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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 22 of 22. This is the beginning of the thread.
Posted by ace on February 20, 2006, at 8:19:06
Responses please!
I'v e got to make a decison betwenn .5 Risperidone, 5mg Abilify and 1mg Stelazine, or even a low dose of Largactial....
Ace...Nardil Champ!
Posted by TJO on February 20, 2006, at 11:09:35
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
Hi,
Seroquel is good too.Tam
Posted by Maxime on February 20, 2006, at 11:27:08
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
Largactial (thorazine) would be my first choice. I was on it for a while (until I lactated) and I felt so good on it. I think second would be the Risperidone.
Maxime
> Responses please!
>
> I'v e got to make a decison betwenn .5 Risperidone, 5mg Abilify and 1mg Stelazine, or even a low dose of Largactial....
>
>
> Ace...Nardil Champ!
Posted by bipolarspectrum on February 20, 2006, at 12:04:33
In reply to Re: POLL: Best antipsychotic for depression?????, posted by Maxime on February 20, 2006, at 11:27:08
Most definately sroquel.. theres literature supporting its use in bipolar depression.. plus, it has the lowest rates of EPS of the atypicals..
check it out
bps
Posted by SLS on February 20, 2006, at 12:59:45
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
As the other posters suggested, Seroquel has recently been the focus of much attention for its antidepressant potential.
Zyprexa might be better yet; Clozaril even better.
Risperdal for comorbid OCD.
I have been on all the atypicals except for Clozaril. I think they all have the potential to act as augmentors of antidepressants.
I know one person for whom Risperdal 2.0mg + Seroquel 50mg act synergistically to bring about a robust antidepressant effect. Without the Risperdal, this same person needs a minimum of 800mg of Seroquel to do the job. This combination might be an ideal treatment for your OCD + depression.
- Scott
Posted by bipolarspectrum on February 20, 2006, at 16:01:50
In reply to Re: POLL: Best antipsychotic for depression????? » ace, posted by SLS on February 20, 2006, at 12:59:45
Hello again,
I agree with the general comment of SLS that others beside seroquel have antidepressant qualities.. a psychopharm who used to treat me demonstrated in a trial that risperdal and zyprexa both had an equal antidepressant response.. i think it generally comes down to side effects... ive found risperdal to be nauseating and causes sexual problems yet has low sedative qualities... zyprexa is highly sedating, and has the most considerable weight gain but probably has the fastest onset... whereas seroquel is moderately sedating with less weight gain.. this is just my opinion, im sure many on this board have experienced similar and very different SEs from these drugs..
bps
Posted by blueberry on February 20, 2006, at 18:14:42
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
Hard to say. On paper seroquel looks the best. But it makes me extremely depressed. Sedation and dry mouth is pretty intense. You know how mileage varies. Zyprexa is good. Risperdal has more of an activating antidepressant effect similar to amisulpride at very low doses, but then has a lethargic feel to it at medium or high doses. In a psychiatry book I was reading they said stelazine was similar to amisulpride.
In my own experiences, nothing beats amisulpride. For me it was fantastic for depression and after a few weeks for social anxiety too. But oh my did it have horrendous sexual side effects from elevated prolactin levels (risperdal does that too). My second favorite is zyprexa.
Posted by rubenstein on February 20, 2006, at 19:53:39
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
> Not Zyprexa and not depakote, I am not sure if the latter is an antipsychotic.
rache;
Responses please!
>
> I'v e got to make a decison betwenn .5 Risperidone, 5mg Abilify and 1mg Stelazine, or even a low dose of Largactial....
>
>
> Ace...Nardil Champ!
Posted by Phillipa on February 20, 2006, at 20:31:45
In reply to Re: POLL: Best antipsychotic for depression?????, posted by rubenstein on February 20, 2006, at 19:53:39
Do they all go with Nardil? Fondly, Phillipa
Posted by ace on February 20, 2006, at 21:55:22
In reply to Re: POLL: Best antipsychotic for depression?????, posted by Phillipa on February 20, 2006, at 20:31:45
> Do they all go with Nardil? Fondly, Phillipa
Hey Phillipa! How are you!
yes, there is no real problems of mixing any of them with Nardil, although there has been speculation that it is better to use old neuroleptics with Nardil....
Love Ace!
