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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 17 of 17. This is the beginning of the thread.
Posted by porkpiehat on March 12, 2016, at 14:41:43
Pdoc thought that my long-term SSRI (celexa 10 mgs) was causing bipolar instability despite my lamictal. We started me on Latuda and tapered me off celexa. I felt GREAT...emotionally open, not in a rage.
But the Latuda (also still with Lamictal) started to really fog me up and make me feel disconnected. So I stopped on Tuesday. without the fog I felt GREAT again...for a few days.
The dizzy/zappy feeling each time I move my eyes is through the roof but i can deal with that (SSRI withdrawl I'm guessing) But the rage (which we thought was a celexa/lamictal thing) has been through the roof progressively.
Yesterday and today just angry as all hell at everything. I kicked my cat...hard.
Pdoc urged me NOT to fiddle with meds (as I am want to do always) and I'm not sure if this is a withdrawl from Celexa or just the emotional poison I have to deal with, but there's no way I can see clients come Monday like this. I will lose my sh+t!
I am thinking about adding 10 mgs of Latuda back in...perhaps to help with withdrawls, or maybe I need it because my mood instability/cyclothymia/bipolar (unofficial) is taking me over.
I never got angry like this on therapeutic doses of Celexa...perhaps impulsive.
Anywhooo...help?
Posted by SLS on March 12, 2016, at 16:57:40
In reply to Celexa withdrawls...adding latuda again?, posted by porkpiehat on March 12, 2016, at 14:41:43
Hi.
Lamictal is not a good anti-manic mood stabilizer. It usually works more as a bottom-up bipolar antidepressant without the tendency to destabilize or cause a switch into mania. Interestingly, Lamictal does help with rapid cycling when combined with lithium or an anticonvulsant mood stabilizer.
- Scott
Posted by Tomatheus on March 12, 2016, at 17:33:24
In reply to Celexa withdrawls...adding latuda again?, posted by porkpiehat on March 12, 2016, at 14:41:43
Porkpiehat,
Have you told your pdoc about how strong your feelings of rage have been for the last two days? If it's the case that you did tell your pdoc about how intense your feelings of rage have been and about the extent to which these feelings have been affecting your behavior, and your pdoc still advised you "not to fiddle with meds," then I'd advise you to seek another professional opinion. Regardless as to what's causing your feelings of rage, it sounds to me like these feelings are intense enough that some sort of intervention would be a good idea.
I hope that you'll find yourself feeling more at peace soon. I know from experience that having intense feelings of rage and/or irritability can be beyond unpleasant, but such feelings for me usually only last for so long, which leaves me wondering in the aftermath, at least in some ways, what it was that got into me (even though I know that in my case, it's oftentimes noradrenergic antidepressants that "got into me" and played a major role in producing my feelings of irritability). But given that I know how unpleasant very intense feelings of rage and/or irritability can be, I very much hope that you'll find these feelings subsiding for you very soon.
Take care,
Tomatheus
Posted by porkpiehat on March 13, 2016, at 7:58:28
In reply to Celexa withdrawls...adding latuda again?, posted by porkpiehat on March 12, 2016, at 14:41:43
fell asleep on the bathroom floor with all my pills counted out. Got through the night but I'm not sure what to do next. I don't want to spent the next two days in a psych ward but something clearly isn't right.
The intense brain zaps are gone. I don't know if I should take my meds or if they are the problem.
Posted by SLS on March 13, 2016, at 8:01:26
In reply to late night attempt, posted by porkpiehat on March 13, 2016, at 7:58:28
> fell asleep on the bathroom floor with all my pills counted out. Got through the night but I'm not sure what to do next. I don't want to spent the next two days in a psych ward but something clearly isn't right.
>
> The intense brain zaps are gone. I don't know if I should take my meds or if they are the problem.Several people, including me, have reacted badly to Latuda. It made my depression worse.
- Scott
Posted by porkpiehat on March 13, 2016, at 11:23:28
In reply to Re: late night attempt » porkpiehat, posted by SLS on March 13, 2016, at 8:01:26
I stopped taking the Latuda on Tuesday. The depression and aggression started building Thursday. The brain zaps seem to get much worse as the day progresses.
Suicidality peaked last night. wrote a note and pooled all the pills I could find. I feel fine this morning but I'm scared to take/to not take any meds today.
Posted by J Kelly on March 13, 2016, at 15:01:41
In reply to Re: late night attempt, posted by porkpiehat on March 13, 2016, at 11:23:28
> Suicidality peaked last night. wrote a note and pooled all the pills I could find. I feel fine this morning but I'm scared to take/to not take any meds today.This is an emergency. Even if you feel fine this morning, your mood could easily shift again. Please call your pdoc and describe your recent feelings/actions regarding suicidality, writing a note, and pooling of pills.
If your Pdoc can't or wont see you immediately please go to an Emergency Room. You might feel better now but its too risky. Please will you go?
Concerned,
Jade
Posted by SLS on March 13, 2016, at 15:10:38
In reply to Re: late night attempt, posted by porkpiehat on March 13, 2016, at 11:23:28
I agree » porkpiehat
> > Suicidality peaked last night. wrote a note and pooled all the pills I could find. I feel fine this morning but I'm scared to take/to not take any meds today.
>
> This is an emergency. Even if you feel fine this morning, your mood could easily shift again. Please call your pdoc and describe your recent feelings/actions regarding suicidality, writing a note, and pooling of pills.
>
> If your Pdoc can't or wont see you immediately please go to an Emergency Room. You might feel better now but its too risky. Please will you go?
