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Re: mild paranoia...

Posted by tessellated on November 11, 2006, at 15:53:43

In reply to mild paranoia..., posted by med_empowered on November 9, 2006, at 0:16:47


what meds are you on?
i had moderate to high paranoia with parnate w/drawl.
very similar to amphetamine psychosis.
anti-psyhos are a bummer, but as far as my reading details, is that paranoia is likely due to exaggerated dopamine receptor sensitivity. so the theory goes that to down regulate DA receptor sensitivity you block DA activity with DA antagonist; ie the AntiPsycho's.

Personally though they're called tranquillizers, (tranquill), they sedate the hell outa me with dysphoric zombie state. Mood stabalizers may work as well; heard good things re valproic acid.

So either down taper. I think cold turkey is dangerous, or counterattack with a DA antagonist. Seroquel is the most common after the ER's fave haldol.

I'm not sure, but i've not found benzo's to help much.
And be careful what you tell your doc, as the minute you get labled bipolar most AD's go out the window, replaced by antipsychos or mood stabalizers. it's a big arguement wether drug induced mania/paranoia should qualify one as bipolar. but it's been seen ADs can exaserbate the cycling, particularly if they hit dopamine.

regarless; paranoia sucks. sometimes it helps to just face the fear and see the irrationality, rather than letting it linger as a possible reality.





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