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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by yeltom on January 18, 2003, at 13:10:36
My doctor just started me on .25 mg of Risperdal. I'm also taking 40 mg of Celexa. I have depression, anxiety, and obsessions. I originally thought it was weird to be put on an "antipsychotic" for these problems, but then I read an research study suggesting that it's a very different drug at low doses and recommending that it get a second classification. I've been on it for 4 or 5 days, and it already seems to have helped with general anxiety, but it's a little less clear whether it has helped with OCD. Anyone else in this boat? Is .25 mg enough? How long until it reaches full effect? Is this dosage low enough that I don't have to worry much about TD and/or weight gain? The only side effect I've noticed is night sweats. Anyone else noticed that? Will it go away. Any other comments? Thanks
Posted by babs on January 18, 2003, at 14:49:55
In reply to low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 13:10:36
Yeltom- I am on a low dose of risperdal (1.5mg) for the anxiety and obsessions that 60 mg of celexa did not take care of. It has worked amazingly well for me- I feel like a different person- no obsessions (they were killing me) and my anxiety has dissipated so much that I no longer even have neck pain. I saw a chiropractor for years because my neck was such a mess- knotted and pain- went on the risperdal and my tension subsided so much I don't have to see a chiropractor any more. Drawback- gained 60 pounds. I am switching to geodon next week because of the weight gain and hoping it works as well. You may not have that problem if you are on such a low dose just watch it. Good luck- may it bring you relief.
Posted by Dinah on January 18, 2003, at 15:55:18
In reply to low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 13:10:36
I was on it about a week. I found it to be a very effective tranquilizer, and I actually lost weight on it because I wasn't at all hungry. But it didn't have any effect on the obsessions. My pdoc said it would take longer for the full benefits of the drug to show.
I didn't like the way it affected my emotions, though, so I am now on it only as needed.
Posted by yeltom on January 18, 2003, at 16:14:38
In reply to Re: low-dose risperdal for OCD: Misc. questions » yeltom, posted by Dinah on January 18, 2003, at 15:55:18
How much were you on? What else were you on? How did it affect your emotions? Thanks
> I was on it about a week. I found it to be a very effective tranquilizer, and I actually lost weight on it because I wasn't at all hungry. But it didn't have any effect on the obsessions. My pdoc said it would take longer for the full benefits of the drug to show.
>
> I didn't like the way it affected my emotions, though, so I am now on it only as needed.
Posted by yeltom on January 18, 2003, at 16:16:58
In reply to Re: low-dose risperdal for OCD: Misc. questions » yeltom, posted by babs on January 18, 2003, at 14:49:55
Don't think 1.5 mg is a low dose as an adjunct to celexa. Maybe you should try less. 60 lbs. wow! What's geodon?
> Yeltom- I am on a low dose of risperdal (1.5mg) for the anxiety and obsessions that 60 mg of celexa did not take care of. It has worked amazingly well for me- I feel like a different person- no obsessions (they were killing me) and my anxiety has dissipated so much that I no longer even have neck pain. I saw a chiropractor for years because my neck was such a mess- knotted and pain- went on the risperdal and my tension subsided so much I don't have to see a chiropractor any more. Drawback- gained 60 pounds. I am switching to geodon next week because of the weight gain and hoping it works as well. You may not have that problem if you are on such a low dose just watch it. Good luck- may it bring you relief.
Posted by BrittPark on January 18, 2003, at 18:14:24
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 16:16:58
1.5mg / day of risperdal is a fairly low dose. When used as an AP the dose range is 6-8mg/day. For depression or anxiety I've seen people take as much as 2mg / day, and I'm sure others take more.
Feel Better All,
Britt
Posted by Ed O`Flaherty on January 19, 2003, at 10:49:11
In reply to low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 13:10:36
> My doctor just started me on .25 mg of Risperdal. I'm also taking 40 mg of Celexa. I have depression, anxiety, and obsessions. I originally thought it was weird to be put on an "antipsychotic" for these problems, but then I read an research study suggesting that it's a very different drug at low doses and recommending that it get a second classification. I've been on it for 4 or 5 days, and it already seems to have helped with general anxiety, but it's a little less clear whether it has helped with OCD. Anyone else in this boat? Is .25 mg enough? How long until it reaches full effect? Is this dosage low enough that I don't have to worry much about TD and/or weight gain? The only side effect I've noticed is night sweats. Anyone else noticed that? Will it go away. Any other comments? Thanks
That is a low dose of Risperdal.However I wonder if you might consider trying omega-3 as an alternative if you do not require an antispychotic.This board has several people who have done very well on omega-3 fish oil for OCD.Have a look at my site at www.omega3.20megsfree.com for details.
