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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Fate_Architect on February 24, 2014, at 20:50:46
Hello! Glad i registered. I am following this forum for some years now. Excuse me for my bad english.
Well, to be brief. lots of anxiety and health ocd issues at my 18 started my journey to psychiatrists. I wont analyze all that now, lets get to the point.
3 years ago, a doc prescribed me perph/amit along with ssri for my extreme anxiety. Well things quiettened but i became a zombie like style. As months passed, i found out that every upping in the dose made me want to commit suicide, paranoia, ocd at its finest etc. I changed docs, and although i found 8 months ago that zoloft made me feel good, i found out that every upping in the dose of zoloft made ocd and depression boom. I was sure that it wasnt zoloft. Every single ssri i have tried without the perph/ami works pretty good. I found some things about perphenazine, and its interference with ssris and the plasma levels. i also found many things about typical antipsychotics that made me tapper the drug. 7 days now, full quit from 2 perph, 10 amit, the last dosage. I feel lights in my emotions, i had akathisia for all the years on the drug, now i am relaxed in my big chair without even bother to shake my feet. I am an amateur writer, essayist, 3 years didnt write anything. 3 days now i have written 150 pages. What is going on? I wish it isnt mania, cause before the perph/ami, all my life was very creative and full of thinking. maybe it just poisoned me, 3 years are too much to make me forgot how it is to feel human.
Posted by Zyprexa on February 24, 2014, at 21:34:15
In reply to What's going on after stop of perphenazine-amit?, posted by Fate_Architect on February 24, 2014, at 20:50:46
Yeah, you are going to have to get off the perphenazine for that.
Posted by Phillipa on February 24, 2014, at 21:46:21
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Zyprexa on February 24, 2014, at 21:34:15
If you are off this med now it sounds like you endured a lot to find out it wasn't the med for you. If I read it wrong my apologies in advance & welcome to babble. Phillipa
Posted by Fate_Architect on February 24, 2014, at 22:18:43
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Phillipa on February 24, 2014, at 21:46:21
> If you are off this med now it sounds like you endured a lot to find out it wasn't the med for you. If I read it wrong my apologies in advance & welcome to babble. Phillipa
Thank you! Phillipa, lets hope so. for 2 years on moderate doses i started getting obsessed and became super paranoid about ridiculus things. i couldnt find a solution. no emotion. for e,g, all my life i was super clean, in this drug i didnt bother to wash my hands for sleep. the doctors were saying 'ah, sever ocd, psychosis, depression'. What to do? up the perph/ami, up the ssri. every upping was making me go to hell.
I dont know. i just know that soon after i started this back then, i am remembering now, i started a roller coaster. i remember one day back then, it was a performance of a favorite artist, in all my periods of life(depressed,happy,anxious) i just flew into space with the music. that day,32 mg perph! i left in the first 15 minutes, i was listening to the music and was wondering why people like music? (i have gotten prizes for music compositions, go figure)
I am just afraid if this is mania from zoloft.maybe perph blocked the 5hta and now that i quit it, zoloft takes action? but i dont have symptoms. i am down to earth, listening to the people, calm, no self esteem, no sexual drive
Posted by Christ_empowered on February 25, 2014, at 8:04:22
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Fate_Architect on February 24, 2014, at 22:18:43
It might just be antipsychotic rebound. You blocked off your dopamine receptors, now they're back in business. Some people, after quitting an antipsychotic, will have bouts of agitation for a while.
Don't look back and worry about having taken the perphenazine; just focus on getting proper care from now on.
Posted by Fate_Architect on February 25, 2014, at 8:56:21
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Christ_empowered on February 25, 2014, at 8:04:22
> It might just be antipsychotic rebound. You blocked off your dopamine receptors, now they're back in business. Some people, after quitting an antipsychotic, will have bouts of agitation for a while.