Posted by hawkeye on February 20, 2006, at 23:21:06
In reply to Re: POLL: Best antipsychotic for depression????? » Phillipa, posted by ace on February 20, 2006, at 21:55:22
GEODON
For me, Geodon is the best anti-depressant I have ever used (and I have tried them ALL). Geodon has true and significant SNRI properties
Posted by cecilia on February 21, 2006, at 0:14:06
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
Just curious, Ace, if Nardil works so well for you why do want to add an AP? Cecilia
Posted by ace on February 21, 2006, at 0:23:42
In reply to Re: POLL: Best antipsychotic for depression?????, posted by Maxime on February 20, 2006, at 11:27:08
> Largactial (thorazine) would be my first choice. I was on it for a while (until I lactated) and I felt so good on it. I think second would be the Risperidone.
>
> MaximeHow long and what dose were you on Largactal....also Risperidone???
cheers!
ace
>
> > Responses please!
> >
> > I'v e got to make a decison betwenn .5 Risperidone, 5mg Abilify and 1mg Stelazine, or even a low dose of Largactial....
> >
> >
> > Ace...Nardil Champ!
>
>
Posted by deniseuk on February 21, 2006, at 4:35:39
In reply to Re: POLL: Best antipsychotic for depression?????, posted by bipolarspectrum on February 20, 2006, at 12:04:33
Hi,
Personally I really like Zyprexa (10mg) it really calms me down and lifts my mood for about 7 days after taking just the one.
I wouldn't take it every day though as I'm not sure what affect it would have on me then.
I can only comment on Zyprexa as I've not tried any of the other ant-psychotics.
Kind Regards....Denise
Posted by Phillipa on February 21, 2006, at 17:30:45
In reply to Re: POLL: Best antipsychotic for depression?????, posted by cecilia on February 21, 2006, at 0:14:06
I was wondering the same thing myself. Fondly, Phillipa
Posted by Maxime on February 22, 2006, at 10:33:27
In reply to Re: POLL: Best antipsychotic for depression????? » Maxime, posted by ace on February 21, 2006, at 0:23:42
I was on the largactal for 2 weeks at 25 mg. It helped from the fist dose.
Risperidone I was taking .5 mg twice a day. I also lactated within 2 weeks. It wasn't sedating either. I remember taking it while I worked.
Maxime
> > Largactial (thorazine) would be my first choice. I was on it for a while (until I lactated) and I felt so good on it. I think second would be the Risperidone.
> >
> > Maxime
>
> How long and what dose were you on Largactal....also Risperidone???
>
> cheers!
> ace
>
>
>
>
> >
> > > Responses please!
> > >
> > > I'v e got to make a decison betwenn .5 Risperidone, 5mg Abilify and 1mg Stelazine, or even a low dose of Largactial....
> > >
> > >
> > > Ace...Nardil Champ!
> >
> >
>
>
Posted by med_empowered on February 22, 2006, at 14:43:15
In reply to Re: POLL: Best antipsychotic for depression????? » Maxime » ace, posted by Maxime on February 22, 2006, at 10:33:27
The atypicals are all pretty popular; personally, I'd recommend abilify (at or below 10mgs). Moban and Loxapine are sometimes used among the old ones; Moban might have some MAOI type action though, so that could be problematic.
Posted by theo on February 22, 2006, at 22:21:12
In reply to Re: POLL: Best antipsychotic for depression????? » ace, posted by SLS on February 20, 2006, at 12:59:45
I noticed you didn't mention Abilify, are you still taking it?
Posted by MoparFan91 on February 23, 2006, at 3:40:28
In reply to Geodon, posted by hawkeye on February 20, 2006, at 23:21:06
> GEODON
>
> For me, Geodon is the best anti-depressant I have ever used (and I have tried them ALL). Geodon has true and significant SNRI propertiesIt does.
BUT..Its anti-psychotic properties screwed with my bipolar, worsened it dramatically, and accelerated the mood cycling!
Don't be left off-guard if you have bipolar or other mood disorder, I'd say.
Posted by zero on February 23, 2006, at 9:13:28
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
Abilify 2.5mg helps w. my low level bipolar depression. No weight gain/loss. some increased anxiety at startup, but goes away and actually helps w. anxiety after about 10 days.
z.
Posted by Lazarus on February 23, 2006, at 19:36:54
In reply to POLL: Best antipsychotic for depression?????, posted by ace on February 20, 2006, at 8:19:06
5 mg Abilify helps me with severe depression.
Lazarus
Posted by tizza on February 23, 2006, at 22:50:01
In reply to Abilify, posted by Lazarus on February 23, 2006, at 19:36:54
i have tried zyprexa and seroquel for depression and they both just made it worse.
This is the end of the thread.
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