Posted by Dinah on January 19, 2003, at 20:32:54
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 16:14:38
Hi, sorry to take so long to get back to you.
I was taking .25 mg per day. As for the emotions, it didn't flatten them as badly as Luvox did, but I did feel that it was more difficult to access them. As far as I know, it might have just been a placebo effect. My pdoc still doesn't believe I had to force myself to eat on Risperdal.
I probably didn't give it an adequate trial.
Dinah
Posted by babs on January 19, 2003, at 21:18:45
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 16:16:58
As Britt said, 1.5 mg actually is a low dose. Geodon is also an atypical antipsychotic but unlike risperdal it is supposed to be weight neutral. Let's hope that's true as I will begin taking it next week!
Posted by oona on January 19, 2003, at 21:41:20
In reply to low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 18, 2003, at 13:10:36
> My doctor just started me on .25 mg of Risperdal. I'm also taking 40 mg of Celexa. I have depression, anxiety, and obsessions. I originally thought it was weird to be put on an "antipsychotic" for these problems, but then I read an research study suggesting that it's a very different drug at low doses and recommending that it get a second classification. I've been on it for 4 or 5 days, and it already seems to have helped with general anxiety, but it's a little less clear whether it has helped with OCD. Anyone else in this boat? Is .25 mg enough? How long until it reaches full effect? Is this dosage low enough that I don't have to worry much about TD and/or weight gain? The only side effect I've noticed is night sweats. Anyone else noticed that? Will it go away. Any other comments? Thanks
Hi,
I am on 40 mg celexa and 1.5 of Risperdal for BiPolar II and some OCD. Doing well but did gain weight on Risperdal, am cutting back to 1.0 mg to see if that will help with the wt gain and trying to exercise. I do take the Omega 3 oil and that has also helped.
good luck,
0ona
Posted by yeltom on January 20, 2003, at 18:23:31
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by babs on January 19, 2003, at 21:18:45
> As Britt said, 1.5 mg actually is a low dose. Geodon is also an atypical antipsychotic but unlike risperdal it is supposed to be weight neutral. Let's hope that's true as I will begin taking it next week!
It's definitely a low dose in its antipsychotic capacity, but as an anti-depressant/OCD , it's quite high. The study I read said it actually LOSES effectiveness for this purposes above 1.5 mg. It said maximum benefit was between .5 and 1.5 but that significant effect was seen even below .25 mg. And the people in this study werent even taking a traditional anti-D in addition. How much weight did you gain? I think you could consider going below 1 mg. My shrink won't consider anything more than 1 mg
for me.
Posted by Dave1 on January 21, 2003, at 13:17:20
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by Ed O`Flaherty on January 19, 2003, at 10:49:11
I took it when it first came out and after 3 days my OCD Obsessions cleared up. Unfortunately the effect only last about a week.
Dave
Posted by yeltom on January 21, 2003, at 13:19:40
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by Dave1 on January 21, 2003, at 13:17:20
> I took it when it first came out and after 3 days my OCD Obsessions cleared up. Unfortunately the effect only last about a week.
>
> DaveHow much did you take?
Posted by Dave1 on January 21, 2003, at 20:08:43
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 21, 2003, at 13:19:40
I think 2 or 3 mg or whatever the normal amount is. It wasn't low dose.
Dave
Posted by Dave1 on January 21, 2003, at 20:08:50
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by yeltom on January 21, 2003, at 13:19:40
I think 2 or 3 mg or whatever the normal amount is. It wasn't low dose.
Dave
Posted by Dave1 on January 21, 2003, at 20:10:48
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by Dave1 on January 21, 2003, at 13:17:20
I'm wondering if clozaril would work better, especially since I only got a partial response to risperdal.
Dave
Posted by yeltom on January 21, 2003, at 21:26:28
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by Dave1 on January 21, 2003, at 20:10:48
> I'm wondering if clozaril would work better, especially since I only got a partial response to risperdal.
>
> DaveI know nothing about that drug, but the study I read about low-dose risperdal said that it actually LOST effectiveness for OCD once the dose went above 1.5 mg. In other words, you might have been taking too much. Perhaps you felt the most benefit while you were working up to your final, too-high dose.
Posted by dgold on January 7, 2004, at 12:59:23
In reply to Re: low-dose risperdal for OCD: Misc. questions, posted by Ed O`Flaherty on January 19, 2003, at 10:49:11
my doc wants me to add risperdal to my luvox treatment.
I am a little nervous with this new drug.
I heard it causes massive wt. gain and tireness.Will .5 mg give me a good benefit to OCD??
will .5 mg. causes wt. gain or is the dose to low??
I dont want to gain wt.
This is the end of the thread.
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