Posted by yxibow on March 6, 2006, at 3:44:20
In reply to Moban Akathesia, and general antipsychotic se, posted by San Diegan on March 5, 2006, at 21:12:46
> So the only antipsychotics so far that have not caused horrendous akathisia have been seroquel and zyprexa, and even those, I have had to start with extremely low doses. Unfortunately, those 2 cause extreme weight gain and stratospheric cholesterol levels.
>
> I recently tried Moban 5mg, and yup, akathisia..extreme anxiety, almost panic, fear, restlessness with sedation. 15mg Temazepam worked wonders...do benzos usually help with this se? I'm on medicare the don't pay for benzos, but medi-cal still does. Does klonopin work for this too? I would think that would be the best one to be on, if you didn't run across a dr. who is anti-benzo and insists on taking you off....
I'm not anti-benzo (you dont want to know how much Valium I take -- or did I already post it, I forget)... but while benzodiazepines can serve multifunctions, Restoril is generally best left for sleep, it is short acting and you can run into issues of withdrawal. It also is on the hypnotic end of the spectrum rather than the anxiolytic side although a significant dose probably would cover both to some degree I'm sure. I'm glad it did work for you, but there are other benzodiazepines such as Valium and Klonopin that would be better suited as they have much longer half lives.Anticholinergics such as Akineton 1-2mg/dy (which is generally my favored one) work best for EPS, although there is the issue of dry mouth and blurriness if one exceeds the atropine toxicity threshold.
Non cardioselective beta blockers also work for some people -- they're cheap, and can be effective -- propranolol, and possibly nadolol, pindolol, and a few others.
tidings
Jay
poster:yxibow
thread:616388
URL: http://www.dr-bob.org/babble/20060304/msgs/616510.html