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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 19 of 19. This is the beginning of the thread.
Posted by markwell on June 28, 2013, at 6:26:45
Still having difficulty with racing intrusive thoughts. I'm thinking of asking my pdoc about latuda...good choice?
Posted by SLS on June 28, 2013, at 8:11:03
In reply to racing thoughts, posted by markwell on June 28, 2013, at 6:26:45
> Still having difficulty with racing intrusive thoughts. I'm thinking of asking my pdoc about latuda...good choice?
I think the choice is sound given that there is no information specifically indicating that Latuda (lurasidone) is ineffective as a treatment for racing thoughts or mania in general. There really isn't enough clinical experience with Latuda to provide a consensus regarding its therapeutic or side effect profiles. I haven't come across anything that would lead me to believe that there is a greater risk of dangerous adverse effects with Latuda than with other atypical neuroleptic antipsychotics. My own experience with Latuda was that it produced unacceptable brain-fog and cognitive blunting. I don't know how often this happens to others.
- Scott
Posted by Phillipa on June 28, 2013, at 9:43:14
In reply to Re: racing thoughts » markwell, posted by SLS on June 28, 2013, at 8:11:03
Isn't it new? I just haven't googled it. But what else would you recommend for the racing thoughts? Phillipa
Posted by SLS on June 28, 2013, at 11:16:04
In reply to Re: racing thoughts » SLS, posted by Phillipa on June 28, 2013, at 9:43:14
> Isn't it new? I just haven't googled it. But what else would you recommend for the racing thoughts? Phillipa
Risperdal, Zyprexa, or Depakote.
- Scott
Posted by Beckett on June 28, 2013, at 16:33:11
In reply to Re: racing thoughts » Phillipa, posted by SLS on June 28, 2013, at 11:16:04
Saphris?
Posted by SLS on June 28, 2013, at 23:29:59
In reply to Re: racing thoughts, posted by Beckett on June 28, 2013, at 16:33:11
> Saphris?
Are you still taking Saphris? How does it affect you?
- Scott
Posted by herpills on June 30, 2013, at 12:27:59
In reply to racing thoughts, posted by markwell on June 28, 2013, at 6:26:45
> Still having difficulty with racing intrusive thoughts. I'm thinking of asking my pdoc about latuda...good choice?
I recently went back on Geodon for severe racing thoughts and delusional type anxiety. It's helping me more than I expected. Low dose, 20-40mg. herpills.
Posted by SLS on June 30, 2013, at 13:11:00
In reply to Re: racing thoughts, posted by herpills on June 30, 2013, at 12:27:59
> I recently went back on Geodon for severe racing thoughts and delusional type anxiety. It's helping me more than I expected. Low dose, 20-40mg. herpills.
Wow. That's great. I'm glad you thought to make the change.
- Scott
Posted by Beckett on June 30, 2013, at 17:37:58
In reply to Re: racing thoughts, posted by herpills on June 30, 2013, at 12:27:59
Herpills, is geodon weight neutral?
Posted by Beckett on June 30, 2013, at 17:43:07
In reply to Re: racing thoughts » Beckett, posted by SLS on June 28, 2013, at 23:29:59
No more Saphris. I experienced side effects and was concerned about prediabetes. Too bad, but I am sensitive to meds....
It had an antidepressant effect while calming me (my thoughts). Left my creativity intact.
Posted by herpills on July 15, 2013, at 12:39:50
In reply to Re: racing thoughts » herpills, posted by SLS on June 30, 2013, at 13:11:00
> > I recently went back on Geodon for severe racing thoughts and delusional type anxiety. It's helping me more than I expected. Low dose, 20-40mg. herpills.
>
> Wow. That's great. I'm glad you thought to make the change.
>
>
> - ScottWell, it was my doctor's idea. I went along with it. And I was quite skeptical it would help. But I think it is.
Posted by herpills on July 15, 2013, at 12:40:40
In reply to Re: racing thoughts » herpills, posted by Beckett on June 30, 2013, at 17:37:58
> Herpills, is geodon weight neutral?
For me it is weight neutral, but the longest I have ever been on it was about 4 months.
Posted by herpills on July 15, 2013, at 12:42:55
In reply to Re: racing thoughts » SLS, posted by Beckett on June 30, 2013, at 17:43:07
> No more Saphris. I experienced side effects and was concerned about prediabetes. Too bad, but I am sensitive to meds....
>
> It had an antidepressant effect while calming me (my thoughts). Left my creativity intact.If Saphris didn't have so many sides and wasn't a disgusting sublingual tablet, I would still be taking it, I got the same benefits that you have described here. I was also concerned about diabetes as it runs in my family, although I am not overweight.
