Posted by Ritch on May 10, 2003, at 22:46:16
In reply to Re: stimulant psychosis, posted by cybercafe on May 10, 2003, at 18:22:51
> >
> > I've been on the stimulant/antipsychotic thing before and it didn't work very well. I was taking Risperdal+Adderall and got EPS from the Risperdal. Then I switched to Seroquel+Adderall, and got dystonia from that (throat muscles tight as banjo strings). I tried Effexor+Adderall and that worked much better than the former two combos. Ritalin-wise that stuff just tended to make me tense and quiet. I didn't like its short-term peakiness at all. It seems your pdoc is set on Zyprexa for some reason and is trying everything to make the Zyprexa work.
>
> well my doc let me choose between zyprexa, risperdal and seroquel -- i chose zyprexa ...
> he thinks i really need dopamine antagonism, and i think he's right -- i've had much more mood stability on a low dose of an atypical than i ever had on a high dose of anticonvulsant (valporate) - with horrible side effects
>
> next time i see my doc i'll be asking for a switch of AD (don't like the tremors) and a switch of AP (if my ADD doesn't go away fast)]
>
> btw... outside of the intolerable side effects of AP, were you able to achieve a decent degree of mood stability and concentration???Cyber, It just seems like you are being treated with a stimulant to offset the negative effects of an AP. Ultimately, stimulants weren't the solution for me as a chronic day-to-day med. The dramatic positive effects of stims were evident only for acute bipolar depressive episodes only. I have taken stims during times of the year where I am normally experiencing manic symptoms and they didn't aggravate them near as much as any antidepressant, so that vindicates them to some degree I guess, but they generally make me too anxious. If you are finding Zyprexa to work better than any other med in your cocktail, then I would definitely stick with it if possible. I just wonder if you can find a stim alternative to go with the Zyprexa. Maybe Straterra or Provigil?
poster:Ritch
thread:225269
URL: http://www.dr-bob.org/babble/20030505/msgs/225705.html