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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by pretty_paints on October 15, 2004, at 7:40:44
Hi guys,
I suffer with psychotic depression. Iv been on risperdal which was brilliant for my thoughts but the side effects were so bad (muscle soreness, shaking) that I had to stop taking it. Since then Iv been on Olanzapine (zyprexa). It has increased my appetite loads and Iv gained 2 stone. But I'm glad about this as before I was very skinny. Anyway this med was good with side effects but is not nearly as good for my thoughts.
I got the impression my pdoc is thinking about changing back to risperdal again, but she wasnt treating me when I was on this before as I was in hospital so had a different doctor.
I dont want to go back to risperdal as it made me feel SO ILL.
Are there some more alternatives? Any other antipsychotics that are good? Could people let me know about their experiences on them?
thanks
Posted by dazed on October 15, 2004, at 8:10:30
In reply to PSYCHOTIC DEPRESSION - what other meds can I try?, posted by pretty_paints on October 15, 2004, at 7:40:44
I'm sure there are lots of others to try. There are others on this board with experience. I think Effexor is an antipsychotic you might ask about others about (not sure).
Posted by Sad Panda on October 15, 2004, at 10:04:14
In reply to PSYCHOTIC DEPRESSION - what other meds can I try?, posted by pretty_paints on October 15, 2004, at 7:40:44
> Hi guys,
>
> I suffer with psychotic depression. Iv been on risperdal which was brilliant for my thoughts but the side effects were so bad (muscle soreness, shaking) that I had to stop taking it. Since then Iv been on Olanzapine (zyprexa). It has increased my appetite loads and Iv gained 2 stone. But I'm glad about this as before I was very skinny. Anyway this med was good with side effects but is not nearly as good for my thoughts.
>
> I got the impression my pdoc is thinking about changing back to risperdal again, but she wasnt treating me when I was on this before as I was in hospital so had a different doctor.
>
> I dont want to go back to risperdal as it made me feel SO ILL.
>
> Are there some more alternatives? Any other antipsychotics that are good? Could people let me know about their experiences on them?
>
> thanks
>
>Seroquel would be next on the list of antipsychotics to try, it doesn't have the antimuscarinic side effects that Zyprexa has.
Cheers,
Paul.
Posted by TomG on October 15, 2004, at 14:30:09
In reply to Re: PSYCHOTIC DEPRESSION - what other meds can I try? » pretty_paints, posted by Sad Panda on October 15, 2004, at 10:04:14
My doctor and I are trying to figure out if I'm borderline schizophrenic or psychotically depressed. One word: Geodon. My life has been turned around by this antipsychotic. It has worked wonders for cognitive problems, disorganized thought, paranoia, depression, and anxiety. I have a serious dopamine problem I think. The only thing with Geodon is that about two months into taking it I became pretty sedated, and I am now about to try Provigil to help this. In my case I have tried Abilify at 15mg, but I got akathisia and had to stop. It did not work at that dose for my symptoms, but I am thinking also of maybe trying it again at lower dose, because of the lower incidence of sedation. Possibly it might work at lower dose for me. I would check out both Geodon and Abilify.
Posted by Sebastian on October 15, 2004, at 18:54:51
In reply to PSYCHOTIC DEPRESSION - what other meds can I try?, posted by pretty_paints on October 15, 2004, at 7:40:44
Try a mood stabilizer like depakote or lamictal. I've taken both with zyprexa seperatly. Worked well for thought clarity.
Posted by D minor on October 18, 2004, at 1:07:39
In reply to PSYCHOTIC DEPRESSION - what other meds can I try?, posted by pretty_paints on October 15, 2004, at 7:40:44
Hey there,
this is a pretty cool site that breifly goes over most psychiatric meds. Take what they say with a grain of salt though.Basically there are, like, six new atypical antipsychotics that have a much better side-effect profile than the older antipsychotics. They are Risperdal, Zyprexa, Clozaril, Geodon, Seroquel and Abilify.
If tremors are a problem you might try Inderal (propranolol). Its a beta-blocker that's good for counteracting physical anxiety and side effects like that. I used it when first starting Wellbutrin.
I was also diagnosed as MD with psychotic features. But now they say I'm BP with psychotic features. Same difference to me, I still have hallucinations. Abilify was the most effective for me but I did have some problems with side effects.
Good luck!
dm
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