>
> Concerned,
>
> Jade
>
>
Posted by porkpiehat on March 13, 2016, at 15:48:36
In reply to Re: late night attempt » porkpiehat, posted by SLS on March 13, 2016, at 15:10:38
thanks for your concern. I left a message for my pdoc, and called a friend who is a pysch NP so I have my bases covered.
the Latuda was working well in stabilizing this, even if it disconnected me. I will utilize if I feel the rage/depression coming back.
Posted by Tomatheus on March 13, 2016, at 16:04:20
In reply to Re: late night attempt, posted by porkpiehat on March 13, 2016, at 11:23:28
Porkpiehat,
I think it's a good sign that you seemed to feel better this morning, especially relative to last night. I hope that as the day goes on, you'll find yourself doing better today as compared with yesterday. However, if you do run into the same kinds of problems today than you went through yesterday, I would ever-so strongly urge you to contact your pdoc or another professional, or to call either a suicide hotline or an emergency number. Even though spending a few days in a psych ward surely doesn't sound the kind of thing that you or any of us would so much like to do, your life may very well depend on reaching out for professional assistance if you find yourself once again experiencing the kinds of feelings and impulses that you were experiencing yesterday.
Regarding your medication situation, I think that this also needs to be handled by a medical professional. I'd start by contacting your pdoc and asking if you should still continue to follow the same course that you've been following medication wise, given the intense feelings of rage that you were experiencing Friday and yesterday, along with both the actions that you took last night and the improvement that you were noticing as of this morning. Then, if you don't feel comfortable with your pdoc's instructions, I'd encourage you to consider seeking another medical opinion. Although I don't think it would be advisable to refrain from following your pdoc's instructions without further medical guidance, I think it would be a good idea to see if another medical professional might be able to offer you a different perspective if what your pdoc instructs you to do doesn't seem right.
So again, I hope that you're still doing as well right now as you were this morning. I think that getting through the rest of the today (including tonight) and the next few days is something that you can and will be able to accomplish, but please, do not hesitate to reach out for help from a qualified professional if the feelings and impulses that you were experiencing yesterday start to return and/or if you have any questions about how to proceed with your medication situation. My thoughts will be with you as you continue to try to break out of the dark place that you've been in for the last couple of days.
Tomatheus
Posted by Tomatheus on March 13, 2016, at 16:25:28
In reply to Re: late night attempt, posted by porkpiehat on March 13, 2016, at 15:48:36
> thanks for your concern. I left a message for my pdoc, and called a friend who is a pysch NP so I have my bases covered.
>
> the Latuda was working well in stabilizing this, even if it disconnected me. I will utilize if I feel the rage/depression coming back.Porpkiehat,
I'm glad to see that you've left a message with your pdoc and that you also called a friend who's a psych NP. Your message didn't come in before I started writing my last post, so I just wanted to respond to what you wrote here to let you know that I definitely think it's a good thing that you've made the calls that you've made, but I also wanted to remind you that if your pdoc and your psych NP friend don't respond to your calls in a timely manner that contacting either a suicide hotline or an emergency number remain as options if you start having the same kinds of thoughts that you were having last night.
Take care, and be well.
Tomatheus
Posted by Tomatheus on March 14, 2016, at 20:24:05
In reply to Re: late night attempt, posted by porkpiehat on March 13, 2016, at 15:48:36
Porkpiehat,
How have you been doing? Have you resumed taking Latuda or undergone any other medication changes since posting yesterday? Feel free to check in with us when you get a chance. I hope that you're now in a better place mentally than you were for at least parts of the last few days, especially Saturday night.
Tomatheus
Posted by J Kelly on March 14, 2016, at 20:40:08
In reply to Re: late night attempt, posted by Tomatheus on March 14, 2016, at 20:24:05
> Porkpiehat,
>
> How have you been doing? Have you resumed taking Latuda or undergone any other medication changes since posting yesterday? Feel free to check in with us when you get a chance. I hope that you're now in a better place mentally than you were for at least parts of the last few days, especially Saturday night.
>
> TomatheusI, too, have been wondering how your are doing Porkpiehat. Give us a shout when you're feeling up to it.
Jade :)
Posted by porkpiehat on March 16, 2016, at 12:00:29
In reply to Re: late night attempt, posted by J Kelly on March 14, 2016, at 20:40:08
> > Porkpiehat,
> >
> > How have you been doing? Have you resumed taking Latuda or undergone any other medication changes since posting yesterday? Feel free to check in with us when you get a chance. I hope that you're now in a better place mentally than you were for at least parts of the last few days, especially Saturday night.
> >
> > Tomatheus
>
> I, too, have been wondering how your are doing Porkpiehat. Give us a shout when you're feeling up to it.
>
> Jade :)
>
>
Thanks guys I'm doing OK.
Posted by Tomatheus on March 16, 2016, at 12:42:59
In reply to Re: late night attempt, posted by porkpiehat on March 16, 2016, at 12:00:29
> Thanks guys I'm doing OK.
This is most certainly good to hear, Porkpiehat. I wish you much luck as you move forward, not only with arriving at a treatment regimen that will serve you well for at least a while, but also with the rest of your endeavors.
Tomatheus
Posted by Horse on March 19, 2016, at 2:34:49
In reply to Re: late night attempt » porkpiehat, posted by Tomatheus on March 16, 2016, at 12:42:59
Are you still having brain zaps? Lyrica helped me get off Cymbalta. Might help with rage, too, idk.
Latuda was agitating. I felt suicidal, and that is not a place I usually go. All resolved when I discontinued. What a relief.
Best wishes to you.
Posted by porkpiehat on March 27, 2016, at 9:30:16
In reply to Re: late night attempt, posted by Horse on March 19, 2016, at 2:34:49
the brain zaps are all but gone. They seem to come and go abut they are bearable.
This is the end of the thread.
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