Posted by yxibow on December 31, 2006, at 10:49:12
In reply to Re: ¡ I´m FAT :( !, posted by med_empowered on December 31, 2006, at 2:46:25
> if you're not actually psychotic, you dont need an antipsychotic.
Unfortunately sometimes you do -- I have a nonpsychotic Somatiform disorder and I do take Seroquel for mild anti-D2 reasons, and it is a contributor towards weight gain which is why I try my best to control food intake, although I dont always succeed, and I go to the gym, mostly to keep the pounds down -- a little muscle isn't a bad thing either, but that's not priority one. Sometimes I struggle with motivation to go but I know waistline is one motivator. Of course ironically going to the gym gets my anxiety disorder pumped up a bit but that's a short term condition.
Even if you are psychotic, you still may not need an antipsychotic.
>
> So..with that in mind..have you tried other meds? Mood stabilizers, like lithium, depakote, tegretol/trileptal, keppra,
From what I've heard about Keppra, it can actually make nonpsychotic or borderline people, psychotic. But as they say, your miles may vary. Its not one tried on me yet anyhow, yet, so I can't vouch.
and lamictal are all possible options. Trileptal, keppra, and lamictal tend to be pretty neutral in terms of weight (although you could lose what you gained on other meds). Depakote and Lithium tend to product weight gain, which can sometimes be considerable.
>
> If you need help sleeping, taking most of your mood stabilizer at night (for example, 900 out of 1200mgs trileptal) might help. Benzos might help, as may other drugs (vistaril, neurontin,lyrica, trazadone, benadryl, melatonin, herbs, ambien, sonata, rozerem, lunesta, surmontil). Over time, mood stabilizers may make you able to better self-regulate your sleep/wake cycles, so you end up less dependant on sleep meds.I always prefer "real" sleep agents like several you mention -- ambien, lunesta, sonata (in order of need of larger dosing typically). Rozerem is a curious one -- it is about 17 times more powerful than OTC melatonin -- I did try OTC 5mg melatonin and I woke up during a REM cycle, I was petrified the whole night with hypnagogic/hypnapompic hallucinations. But of course again, some people benefit from it. I'm probably a bit overtolerant to sleep agents being rather in the insomniac spectrum.
As for off agents that I think are worthwile -- Remeron tends to promote interesting dreams at least from my trials and probably good REM sleep, but it is very weight gaining; its unclear whether its the agent alone or the refrigerator emptying feeling it compels.
I'm gathering the original poster is of the female persuasion so I don't have to mention that priapisms are not as uncommon as one thinks on Trazodone. Otherwise, well, its groggy, one has to eventually reduce the dose because it can cause escalation and return back to its original dose (otherwise you're actually getting in the serotonergic range, which I suppose isn't terrible if one is depressed but its rather sleep making at that point.)
-- tidings
poster:yxibow
thread:717652
URL: http://www.dr-bob.org/babble/20061224/msgs/717789.html