Psycho-Babble Medication Thread 137725

Shown: posts 1 to 25 of 25. This is the beginning of the thread.

 

Atypical antipsychotics for OCD. Which is best?

Posted by yeltom on January 27, 2003, at 0:06:28

My doctor wants to add a low dosage of an atypical antipsychotic to Celexa for OCD. We've been considering risperdal, zyprexa, seroquel, and geodon. Zyprexa caused too much sedation and appetite increase. Risperdal seems to make me impotent (Does that make sense at only .25 mg? Have other people experienced this?) I guess that leaves geodon and seroquel. I know that geodon is supposed to cause less weight gain, but which one is more sedating? Which one works better? Has anyone had sexual dysfunction with either? Thanks.

 

Re: Atypical antipsychotics for OCD. Which is best?

Posted by Dave1 on January 27, 2003, at 3:39:52

In reply to Atypical antipsychotics for OCD. Which is best?, posted by yeltom on January 27, 2003, at 0:06:28

I think I've tried them all and I'm not sure which worked best. Geodon have the least side effects. Maybe you should consider abilify.

Dave

 

Re: Atypical antipsychotics for OCD. Which is best? Dave1

Posted by yeltom on January 27, 2003, at 14:14:18

In reply to Re: Atypical antipsychotics for OCD. Which is best?, posted by Dave1 on January 27, 2003, at 3:39:52

Thanks. I've only recently even heard of abilify. WHat is it exactly, and does it work for OCD? Side effects?

> I think I've tried them all and I'm not sure which worked best. Geodon have the least side effects. Maybe you should consider abilify.
>
> Dave

 

Re: Atypical antipsychotics for OCD. Which is best?

Posted by cybercafe on January 27, 2003, at 15:20:21

In reply to Re: Atypical antipsychotics for OCD. Which is best?, posted by Dave1 on January 27, 2003, at 3:39:52

> I think I've tried them all and I'm not sure which worked best. Geodon have the least side effects. Maybe you should consider abilify.
>
> Dave

does geodon have worse EPS than zyprexa?

 

Re: Atypical antipsychotics for OCD. Which is best? yeltom

Posted by Dave1 on January 27, 2003, at 16:29:23

In reply to Re: Atypical antipsychotics for OCD. Which is best? Dave1, posted by yeltom on January 27, 2003, at 14:14:18

its just a new atypical AP that is supposed to be similiar to the other ones but with less side effects. I don't know about OCD, I really haven't seen that much literature on APs helping OCD, have you?

Dave

 

Re: Atypical antipsychotics for OCD. Which is best?

Posted by babs on January 27, 2003, at 17:47:21

In reply to Re: Atypical antipsychotics for OCD. Which is best? yeltom, posted by Dave1 on January 27, 2003, at 16:29:23

I'm in the process of making the switch from risperdal to geodon because of the weight gain I mentioned before. So far, the geodon is making me very sleepy but if you like I'll keep you posted on how it does with my OCD symptoms.

 

Re: Atypical antipsychotics for OCD. Which is best? Dave1

Posted by yeltom on January 27, 2003, at 21:49:24

In reply to Re: Atypical antipsychotics for OCD. Which is best? yeltom, posted by Dave1 on January 27, 2003, at 16:29:23

Yes. Very small doses in conjunction with an antidepressant are supposed to be very helpful.

> its just a new atypical AP that is supposed to be similiar to the other ones but with less side effects. I don't know about OCD, I really haven't seen that much literature on APs helping OCD, have you?
>
> Dave

 

Re: Atypical antipsychotics for OCD. Which is best? babs

Posted by yeltom on January 27, 2003, at 21:51:29

In reply to Re: Atypical antipsychotics for OCD. Which is best?, posted by babs on January 27, 2003, at 17:47:21

Yes please. Thankyou. How much risperdal were you on, and how much geodon are you on?

> I'm in the process of making the switch from risperdal to geodon because of the weight gain I mentioned before. So far, the geodon is making me very sleepy but if you like I'll keep you posted on how it does with my OCD symptoms.

