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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 cadburyhesychasm on December 7, 2018, at 14:34:11
it isn't racing thoughts or intrusive ocd thoughts. just that i keep on and on thinking it isn't altogether positive nor negative but still thinking and thinking with some song going on in the background always.
is it wise to take another antipsychotic to chill it down? especially when theres no psychoses. gabapentin felt nice but blood pressure skyrocketed, pregabalin gave me mania. i like inderal it gives a warm peace at first dose but only at first dose. i would like something like inderal but my blood pressure is steady normal all the time and i dont know if lowering it is a nice idea.
i still have a little hypersexual disinhibition although the obsession type thing gives me a little aversion more thanks to saphris 10 twice a day.
i was going to start brintellix but it turned out too expensive.
can i add another antipsychotic, what really would calm all this in a powerful way. i know one can't medicate everything but this is not me and i hate that. i know the real me, loving caring a nice person, respectful. how to aggressively treat this?
i have glycine on order. but i need a pharmaceutical with large scope to address the symptoms i think
pls suggest anything that might help. i also have this inability to turn my head and observe the environment as normal person would do since long time i stay stuck in one direction what the hell is that anyway
Posted by cadburyhesychasm on December 8, 2018, at 11:22:06
In reply to feel relaxed on saphris bt cant stop overthinking, posted by cadburyhesychasm on December 7, 2018, at 14:34:11
ive decided to try telmisartan a angiotensin 1 receptor blocker which articles say regulate dopamine and might have use in BD and Schizo disorders. i think it might help my ptsd and rapid cycle bipolar and rage attacks as adjunct to antipsychotic. i hope it will help. first pill feels ok.
does anyone have any info on the use of telmisartan in affective and rage disorders?
Posted by Jeroen on December 9, 2018, at 21:32:26
In reply to feel relaxed on saphris bt cant stop overthinking, posted by cadburyhesychasm on December 7, 2018, at 14:34:11
I had same problem like you do
Its not good but i took a little clonazepam extra
Posted by porkpiehat on January 15, 2019, at 13:39:46
In reply to trying telmisartan as antimanic dopamine regulator, posted by cadburyhesychasm on December 8, 2018, at 11:22:06
> ive decided to try telmisartan a angiotensin 1 receptor blocker which articles say regulate dopamine and might have use in BD and Schizo disorders. i think it might help my ptsd and rapid cycle bipolar and rage attacks as adjunct to antipsychotic. i hope it will help. first pill feels ok.
>
> does anyone have any info on the use of telmisartan in affective and rage disorders?By BP do you mean borderline personality disorder? I am on some spectrum of complex trauma/borderline/possible BPII diagnosis. I struggle with explosive rage. Antipsychotics typically make this worse for me as well as worsen dissociation.
When I tried remeron I remembered my thoughts seemed to race a lot, although my paranoia and social confidence improved. Not so much on the other ones. At one point I thought if dopamine was antagonized by the AP that the busy mind would be kind of an ADD symptom. Not sure. Don't like them.
The MAOIs helped me with my rage but also made me completely numb and ramped up my compulsive behavior.
I've not heard of Telmisartan, will look into it.
How are you feeling now?
Posted by cadburyhesychasm on January 15, 2019, at 14:04:01
In reply to Re: trying telmisartan as antimanic dopamine regulator » cadburyhesychasm, posted by porkpiehat on January 15, 2019, at 13:39:46
> > ive decided to try telmisartan a angiotensin 1 receptor blocker which articles say regulate dopamine and might have use in BD and Schizo disorders. i think it might help my ptsd and rapid cycle bipolar and rage attacks as adjunct to antipsychotic. i hope it will help. first pill feels ok.
> >
> > does anyone have any info on the use of telmisartan in affective and rage disorders?
>
> By BP do you mean borderline personality disorder? I am on some spectrum of complex trauma/borderline/possible BPII diagnosis. I struggle with explosive rage. Antipsychotics typically make this worse for me as well as worsen dissociation.
