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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 20 of 20. This is the beginning of the thread.
Posted by Jeroen on June 10, 2011, at 15:51:14
i had enough of this, either im dead or alive with medication...
im having serious addictions, and i want myself back. please advice on what to take new, old, experimental, i dont give a f*ck anymore
ok so here are options.
Sertindole (dangerous not recommended by a US doctor and EU doctor)
Saphris (available in november but not sooner)
Lihium (not sure if it will work blablabla)
i take abilify 15 mg and seroquel 150 mg and ativan 1,25 mg twice dailymy main problem is mania induced psychosis from lamictal and schizo
im not getting better, and i have serious addictions due to not getting better...
PLEASE IS THERE SOMEONE?Should i try Perphenazine, Lithium, or whatever????????????????????????????????? TO GET WWELL IN HEAD ? THIS HAS GONE TO FAR!!!
Posted by Jeroen on June 10, 2011, at 16:27:06
In reply to i had enough of this, either im dead or alive with, posted by Jeroen on June 10, 2011, at 15:51:14
what do need to take SLS, Zyprexa, floatingbridge?
all experts
Posted by Phillipa on June 10, 2011, at 16:45:26
In reply to what do need to take SLS, Zyprexa, floatingbridge?, posted by Jeroen on June 10, 2011, at 16:27:06
Jeroen not one of above. Sounds like you might want to wait for the Sapris did they change your diagnosis so sorry you are feeling so bad. Phillipa
Posted by Jeroen on June 10, 2011, at 17:02:18
In reply to Re: what do need to take SLS, Zyprexa, floatingbridge? » Jeroen, posted by Phillipa on June 10, 2011, at 16:45:26
thanks Philipa
Posted by jms600 on June 10, 2011, at 18:13:39
In reply to i had enough of this, either im dead or alive with, posted by Jeroen on June 10, 2011, at 15:51:14
> i had enough of this, either im dead or alive with medication...
>
> im having serious addictions, and i want myself back. please advice on what to take new, old, experimental, i dont give a f*ck anymore
>
> ok so here are options.
>
> Sertindole (dangerous not recommended by a US doctor and EU doctor)
>
> Saphris (available in november but not sooner)
>
>
> Lihium (not sure if it will work blablabla)
>
>
> i take abilify 15 mg and seroquel 150 mg and ativan 1,25 mg twice daily
>
> my main problem is mania induced psychosis from lamictal and schizo
>
> im not getting better, and i have serious addictions due to not getting better...
>
>
> PLEASE IS THERE SOMEONE?
>
> Should i try Perphenazine, Lithium, or whatever????????????????????????????????? TO GET WWELL IN HEAD ? THIS HAS GONE TO FAR!!!
>
Is it worth considering raising the dosage of Seroquel? I know that it's possible to go up to 800mg as a maximum daily dosage. Seroquel doesn't significantly block dopamine receptors until you hit 250mg or above.
Posted by torrid on June 10, 2011, at 21:19:30
In reply to Re: i had enough of this, either im dead or alive with, posted by jms600 on June 10, 2011, at 18:13:39
jms600 that sounds like good advise, 150mg is low for antipsycotic treatment. isn't 300mg the teraputic dose for seraquil
Posted by floatingbridge on June 10, 2011, at 21:44:02
In reply to i had enough of this, either im dead or alive with, posted by Jeroen on June 10, 2011, at 15:51:14
Jereon, since you mentioned me, I'm responding. I'm not expert, just a chatty psych patient that is familiar w/ my own medicines.
I read your threads, but our afflictions are so different, I can't begin to make a reccommendation. My knowledge is not theory based at all.
I do know my heart is going out to you. Let other brains weigh in. Did someone mention saphris? My pdoc mentions that from time to time, but I have never tried it. He says it's the gold standard when one is in a particular crisis.
My prayers, of whatever stripe, or is it more acceptable to say thoughts, are with you.
fb
Posted by Jeroen on June 11, 2011, at 3:11:06
In reply to Re: i had enough of this, either im dead or alive with » jms600, posted by torrid on June 10, 2011, at 21:19:30
dont you guys read my older posts
i cant take more seroquel i triedit gives me severe tachyardia
Posted by SLS on June 11, 2011, at 4:50:49
In reply to Re: i had enough of this, either im dead or alive with, posted by Jeroen on June 11, 2011, at 3:11:06
> dont you guys read my older posts
> i cant take more seroquel i tried
>
> it gives me severe tachyardia
Don't you ever read *my* posts? First of all, there are too many people on Psycho-Babble to keep track of, especially for those individuals, like me, who have memory impairments as a feature of their illness. Second of all, I have tried to impress upon you that Abilify can prevent other antipsychotics from working. I would consider swapping out the Abilify for either Risperdal or Invega and keep your dosage of Seroquel the same.To prove you read this post, I would like you to comment on the idea of discontinuing Abilify. Risperdal should make an ideal substitute. Why? Because you have responded to it partially in the past. See, I remember. Furthermore, I have personally witnessed this principle operate with a female friend of mine.
Abilify 30mg + Seroquel 800mg = Inadequate treatment of schizoaffective order.
Risperdal 3mg + Seroquel 100mg = excellent response to antipsychotic and antidepressant properties of these APs.
