Posted by yxibow on June 3, 2006, at 12:00:35
In reply to ok, wrong time to ask but anyone GOOD w/ Geodon?, posted by heaven help me on June 2, 2006, at 22:29:35
> Really, I am freaked out by all this about the movie (that I can't seem to download). I've done a search on MedlinePlus.gov and see TD as a *possible* side effect. But what I really want to know is there ANYONE who has been taking Geodon for a while, or long term, and done great on it? Ar at least not terrible??? ANYONE? ANYONE??????
> mary
I took Geodon for a short period but it proved to have too much EPS -- akathisia. Tardive Dyskinesia is not a side effect, it is a condition caused by all neuroleptics marketed to date, except Clozaril.
Large amounts of EPS (side effects) may indicate future TD, but this is not always true. One has to examine the word tardive -- that means late, as in, usually years after treatment. Sometimes it happens earlier -- it can also remit during treatment.
The mechanisms of TD is not completely understood. But as I have posted many times, a doctor who prescribes a neuroleptic should clearly describe that TD is always a possibility -- that is what is known as "informed consent." They should also know how to do an AIMS exam, establishing a baseline of muscular movements, and repeat this during the course of treatment to find any signs of TD.
There is no prediction of when or whether TD will occur -- it is just something that in the back of one's mind, has to be thought about but not obsessed about. Treatment will not be effective if there is constant worry as there is always a component of placebo effect for any regiment.
In general, the low potency atypicals are less likely to cause TD than old antipsychotics, but this has never been conclusively proven. If one does get TD, the neuroleptic can be discontinued, or switched to another one, or a host of different things.
TD can be permanent for 30% of the population, 30% the same, and 30% remit completely -- this is only a guideline, as I said, since we still don't completely know the reasons for it, there are tricks that can be played with switching around neuroleptics and a host of other remedies, none of which have been double blind studied completely.
I wish I could offer better advice, but ultimately it is up to you.
-- tidingsJay
poster:yxibow
thread:652161
URL: http://www.dr-bob.org/babble/20060530/msgs/652341.html