 

Re: Atypical antipsychotics for OCD. Which is best? yeltom

Posted by Dave1 on January 28, 2003, at 2:05:44

In reply to Re: Atypical antipsychotics for OCD. Which is best? Dave1, posted by yeltom on January 27, 2003, at 21:49:24

What types of antidepressants. Right now I'm on effexor would that be okay?

Dave

 

Re: Atypical antipsychotics for OCD. Which is best?

Posted by babs on January 28, 2003, at 7:07:58

In reply to Re: Atypical antipsychotics for OCD. Which is best? yeltom, posted by Dave1 on January 28, 2003, at 2:05:44

I was on 1.5 mg of risperdal and am working up to 80 mg of geodon. So far the geodon is making me very sleepy but I'm hoping that will subside as my body adjusts to the medication.

 

Re: Atypical antipsychotics for OCD. Which is best? Dave1

Posted by yeltom on January 28, 2003, at 12:12:11

In reply to Re: Atypical antipsychotics for OCD. Which is best? yeltom, posted by Dave1 on January 28, 2003, at 2:05:44

> What types of antidepressants. Right now I'm on effexor would that be okay?
>
> Dave

Do you have OCD? I've seen some evidence that effexor can be helpful for it, but it's not realy considered an anti-OCD antidepressant. Whether the addition of an atypical antipsychotic would transform it into one< I don't know

 

Re: Atypical antipsychotics for OCD. Which is best? yeltom

Posted by judy1 on January 28, 2003, at 17:44:45

In reply to Atypical antipsychotics for OCD. Which is best?, posted by yeltom on January 27, 2003, at 0:06:28

I don't have OCD but I have taken all APs- atypical and the older ones. Seroquel had the least side effects in my case, some sedation but I gradually got used to it. A lot better than the EPS I had with the others. best of luck- judy

 

Re: Atypical antipsychotics for OCD. Which is best? yeltom

Posted by Dave1 on January 28, 2003, at 19:17:34

In reply to Re: Atypical antipsychotics for OCD. Which is best? Dave1, posted by yeltom on January 28, 2003, at 12:12:11

my pdoc said effexor was like an SSRI, but it also effects norepinephrine which he said makes it better than an SSRI. I guess I'll just try it with effexor so I don't have to wait 3 weeks for an SSRI to build up. I'm also adding lithium and and thyroid hormone to try to break up my depression. So far it isn't working. I might have to switch to a TCA for that. My pattern is that I get really obsessed with something that really upsets me. Then I get depressed from that.

Bye,

Dave

 

seroquel and sedation judy1

Posted by yeltom on January 31, 2003, at 15:20:33

In reply to Re: Atypical antipsychotics for OCD. Which is best? yeltom, posted by judy1 on January 28, 2003, at 17:44:45

I just started seroquel last night. I only took 25 mg but feel somewhat sedated even on that low dose. How long did it take you to get used to the sedation? Was it dose-dependent? What dose did you start on, and what dose did you settle on? Thanks

> I don't have OCD but I have taken all APs- atypical and the older ones. Seroquel had the least side effects in my case, some sedation but I gradually got used to it. A lot better than the EPS I had with the others. best of luck- judy

 

Re: seroquel and sedation

Posted by Creaky_Neurons on January 31, 2003, at 17:08:13

In reply to seroquel and sedation judy1, posted by yeltom on January 31, 2003, at 15:20:33

25mg was sedating for me as well. it took about a week for this to pass. i eventually got up to 100mg but became a zombie, went back down to 50mg.

i really liked this drug, was a poster child for it i suppose. i don't want to scare you - because this may not happen - but eventually i developed severe neck pain/immobility, a twitching lip, and my thumb began rolling on its own for three days going. yikes. i basically had parkinson's disease.

but some people can tolerate buckets of the stuff. i must say my mood stability was AWESOME on it. slept 8 hours/night, felt clear headed, stopped turning tricks for heroin (joking!)... no seriously, i could even write songs on this med.

now, well, i'm afraid of these atypicals, am skimping by on fish oil, zoloft, klonopin. the person who solves bipolar will receive - and massively deserve - the nobel prize imho.

supercreaky.

