Posted by linkadge on April 14, 2016, at 20:33:10
In reply to Re: medication: high cholesterol and triglycerides?, posted by linkadge on April 14, 2016, at 20:02:36
Lamdage,
I'm not telling you to come off the antipsychotics if you need them.
I am saying that you want to be 100% sure that this is the right diagnosis.
Some people on this board clearly come across as somebody needing 12.5mg of zyprexa and 600mg of Seroquel. You do not. But again, I know very little.
If you have schizoaffective, then Effexor isn't the best antidepressant to take.
Some antidepressants are known to worsen psychotic symptoms, others are known to be neutral or even improve psychotic symptoms. See the list I made below (from the reading I do).
More Likely to Worsen (or induce) Psychotic Symptoms (top)
More likely to improve psychotic symptoms (bottom)Parnate
Nardil
Marplan
Selegiline
Desipramine
Imipramine
Wellbutrin
Effexor
Nortriptyline
Amitriptyline
Paxil
Prozac
Zoloft
Trazodone / Nefazadone
Remeron
Trimipramine
Ascenapine
Celexa / Lexapro
FluvoxamineFor instance, for schizoaffective, I would probably try Lexapro (or fluvoxamine) over Effexor.
Also, something like ascenapine (a TCA antidepressant with antipsychotic effects) would probably leave your mood better and not have the same degree of metabolic side effects.
I just would avoid the double whammy of two atypical antipsychotics (esp. Zyprexa is notorious for screwing with metabolic profiles) if at all possible.
Linkadge
poster:linkadge
thread:1088115
URL: http://www.dr-bob.org/babble/20160331/msgs/1088161.html