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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by jimmygold70 on December 29, 2006, at 9:45:41
I got my Zyprexa dose lower and I now get what I had before it (not a withdrawal symptom). My father has it too.
I lose my temper after minor offences – I mean, things that would piss anyone but, hey, there is a matter of degree. It also travels through my mind all the time and I find it hard to concentrate on anything else. And I get those tantrums at my 'offender'. Took 1 MG of Xanax and it helped a bit. I'm looking for other solutions. Anyone with a similar experience?Thanks,
J
Posted by Phillipa on December 29, 2006, at 11:22:01
In reply to Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 29, 2006, at 9:45:41
What in your opinion is furious anger? Love Phillipa
Posted by mattye on December 29, 2006, at 13:10:29
In reply to Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 29, 2006, at 9:45:41
I have the exact same problem. I can't reccomend a medicinal fix for you, but there are some anger management techniques that seem to help me a lot. I have gotten good at recognizing when I am blowing things out of proportion. Sure, I might have a right to be angry, but tantrums don't solve anything. Once I realize that I am obsessing or ruminating about what is making me angry, I try to remove myself from the situation, physically or mentally. Video games, books, magazines, or just a quick chill out minute. I hope this helps.
> I got my Zyprexa dose lower and I now get what I had before it (not a withdrawal symptom). My father has it too.
> I lose my temper after minor offences – I mean, things that would piss anyone but, hey, there is a matter of degree. It also travels through my mind all the time and I find it hard to concentrate on anything else. And I get those tantrums at my 'offender'. Took 1 MG of Xanax and it helped a bit. I'm looking for other solutions. Anyone with a similar experience?
>
> Thanks,
> J
>
Posted by blueberry1 on December 29, 2006, at 18:29:39
In reply to Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 29, 2006, at 9:45:41
I wish I had some good ideas but I don't. I have only experienced your symptoms once in my life, and that was for about a week following ECT, and was categorized as psychotic mania. I don't think that is what you have, but you know like I do there is so much overlap between all the conditions they try to neatly categorize.
Whatever it is, it sounds like hyperactivity of something. Glutamate? Dopamine? Norepinephrine? Other? Or hypoactivity of something. Gaba? Serotonin? Other? Or lack of something. Magnesium? Calcium? Other. Whatever the cause, zyprexa was blocking the end result of it at the higher dose.
I personally am all in favor of going without an antipsychotic if at all possible. Try higher doses of xanax or cousins? I think a lifetime on a benzo is by far better than a lifetime on an antipsychotic.
Some of it may taper off on its own given time. I find that with each zyprexa dose decrease I go through a solid 4 weeks of my body and brain adjusting to it. I'm now at 1.25mg, down from 5mg, and it has literally taken more months than I can remember to do it.
Posted by Quintal on December 29, 2006, at 19:03:17
In reply to Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 29, 2006, at 9:45:41
Antipsychotics are probably the best meds for that - used often in nursing homes and psychiatric institutions for this reason. Risperidone is supposedly one of the best APs for rage and hostility and I've seen it work well myself on an patient in the nursing home where I worked who was very abusive and malicious towards the staff. She changed dramatically within days of starting Risperdal and became a sweet, gentle old lady. She developed parkinsonism after a few weeks and had to come off it and the rage and hostility returned.
Benzos may seem to help in the short term but they can bring out an aggressive side of your personality after a while. I found this to be worse with the more disinhibiting benzos such as Klonopin and Ativan. I'm normally a very timid person but I developed an attitude on Klonopin and was violent at times for the first time ever.
Lithium or Depakote may help - have you ever tried them? The Lamictal you're taking could make it worse, that happened to me anyway.
Q
Posted by TenMan on December 29, 2006, at 19:11:05
In reply to Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 29, 2006, at 9:45:41
Have you tried bupropion? What you have sounds like it could be linked to limbic system hyperactivity. It is supposed to be good for ANT's (automatic negative thoughts). That is what I have and found it effective for those symptoms. I would still be taking it if I had not found natural solutions that worked just as well with less sides.
Good luck.
Ten
Posted by teejay on December 29, 2006, at 20:10:37
In reply to Re: Ruminations, furious anger, tantrums – please help, posted by TenMan on December 29, 2006, at 19:11:05
Tenman, any chance of running through natural solutions which helped you.....possibly on alter?
TJ
Posted by jimmygold70 on December 30, 2006, at 4:19:42
In reply to Re: Ruminations, furious anger, tantrums – please help » jimmygold70, posted by Quintal on December 29, 2006, at 19:03:17
Thanks Quintal and all the posters - what a support!
> Antipsychotics are probably the best meds for that - used often in nursing homes and psychiatric institutions for this reason. Risperidone is supposedly one of the best APs for rage and hostility and I've seen it work well myself on an patient in the nursing home where I worked who was very abusive and malicious towards the staff. She changed dramatically within days of starting Risperdal and became a sweet, gentle old lady. She developed parkinsonism after a few weeks and had to come off it and the rage and hostility returned.
Risperdal used to do the trick, but it raises my prolactin, so bye bye sex. Perphenazine does a good job too at low doses but I get EPS.
> Benzos may seem to help in the short term but they can bring out an aggressive side of your personality after a while. I found this to be worse with the more disinhibiting benzos such as Klonopin and Ativan. I'm normally a very timid person but I developed an attitude on Klonopin and was violent at times for the first time ever.
Xanax and Klonopin are disinhibiting for me and more useful for my anxieties - I take 2.5 MG Klonopin / day. I find Ativan and Valium useful for acute rage in high doses but on the long run it's not practical: psychomotor retardation, memory impairment.
> Lithium or Depakote may help - have you ever tried them? The Lamictal you're taking could make it worse, that happened to me anyway.
Tried both. Lithium does me terrible acne. Now Depakote (VPA) used to do a good job, but I never satyed on it for too long. I even managed to neutralize its weight gain properties by adding Glucophage. I can recall myself driving in my old car and thinking that I can get no pleasure while on it. And I think that was the case - I couldn't get too angry on VPA, but I couldn't have much joy either. Sure, my current state isn't much joy either...
Any similar experience?
Thanks again!
Jimmy
Posted by Quintal on December 30, 2006, at 6:16:49
In reply to Re: Ruminations, furious anger, tantrums – please help, posted by jimmygold70 on December 30, 2006, at 4:19:42
Posted by jimmygold70 on December 30, 2006, at 9:53:36
In reply to Lobotomy - psychosurgery? (nm) » jimmygold70, posted by Quintal on December 30, 2006, at 6:16:49
Posted by med_empowered on December 30, 2006, at 10:51:15
In reply to Re: Ruminations, furious anger, tantrums – please help, posted by TenMan on December 29, 2006, at 19:11:05
you might want to do your zyprexa taper a little slower. Lacking that, try a benzo or a non-stimulating mood stabilizer (trileptal, for instance). BuSpar might help. Therapy or self-help could be **incredibly** useful in your situation and would reduce your need for meds.
Posted by Phillipa on December 30, 2006, at 19:30:10
In reply to rage, posted by med_empowered on December 30, 2006, at 10:51:15
Med you like trileptal a lot why is that? Curious cause I have some as was on it when moved here but never past l50mg. Too expensive. Love Phillipa
This is the end of the thread.
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