 

Re: seroquel and sedation Creaky_Neurons

Posted by yeltom on January 31, 2003, at 18:12:33

In reply to Re: seroquel and sedation, posted by Creaky_Neurons on January 31, 2003, at 17:08:13

Amazing that 100 mg was so sedating considering that 400-600 mg is a common dose. I assume you took it at night. The half-life is rather short, so my assumption would be that it wouldn't be so sedating during the day if you took it at night. But what you're saying is, I guess, is that 50 mg did the trick? Seems like a really small dose, but perhaps you were taking it with another drug?I'm not familiar with its use in bipolar patients. I'm taking it for OCD in conjunction with Celexa, and the only study I could find on its success in this situation used 200 mg.
Lastly, I thought movement disorders were almost unheard of with seroquel, so it's really strange that it caused you this at such a low dose. I guess these things arent predictable
> 25mg was sedating for me as well. it took about a week for this to pass. i eventually got up to 100mg but became a zombie, went back down to 50mg.
>
> i really liked this drug, was a poster child for it i suppose. i don't want to scare you - because this may not happen - but eventually i developed severe neck pain/immobility, a twitching lip, and my thumb began rolling on its own for three days going. yikes. i basically had parkinson's disease.
>
> but some people can tolerate buckets of the stuff. i must say my mood stability was AWESOME on it. slept 8 hours/night, felt clear headed, stopped turning tricks for heroin (joking!)... no seriously, i could even write songs on this med.
>
> now, well, i'm afraid of these atypicals, am skimping by on fish oil, zoloft, klonopin. the person who solves bipolar will receive - and massively deserve - the nobel prize imho.
>
> supercreaky.

 

Re: seroquel and sedation yeltom

Posted by judy1 on January 31, 2003, at 23:09:25

In reply to seroquel and sedation judy1, posted by yeltom on January 31, 2003, at 15:20:33

I started at the same dose as you (25mg) and because of the sedation went up slowly (25mg/ 4 days-week) until I hit a 200mg target dose. When I did it that slowly the sedation actually would wear off about 2 days after a dose increase. Best of luck-judy

 

Re: seroquel and sedation sq, N and others.

Posted by lostsailor on February 1, 2003, at 10:39:25

In reply to Re: seroquel and sedation Creaky_Neurons, posted by yeltom on January 31, 2003, at 18:12:33

During hypomanic episode i kinda use it prn or at night after being up for more then 48 hrs with insomnia long after the cute dogs in the ambien commercials have went to bed and I have already taken 20 mgs for the third night in a row....lol. Yes, very sedating though. I assume that you get used to it over time like with benzos and your body will adjust. Of couse I too am looking for the noble prize with just the lamictal~~ssri~ benzo blast diet ( oh, and the ambien). take care, ~tony

 

zero movement disorders...

Posted by Creaky_Neurons on February 1, 2003, at 11:37:39

In reply to Re: seroquel and sedation Creaky_Neurons, posted by yeltom on January 31, 2003, at 18:12:33

are one of the things they "claim" about the atypicals, but it still happens. i also tend to get every side effect from my meds - and the benefits - so naturally seroquel tweaked me at a low dose. my doc says he has old ladies who take 800 mg and schizophrenic linebackers on 50mg.

best of luck on the OCD front.

 

Re: Atypical antipsychotics for OCD. Which is best?

Posted by yeltom on February 2, 2003, at 20:03:15

In reply to Re: Atypical antipsychotics for OCD. Which is best?, posted by babs on January 27, 2003, at 17:47:21

So how is it working? And how's the sleepiness? I just started seroquel, and it's making me very sleepy too.