>
> Don't look back and worry about having taken the perphenazine; just focus on getting proper care from now on.Christ, thanx! I dont have agitation since i quit, i am pretty calm. I had agitation while on the perphenazine, i couldnt sit in a chair. i am now lying in bed ,sketching straight lines, first time after 3 years
Posted by Fate_Architect on February 25, 2014, at 9:15:56
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Fate_Architect on February 25, 2014, at 8:56:21
Guys, how can i get proper help from now on when i ask the psychatrists about the perphenazine, and the 3 of the last i visited told me 'ah, perphenazine? tell me the brand name.. and then, ah no, it is just a relaxant, it doesnt cause you trouble' . Under the brand name it says in greek o the box 'tranquilizer'. not antipsychotic like lets say Zyprexa.
Posted by Christ_empowered on February 25, 2014, at 11:46:40
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Fate_Architect on February 25, 2014, at 9:15:56
I don't know what to tell you...perphenazine is very much an antipsychotic, especially at higher doses.
Here in the US, lower doses were/sometimes are used as an alternative to benzos or barbiturates (or along with them) in cases of tension, anxiety, agitation, etc. Still, the risks are kinda high for long-term use in non-psychotic people.
Back in the day, some docs would rx low doses of typicals--perphenazine included--in mood disorders such as bipolar. Psychiatrists frowned on the practice until, surprise surprise, it turned out that antipsychotics help a lot of bipolar people and perphenazine is about as good as zyprexa.
Anyway, I don't know where you live or what the shrinks there are like, but here in the US, just say you didn't enjoy your perphenazine experience and you'd like to avoid it in the future. As long as you're a voluntary outpatient, that shouldn't be a huge deal.
If you have severe mental illness, then docs might push it on you. Or if docs think its the best thing for you, they might push it on you. Some docs are really power hungry and if you refuse something they get mad :-( Others are more reasonable.
Posted by Fate_Architect on February 25, 2014, at 12:15:39
In reply to Re: What's going on after stop of perphenazine-amit?, posted by Christ_empowered on February 25, 2014, at 11:46:40
> I don't know what to tell you...perphenazine is very much an antipsychotic, especially at higher doses.
>
> Here in the US, lower doses were/sometimes are used as an alternative to benzos or barbiturates (or along with them) in cases of tension, anxiety, agitation, etc. Still, the risks are kinda high for long-term use in non-psychotic people.
>
> Back in the day, some docs would rx low doses of typicals--perphenazine included--in mood disorders such as bipolar. Psychiatrists frowned on the practice until, surprise surprise, it turned out that antipsychotics help a lot of bipolar people and perphenazine is about as good as zyprexa.
>
> Anyway, I don't know where you live or what the shrinks there are like, but here in the US, just say you didn't enjoy your perphenazine experience and you'd like to avoid it in the future. As long as you're a voluntary outpatient, that shouldn't be a huge deal.
>
> If you have severe mental illness, then docs might push it on you. Or if docs think its the best thing for you, they might push it on you. Some docs are really power hungry and if you refuse something they get mad :-( Others are more reasonable.Ah, i see. Well, you know what, i dont think i ever had a severe mental illness. I am not saying it cause i dont want to admit it. But it is strange that in all my life i coped with medium doses of just an ssri. My doctor at that time retired and found another one. That one started giving me meds for little things. Then, i freaked out. I was having a semi-normal life, he gave me fluoxetine, i felt kinda good. Told him that i will continue my mba. Told me, no you cant, you dont have concentration. I insisted i had normal concentration. Then came the amitriptyline/perphenazine. Started attending the classes, i told him. He prescribed zyprexa with all these. He thought i was manic cause i wanted to go on with my life? With zyprexa i became zombie. Guess what, he added wellbutrin to the mix :S Then, the period that came is a black hole. Didnt remember anything. quit cold turkey all the meds alone. Slowly i became normal, but a little depressed.
It is weird, i was living my life 4 years with only 5mg of escitalopram, and next 3 years with 75mg of effexor, mainly health ocd issues and some extra rare panic attacks and boom i changed the doc and was on 5 meds? Something is bad here, isnt it?
I just called my current psych, cause in the 3 years of that guy's treatment i started having symptoms for the first time in my life. Weird obsessions, anger, impulsivity, emotionally numb and the list goes on. She now told me that if i can sleep after quitting the perph/amit, i can sleep normally, to stay on only zoloft and see how it goes without the perph. Wish me luck :/
This is the end of the thread.
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