- Scott
Posted by Jeroen on June 11, 2011, at 4:56:08
In reply to Re: i had enough of this, either im dead or alive with » Jeroen, posted by SLS on June 11, 2011, at 4:50:49
cant do risperidone, invega, i have extreme sedation on those meds, if those are meds lol
Posted by SLS on June 11, 2011, at 4:57:52
In reply to Re: i had enough of this, either im dead or alive with » Jeroen, posted by SLS on June 11, 2011, at 4:50:49
> > dont you guys read my older posts
> > i cant take more seroquel i tried
> >
> > it gives me severe tachyardia
>
>
> Don't you ever read *my* posts? First of all, there are too many people on Psycho-Babble to keep track of, especially for those individuals, like me, who have memory impairments as a feature of their illness. Second of all, I have tried to impress upon you that Abilify can prevent other antipsychotics from working. I would consider swapping out the Abilify for either Risperdal or Invega and keep your dosage of Seroquel the same.
>
> To prove you read this post, I would like you to comment on the idea of discontinuing Abilify. Risperdal should make an ideal substitute. Why? Because you have responded to it partially in the past. See, I remember. Furthermore, I have personally witnessed this principle operate with a female friend of mine.
>
> Abilify 30mg + Seroquel 800mg = Inadequate treatment of schizoaffective order.
>
> Risperdal 3mg + Seroquel 100mg = excellent response to antipsychotic and antidepressant properties of these APs.
Oh, yeah. I forgot. I had this conversation with one of my doctors. He agreed with me that a theoretical basis for this phenomenon is that Abilify is a D2 and D3 partial agonist. It acts to block or buffer the D2 antagonist activity of other antipsychotics. He has seen this happen in his practice. However, as one would expect, this is not a consistent finding. Another consideration is that the D2 binding affinity for Abilify is much higher than that of Seroquel. Seroquel is outcompeted by Abilify for receptor sites.
- Scott
Posted by SLS on June 11, 2011, at 5:00:30
In reply to to SLS, posted by Jeroen on June 11, 2011, at 4:56:08
> cant do risperidone, invega, i have extreme sedation on those meds, if those are meds lol
At what dosage?
Is there any chance you could start at a lower dosage and cross-titrate with the Abilify. I was sedated on Risperdal for the first week. The sedation disappeared. However, this was at a dosage of 1.5mg.
Navane would make a perfect adjunct to Seroquel if no other antipsychotics are acceptable.
- Scott
Posted by Christ_empowered on June 11, 2011, at 7:25:51
In reply to Re: to SLS » Jeroen, posted by SLS on June 11, 2011, at 5:00:30
Have you tried anticonvulsants+antipsychotics? I *hated* depakote plus Abilify (the combo set off EPS whereas Abilify alone doesn't cause EPS for me), but it really works for some people. Risperdal+Depakote was, weirdly enough, easier to tolerate than Abilify+depakote. Just keep your Risperdal at or below 4mgs (I think that's the point at which Risperdal might start causing EPS).
Posted by torrid on June 11, 2011, at 7:52:05
In reply to Re: i had enough of this, either im dead or alive with, posted by Jeroen on June 11, 2011, at 3:11:06
I'm so sorry, I didn't realize that. I'm so sorry that your feeling so bad. The way your feeling right now will pass, I'm not sugesting your will magically have joy and happiness but this hopeless feeling your having right now will pass. We all have ups and downs and the ups don't last forever and the downs don't last forever either.
Posted by Zyprexa on June 12, 2011, at 4:34:52
In reply to to SLS, posted by Jeroen on June 11, 2011, at 4:56:08
Are you psychotic on your current med combo? If not maybe you should stick to it. If you are still depressed maybe you should add an AD. If not you could try the new med Latuda(lurasidone) or perphenazine but that will just make you tired.
Posted by Jeroen on June 12, 2011, at 4:49:57
In reply to Jeroen » Jeroen, posted by Zyprexa on June 12, 2011, at 4:34:52
Pherpenazine make you tired and nothing else?
since when Z?
i am waiting for Saphris in November
to come out in Belgium
Posted by Zyprexa on June 13, 2011, at 20:53:56
In reply to to Zyprexa, posted by Jeroen on June 12, 2011, at 4:49:57
Yes nothing else. Except maybe for a movement disorder, which I treat with cogentin, and is not a problem.
Posted by floatingbridge on June 13, 2011, at 21:52:27
In reply to to Zyprexa, posted by Jeroen on June 12, 2011, at 4:49:57
My pdoc speaks very highly of saphris. November? That's quite a wait. I'm sorry. I hope you get something working very soon.
fb
Posted by Zyprexa on June 17, 2011, at 4:13:16
In reply to to Zyprexa, posted by Jeroen on June 12, 2011, at 4:49:57
Maybe your not happy because your in hospital. You sound like you are sain.
Posted by Jeroen on June 17, 2011, at 4:39:45
In reply to Re: to Zyprexa » Jeroen, posted by Zyprexa on June 17, 2011, at 4:13:16
i am forced in hospital for 2,5 year now
just because i developped manic form of psychosis with lamictal that i took for a week because before that i was on no meds and i felt not rid of some psychological problems. so i decided to take lamictal wich was very bad thing to do...
i do am stabilized, but not recovered yet ;(
This is the end of the thread.
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