> I'm in the process of making the switch from risperdal to geodon because of the weight gain I mentioned before. So far, the geodon is making me very sleepy but if you like I'll keep you posted on how it does with my OCD symptoms.

 

Re: seroquel and sedation

Posted by yeltom on February 2, 2003, at 20:15:41

In reply to Re: seroquel and sedation yeltom, posted by judy1 on January 31, 2003, at 23:09:25

Thanks. That's encouraging. I'm amazed by the sedation at only 25 mg. Are you saying that the sedation became merely tolerable or that it basically went away? And that once you worked up to it, 200 mg was no worse than 25 mg? I just can't see putting up with this sedation long-term. It's not unpleasant, but I can't see being particularly productive. I'm also worried about sedation's effect on my libido. What kind of effect did it have on your libido? Thanks in advance for the feedback.

> I started at the same dose as you (25mg) and because of the sedation went up slowly (25mg/ 4 days-week) until I hit a 200mg target dose. When I did it that slowly the sedation actually would wear off about 2 days after a dose increase. Best of luck-judy

 

Re: seroquel and sedation yeltom

Posted by justyourlaugh on February 2, 2003, at 20:48:28

In reply to Re: seroquel and sedation, posted by yeltom on February 2, 2003, at 20:15:41

hi,
i started a low dose of seroquel in the hospital 3 months ago.i now take 100mg.
only to sleep.
i took it many times durring the day when i felt i was "on the wall".
100mg puts me to sleep after 1 hour .
does not keep me there though.
started "twiching",
freaked me out!!!!!!!
stopped it 2 nights ago,
havent slept ......
but not "twiching!"
gee, thinking its all in my head!
jyl

 

Re: seroquel and sedation

Posted by lostsailor on February 3, 2003, at 9:40:32

In reply to Re: seroquel and sedation yeltom, posted by justyourlaugh on February 2, 2003, at 20:48:28

According to my doc, EPS "should" never happen on seroquel at the 100 mg level but still "could". This "could" principal is why docs only "practice" medicine and need not be perfect at it...lol Of the aytips, he thinks that this is safer than risperal and ZYPREXA--which is brought to us by the makers of Hell. Good luck to all of you.

~tony

 

Re: seroquel and sedation judy1

Posted by yeltom on February 3, 2003, at 16:29:40

In reply to Re: seroquel and sedation yeltom, posted by judy1 on January 31, 2003, at 23:09:25

Thanks. That's encouraging. I'm amazed by the sedation at only 25 mg. Are you saying that the sedation became merely tolerable or that it basically went away? And once you worked up to it, was 200 mg was no worse than 25 mg? I just can't see putting up with this sedation long-term. It's not unpleasant, but I can't see being particularly productive. I'm also worried about sedation's effect on my libido. What kind of effect did it have on your libido? Thanks in advance for the feedback.

> I started at the same dose as you (25mg) and because of the sedation went up slowly (25mg/ 4 days-week) until I hit a 200mg target dose. When I did it that slowly the sedation actually would wear off about 2 days after a dose increase. Best of luck-judy

 

Re: seroquel and sedation

Posted by lynn3 on February 4, 2003, at 13:14:32

In reply to Re: seroquel and sedation, posted by yeltom on February 2, 2003, at 20:15:41

> Thanks. That's encouraging. I'm amazed by the sedation at only 25 mg. Are you saying that the sedation became merely tolerable or that it basically went away? And that once you worked up to it, 200 mg was no worse than 25 mg? I just can't see putting up with this sedation long-term. It's not unpleasant, but I can't see being particularly productive. I'm also worried about sedation's effect on my libido. What kind of effect did it have on your libido? Thanks in advance for the feedback.
>
> > I started at the same dose as you (25mg) and because of the sedation went up slowly (25mg/ 4 days-week) until I hit a 200mg target dose. When I did it that slowly the sedation actually would wear off about 2 days after a dose increase. Best of luck-judy
>
>

all the antipsychotics I have tried them all, I decreased my libido a lot....


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