also blood tests that should be done to monitor the level of the salt.
Its not a natural part of the human diet -- they used to use it early on as a salt substitute before they discovered it can be toxic (if not monitored like lithium today is).
It is a salt, in the way the important electrolytes, sodium, potassium, calcium, magnesium, phosphate, carbonate, and chloride react with your body.Lithium carbonate (Lithobid, etc.) is the most common form. "alternative" forms such as Lithium orotate have not had evidence-based psychiatric studies that have shown any major effectiveness. Some people continue to use it -- if it works, I suppose as any alternative supplement it can be used, but there is no Li blood monitoring going on that should be done.
Posted by Zyprexa on June 16, 2008, at 15:49:30
In reply to Re: anticonvulsant --) psychosis, posted by Jeroen on June 13, 2008, at 20:45:54
have you tried perphenazine? I take it now. Works real well. No weight gain, only loss.
Posted by Jeroen on June 16, 2008, at 15:51:23
In reply to Re: anticonvulsant --) psychosis » Jeroen, posted by Zyprexa on June 16, 2008, at 15:49:30
if clozapine fails like it does to me, i will consider taking it
but i already have a dystonia, i dont think i can handle 2 it would make me dead
Posted by Jeroen on June 21, 2008, at 5:28:36
In reply to Re: anticonvulsant --) psychosis » Jeroen, posted by Zyprexa on June 16, 2008, at 15:49:30
hi, i already have TD
an old med causes TD aswell so even if this works for me ill bee today dystonia man
Posted by Zyprexa on June 26, 2008, at 1:28:07
In reply to Re: anticonvulsant --) psychosis » Jeroen, posted by Zyprexa on June 16, 2008, at 15:49:30
I take cogentin with it, and no TD.
This is the end of the thread.
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