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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Jeroen on September 14, 2008, at 15:43:43
URGENT advice needed on med change,
what to tell to my doctor on monday,
abilify i take and its causing paranoia, insomnia, like people insult me,
if i switch back to seroquel it doesnt work anymore, but it does work for psychosis, but not entire
please ....the only thing that worked was seroquel
im considering Impromen and Abilify, is it good or not ?
Posted by Zyprexa on September 15, 2008, at 20:16:30
In reply to URGENT advice needed on med change, posted by Jeroen on September 14, 2008, at 15:43:43
I think you should go with the seroquel. You say it helps with psychosis, but not 100%. I don't think its posible to cure psychosis 100%. Take it for a long time and see if you get better. Just not right away.
Posted by bleauberry on September 16, 2008, at 17:44:43
In reply to URGENT advice needed on med change, posted by Jeroen on September 14, 2008, at 15:43:43
I agree with Zyprexa's post. Use Seroquel as your primary med. Experiment with other meds added to it. Use other meds that have actually worked for other people with psychosis and depression that were hard to treat and caused longterm hospitalization. Combinations that produced such good results in tough cases that the psychiatrists published the stories worldwide. Some of those would include TCAs, Remeron, Memantine, Ritalin, Glycine. Don't try to figure out why they worked. They just did. Of them all, I see glycine as being most helpful for the psychosis stuff, with one or two of the others most helpful for the depression stuff.
But yeah, Seroquel as your primary base gets my vote.
Posted by desolationrower on September 16, 2008, at 19:36:52
In reply to Re: URGENT advice needed on med change » Jeroen, posted by bleauberry on September 16, 2008, at 17:44:43
Jeroen have you ever tried ECT? It can be quite effective for psychosis and schizoaffective, bipolar.
-D/R
Posted by Jeroen on September 16, 2008, at 22:18:46
In reply to Re: URGENT advice needed on med change » Jeroen, posted by bleauberry on September 16, 2008, at 17:44:43
thanks, best answer ill take it
Posted by yxibow on September 20, 2008, at 1:15:03
In reply to URGENT advice needed on med change, posted by Jeroen on September 14, 2008, at 15:43:43
> URGENT advice needed on med change,
>
> what to tell to my doctor on monday,
>
> abilify i take and its causing paranoia, insomnia, like people insult me,
>
> if i switch back to seroquel it doesnt work anymore, but it does work for psychosis, but not entire
>
>
> please ....
>
> the only thing that worked was seroquel
>
> im considering Impromen and Abilify, is it good or not ?I thought you were on Seroquel, or are you on Sulpride?
As I've mentioned before -- I don't really know what to say -- I'm not trying to seem to force pills on you that really don't work, but day 4, day 12, day 22 -- these things really take time to "work" to their best ability and I still say the constant switch of medicine is not in the psychiatric/psychotropic timeframe. You just won't appreciate any improvement by doing another roundabout of all the atypicals.
Furthermore, who knows what will happen if you suddenly switch medications.Withdrawal dyskinesia can occur, which is almost 100% a temporary situation, but unpleasant, unless the medications are cross-tapered, and the cross tapering has to be done under some observation because the mixing of medications which have different D2 and 5HTx profiles can have unknown effects.
Do you have discussions with your doctors at all, back and forth -- because just "I'm thinking of..." ... yes, you have self-determination (albeit, if you're in a locked hospital and you refuse medication that is deemed necessary you might not, that varies... but I won't get into that) but shouldn't this be a discussion with your doctors as to what might work best, or to stay with what you have now as I mentioned and switch after much more time.
I know its hard and frustrating to wait for things to change.... and I guess thats what the "URGENT" is about when I've seen you post before....I feel frustrated too with my complex medication mix and disorder but I know I'm sensitive to some medications and whipping things around could cause me to be very much less functional.
But that's a side tangent and projection.
I guess its up to you to decide if you have power to decide, and I hope the decision is in the best, truly
-- best wishesJay
This is the end of the thread.
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