Posted by LlurpsieNoodle on June 23, 2007, at 23:07:33
In reply to why is your dose so high?, posted by med_empowered on June 23, 2007, at 15:50:13
> I'm just curious; do you metabolize meds at super-high speeds? For schizophrenia, the dose usually maxes out at 80mgs, 2x daily; going above 200mgs/day can be dangerous b/c of the qTC probs.
I took 240mg a day for over 2 months, (pain in the @ss- split dosing 4x daily.) and then I went to a lower dose 180mg. I think I probably do metabolize drugs faster than a lot of people. The doses that I respond to are higher than most people, cymbalta was another one that I took at a pretty high dose for many months. I get the (serotonin?) brain zaps and such every evening from about 5pm until bed time. hook me up to the grid. I can power a blender for sure. I'm pretty sure that my body is going into mini-withdrawal every evening, since I keep my daytime dose low (b/c of stupor).
I've had 3 physicals while on high dose of geodon, and no problems with my health (knock on wood). pdoc even says he wishes his numbers were that good :)
> Anyway--do you want to go the neuroleptic route? If so, then abilify might be a good call, or maybe even zyprexa or seroquel w/ some metformin in the mix. Surmontil is an old TCA that's kind of clozapine-ish, so it might help you out, too.
>I'm leaning strongly towards abilify right now (of course, I'm seeing a new pdoc on monday, so he may decide otherwise!) I had some EPS (tics and such) on seroquel, which went away completely on geodon, so I'm hesitant to take seroquel again- maybe a tiny dose at night. I guess the main symptom that we are trying to treat with the antipsychotics is flashbacks (in 4dtechnicolor) which are very disturbing and disruptive. Intrusive thoughts. Ideation. But I've felt better in the last um. 2 months, flashback-wise. Maybe I'm out of the woods with that particular horror. The nightmares are still bad though. An overactive imagination, tending towards the darkside, even in my daydreams... lucky me.
Surmontil sounds interesting. I'll look that one up.
I'll post about what new pdoc decides to do with me sometime next week. who knows?
thanks for your suggestions- take care,
-Ll
poster:LlurpsieNoodle
thread:764956
URL: http://www.dr-bob.org/babble/20070622/msgs/765315.html