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Re: SWITCH! -) Seroquel or Clozapine-)less likely TD.

Posted by oceansun on October 11, 2014, at 15:20:13

In reply to Re: SWITCH! -) Seroquel or Clozapine-)less likely TD., posted by Lamdage22 on October 11, 2014, at 6:35:30

Thanks everyone for your input :). It's really very helpful, I was blindsided by EPS. I'm not psychotic, just have a tendency to get extremely anxious and sort of paranoid. I started Abilify years and years ago on 2.5 mg for depression, then went up to 5 mg because 2.5 mg was making me too hyper, and eventually to 10 mg during a difficult period, and I found the higher the dose the better my anxiety and paranoia was.

Then I discontinued Abilify due to prediabetes and got even more anxious and paranoid than I had been (not suicidal, Lou, and no comments, Lou), so went back on it at 15 mg, which cured everything. I also take Lamictal and Wellbutrin, which help with depression and don't raise my anxiety except if I go higher on Wellbutrin.

I've tried everything for anxiety and only propranolol helps, but not enough. But upon reflection, maybe getting off antipsychotics altogether might be best. Seroquel and Clozapine weight gain scares me too.

I've suggested nefazodone to my pdoc, because I'm wondering if the 5HT2A thing might be a good replacement, since I don't know if it's that or dopamine blockage that's helping me with Abilify. I don't think she'll prescribe it, though. Does 5HT2A blockage carry any risk of TD? Is there a risk of shortage in availability of nefazadone?

If anyone knows of a med other than an antipsychotic for high anxiety and mild paranoia, please let me know! And sorry this post is so long!


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poster:oceansun thread:1072007
URL: http://www.dr-bob.org/babble/20140914/msgs/1072107.html