>
> When I tried remeron I remembered my thoughts seemed to race a lot, although my paranoia and social confidence improved. Not so much on the other ones. At one point I thought if dopamine was antagonized by the AP that the busy mind would be kind of an ADD symptom. Not sure. Don't like them.
>
> The MAOIs helped me with my rage but also made me completely numb and ramped up my compulsive behavior.
>
> I've not heard of Telmisartan, will look into it.
>
> How are you feeling now?
>
>bipolar dep. don't try telmisartan. i wrote abt it when i was a bit of in an impulsivity cycle. i am currently on olanzapine 10mg and venlafaxine xr 37.5 with enteric coated valproate 1g. i have just started these after failing repeatedly many antipsychotic drugs. i suggest for rage attacks valproate is useful as a base med. i too suffer complex trauma. of various problems. olanzapine does nothing for peak rage but helps with my obsessions but causes a withdrawing depression. which frankly is better than hypersexual behaviour which is why i am retrialling it.
can u tell me more about what your rage attacks are like, true rage disorders seem rare so problems of rage interest me. are yours mainly caused by paranoia? mine is more of an epileptoid dyscontrol syndrome than psychotic. i believe but doctors say it is some form of schizo even in absence of other psychotic features like paranoia and hallucination. if you ask me it is a severe cruel ptsd with bipolar comorbidity that causes my rage.
Posted by porkpiehat on January 15, 2019, at 14:40:45
In reply to Re: trying telmisartan as antimanic dopamine regulator, posted by cadburyhesychasm on January 15, 2019, at 14:04:01
> bipolar dep. don't try telmisartan. i wrote abt it when i was a bit of in an impulsivity cycle. i am currently on olanzapine 10mg and venlafaxine xr 37.5 with enteric coated valproate 1g. i have just started these after failing repeatedly many antipsychotic drugs. i suggest for rage attacks valproate is useful as a base med. i too suffer complex trauma. of various problems. olanzapine does nothing for peak rage but helps with my obsessions but causes a withdrawing depression. which frankly is better than hypersexual behaviour which is why i am retrialling it.
>
> can u tell me more about what your rage attacks are like, true rage disorders seem rare so problems of rage interest me. are yours mainly caused by paranoia? mine is more of an epileptoid dyscontrol syndrome than psychotic. i believe but doctors say it is some form of schizo even in absence of other psychotic features like paranoia and hallucination. if you ask me it is a severe cruel ptsd with bipolar comorbidity that causes my rage.Firstly I reread my post and I meant to say risperdal not remeron. BP I and his manias are typically full of rage. I suspect it is BPD but they didn't understand it as well when he was diagnosed.
When I have completely irrational rage (like at inanimate objects) it is typically a result of some med trial (buspar, wellbutrin, Latuda) or ramping up/down or on too-low doses of serotonergic drugs.
Otherwise there certain personalities and situations that push me over the edge it gets bad...nervous people, incompetence, customer service, my mom, weakness, being dismissed.
Bipolar and trauma borderline are constantly thrown around for Dx without a clear cut dx. I think this is more trauma/BPD in my case.
I do suffer from weird free-floating unease and almost paranoia, it has felt almost psychadellic at times. Started in college but I was doing pot and acid and struggling with sexuality at the time. Only when I'm alone. This and my strong reaction and hypomanic symptoms on meds have suggested BPII.
In additon to my dad, my mom has complex ptsd and my grandmother was schizophrenic...yay.
I'm curious about olanzapine experience. I read it is one of the best AP's for borderline symptoms without being two numbing. I am specifically worried about the symptoms of emptiness, detachment, suicidality, social anxiety, quasi-paranoia, trippy fear and unease, destruction of intimate relationships through meanness and overwhelming eventual insecurity.
I would put my paranoia more in the "anxiety" bucket than "psychotic" as I am clearly aware I am worried and suspicious but I don't believe things are happening in a "thought disorder" kind of way.
I may have mentioned I initially get a lot of benefit in these areas with gabapentin and trileptal, maaaaybe lamictal, but suffer pretty terrible cognitive crap.
This is the end of the thread.
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