Posted by Cairo on July 16, 2004, at 8:31:18
In reply to Re: I'm bored, list of stims, Seroquel » Cairo, posted by Sad Panda on July 16, 2004, at 0:13:06
> Have you tried or your doctors suggested a stimulating TCA? I would try Nortriptyline as it combines stimulate effect with the anxiolytic &sleep qualities of Desyrel. I wouldn't be in any hurry to try Seroquel, I tend to think AP's are for psychotics & maybe bipolar people.
>
> Cheers,
> Panda.Tried imipramine quite awhile ago and she developed tachycardia. No other TCAs tried. The doc we saw at UPenn is a researcher in bipolar and said while she doesn't think there's BP, because of a family history of schizophrenia, we need to watch very carefully to see if the social phobia and depression symptoms are early signs, though she really doesn't think this is the case because there is a strong desire to have friends and she has one friend whom she does get along with (though she doesn't live close so there's not much opportunity for getthing them together). The schizophrenia seems to be in males only with females having more depressive symptoms. In my last post I mentioned that she looks like she has some atypical depression symptoms and I know that there is some overlap between atypical depression and Bipolar II symptoms. Maybe that's the rationale to the use of an atypical antipsychotic here.
I know of one several young teens put on Risperdal who do great on low dose, evening out their moods, making them more talkative. The doc hopes we get some antianxiety effect from Seroquel. BTW, I used a short course of Risperdal for a Fibromyalgia flare a couple of times, which knocked the muscle aches and nervousness right out. A quarter to one half tablet worked wonders, while increasing it made symptoms worse. The atypical antipsychotics have myriad effects, apparantly.
I don't really question a trial of Seroquel, especially at low dose, but I still haven't had my concerns answered about psychostims worsening an overaroused CRH/NE system. She always seem like fight or flight with low level irritability, too much sight and sound (like at the mall) making her nervous, difficulty falling asleep, and even an noticeable increase in hypermobility of joints (we ruled out Fragile X, Ehlers-Danlos, Marfans) which could be a sign of chronic fight or flight. The doc said to just keep her off Concerta this summer, unless there is a situation that we feel she needs it and lets see what the Seroquel will do. I agree, but if we need Concerta for attention when school starts, are we adding kindling to the fire?
Any thoughts about this psychostim thing?
www.neurotransmitter.net/Gold.pdf
Thanks!
Cairo
poster:Cairo
thread:365984
URL: http://www.dr-bob.org/babble/20040714/msgs/366792.html