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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 cee on January 12, 2011, at 19:39:42
hello people
i am trying to find out what drug is the closest to seroquel and its benifets .seroquel has been some what good for my depression but the weight gain and sleepy head are hard to deal with ,any info is always appreciated
thanks cee
Posted by obsidian on January 12, 2011, at 22:21:16
In reply to seroquel or ?, posted by cee on January 12, 2011, at 19:39:42
good question, wish I had an answer. I'd love to know too.
Posted by Christ_empowered on January 13, 2011, at 4:03:15
In reply to seroquel or ?, posted by cee on January 12, 2011, at 19:39:42
hey. Other atypicals are used "off-label" for treatment-resistant (and other forms of) depression. Abilify is approved for use in conjunction with an antidepressant. Zyprexa is available as Symbyax, which is a fixed combo of Prozac and Zyprexa.
What symptom(s) does the seroquel help? Agitation, anxiety, etc.? Or does it simply help elevate and regulate your mood? Abilify is associated with less weight gain and much, much less sedation than Seroquel. On the downside, it can cause akathisia and start-up agitation. Geodon can also help, but it can cause sedation and its a 2x daily medication.
Do you think you need an antipsychotic? If seroquel helps with, say, anxiety and agitation, but its too sedating and weight gain is an issue, I would think that a LOW dose of an older antipsychotic might also be helpful--these medications have a higher TD risk (although the risk may be less with lower-potency drugs and depends upon dose and duration of treatment) but tend to cause less weight gain.
Perphenazine (Trilafon) is an older drug that has compared favorably with the newer drugs for schizophrenia. Although it doesn't have antidepressant activity, it can help in lower doses by acting as a tranquilizer. Loxapine is atypical-ish, depending on the dose, and could have similar benefits.I almost forgot...Risperdal. Risperidone is now available in generic. It causes weight gain and prolactin increases, but the weight gain is usually less severe than seroquel or zyprexa. I personally found risperidone dulling, but some people benefit from low(ish) doses for mood disorders+anxiety. Its an atypical.
Good luck
Posted by Phillipa on January 13, 2011, at 12:24:58
In reply to Re: seroquel or ?, posted by Christ_empowered on January 13, 2011, at 4:03:15
Cee sorry forgot what its for and benzos are out? Phillipa
Posted by cee on January 13, 2011, at 14:14:04
In reply to Re: seroquel or ?, posted by Christ_empowered on January 13, 2011, at 4:03:15
hey people
my doctor has mentioned that i try ritalin to help with the bad sedation that i have in the morning ,,, any thoughtsthanks for the info
cee
Posted by Zyprexa on January 13, 2011, at 20:06:34
In reply to seroquel or ?, posted by cee on January 12, 2011, at 19:39:42
I take zyprexa and perphenazine. Never taking seroquel. I take wellbutrin sr for the sedation. I think ritalin is over kill. But who no's. I actualy like the sedation side effect. Its calming and takes away anger and anxiety, and racing thoughts, urge to drink, and for some reason it makes my thoughts more normal. I tried abilify and it just made my anxiety worse, could not sleep, thoughts were very parnoid, and I was mad at the world, thought people were out to get me. I also took geodon for a while it didn't make me more anxious but didn't help it. It also made me angry a lot, very paronoid, and people were concerned a lot about my mental state, this is when I started drinking a lot more. and got into pot again, obviously to calm down. I never in the past when I started the zyprexa it made me want to quit pot that was several years earlyer. Perpehnazine is similar in a way to zyprexa, but does not make you hungry. So that is my suggestion. I have heard that Seroquel is more sedating that zyprexa. And zyprexa has been a life saver for me. You also might try that. I guess the best suggestion is to try them all. Or look at what you are trying to treat and try to decide which fills your needs best. If seroqel is helping you now, you might need some thing sedating, just a guess. But if you are trying to get away from sedation and are not worryed about anxiety, you could go with abilify. I didn't find abilify, geodon, risperdal to be benifishial in the schitzo spectrum. But found that abilify was a nice antidepressant. Geodon didn't do much of anything, just was not as harsh as abilify. Risperdal helped me holucinate at the TV and made me hungry.
What are you trying to treat???
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