Posted by SLS on July 15, 2013, at 13:25:56
In reply to Re: racing thoughts » Beckett, posted by herpills on July 15, 2013, at 12:42:55
> > No more Saphris. I experienced side effects and was concerned about prediabetes. Too bad, but I am sensitive to meds....
> >
> > It had an antidepressant effect while calming me (my thoughts). Left my creativity intact.
>
> If Saphris didn't have so many sides and wasn't a disgusting sublingual tablet, I would still be taking it, I got the same benefits that you have described here. I was also concerned about diabetes as it runs in my family, although I am not overweight.Latuda (lurasidone) is supposed to be a weight-neutral AP, and is touted as being effective for treating depression - especially bipolar depression.
Have you thought to add nortriptyline to Pristiq?
- Scott
Posted by Beckett on July 15, 2013, at 13:48:01
In reply to Re: racing thoughts, posted by herpills on June 30, 2013, at 12:27:59
>
> I recently went back on Geodon for severe racing thoughts and delusional type anxiety. It's helping me more than I expected. Low dose, 20-40mg. herpills.
>
>I have severe GAD, and sometimes my thoughts become irrational and unmanageable. I've asked my pdoc to check out Nameda for the anxiety. He has mentioned Geodon in the
past (before I swore off all AAPs). Does it have a strong norepinephrine effect? (That's hard for me to handle.). But my brother did well on it.Will you let me know how you do on it? You can always babble me if you don't want to start a thread? What dose do you prefer? Thanks :)
Posted by SLS on July 15, 2013, at 14:10:12
In reply to Re: racing thoughts » herpills, posted by Beckett on July 15, 2013, at 13:48:01
> I have severe GAD, and sometimes my thoughts become irrational and unmanageable. I've asked my pdoc to check out Nameda for the anxiety. He has mentioned Geodon in the
> past (before I swore off all AAPs). Does it have a strong norepinephrine effect? (That's hard for me to handle.). But my brother did well on it.With antidepressants, first-degree relatives often respond to the same drugs. I'm not sure that this is true of AAPs, though. What is your brother's diagnosis and in what ways has Geodon helped?
- Scott
Posted by Beckett on July 15, 2013, at 14:37:42
In reply to Re: racing thoughts » Beckett, posted by SLS on July 15, 2013, at 14:10:12
He deals with BPI. Not sure what symptoms besides mania and depression. I was too young and he hid a lot.. He used that and Wellbutrin when necessary.
Posted by herpills on July 24, 2013, at 7:29:08
In reply to Re: racing thoughts » herpills, posted by SLS on July 15, 2013, at 13:25:56
>
> Latuda (lurasidone) is supposed to be a weight-neutral AP, and is touted as being effective for treating depression - especially bipolar depression.
>
> Have you thought to add nortriptyline to Pristiq?
>
>
> - ScottScott, thanks for keeping us posted on Lautda, I'll keep that one in mind if the Geodon doesn't end up helping. I do feel better but still have some depression. I should clarify, I am not on Pristiq anymore, haven't been on an AD in about a year. I would like to avoid going back on one if possible. Right now I'm at 200mg Lamictal, 20mg Geodon, and 1mg Ativan. I also take omega3 and I'm thinking about adding Deplin back in. Do you think methylfolate could help even though I'm not pairing it with an antidepressant?
Posted by SLS on July 24, 2013, at 8:05:18
In reply to Re: racing thoughts » SLS, posted by herpills on July 24, 2013, at 7:29:08
> >
> > Latuda (lurasidone) is supposed to be a weight-neutral AP, and is touted as being effective for treating depression - especially bipolar depression.
> >
> > Have you thought to add nortriptyline to Pristiq?
> >
> >
> > - Scott
>
> Scott, thanks for keeping us posted on Lautda, I'll keep that one in mind if the Geodon doesn't end up helping. I do feel better but still have some depression. I should clarify, I am not on Pristiq anymore, haven't been on an AD in about a year. I would like to avoid going back on one if possible. Right now I'm at 200mg Lamictal, 20mg Geodon, and 1mg Ativan. I also take omega3 and I'm thinking about adding Deplin back in. Do you think methylfolate could help even though I'm not pairing it with an antidepressant?I haven't kept up with the findings regarding the clinical use of Deplin. I guess there really isn't any reason not to try it. When I first added it to Nardil, it worked pretty well, but soon pooped-out.
I know someone who did very well when minocycline was added to Abilify and Lamictal. They did not take any antidepressants. Interestingly, I feel better for taking minocycline. I also take Abilify and Lamictal. Once you establish an antipsychotic, you might want to try adding minocycline.
- Scott
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