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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by sdjeff on April 21, 2004, at 21:06:02
I've been having these crying fits that last from a few moments to a few minutes. This is odd for me because I rarely cry. I am also very restless.
I just started geodon and nortriptyline 3 days ago.
Right now my cocktail is:
5 mg Zyprexa, at night
.25 mg Halcion at night
25 mg Nortrityline at night
40 mg Geodon in the morning (titrating up)My dx is MD w/ GAD and BPD traits. I laso have hallucentations, curbed by the AP's.
I had a manic fit on a TCA before and right now I'm in a depressive episode. In other words, I hope it's not the Nortriptyline.
Sorry to bring this upp again, but this whole crying fit thing is new. I also feel very angry and I'm getting concerned.
Posted by zeugma on April 21, 2004, at 21:37:56
In reply to intermittent crying fits, posted by sdjeff on April 21, 2004, at 21:06:02
It could very well be the nortriptyline. I am much more prone to crying on nortriptyline than when I'm not on it. This is something that struck me from my first trial with this drug 15 years ago and that I re-experienced to some degree two years ago, when i re-started it. This drug can powerfully activate the emotions so be careful.
Posted by jay on April 22, 2004, at 8:26:30
In reply to intermittent crying fits, posted by sdjeff on April 21, 2004, at 21:06:02
Jeff...sounds like you should *absolutely* be on a mood stabalizer in your current cocktail. Depakote is possibly best for depression, crying, anger, etc. I'd honestly say to give it a shot...because I have seen people on both an antipsychotic and antidepressant who couldn't get 'control' until a mood stabalizer was added. It makes the day that much 'smoother' too.
Let me/.us know what you think!
Best,
Jay
Posted by judy1 on April 22, 2004, at 10:42:56
In reply to intermittent crying fits, posted by sdjeff on April 21, 2004, at 21:06:02
as someone who has been on half a dozen meds at once and experienced some awful symptoms as a direct result, can I ask if you have ever had this type of behavior before taking medication? You mentioned a manic episode as a result of a TCA, that doesn't necessarily make you bipolar- unless you've experienced hypo/manic episodes w/o meds? I would just hate to see you get on the med bandwagon I was on for years- meds taking care of other symptoms of meds. That led to my first of many 'med holidays' and as a result felt great for quite a while.
just sharing my experience. take care, judy
Posted by sdjeff on April 22, 2004, at 21:03:33
In reply to Re: intermittent crying fits » sdjeff, posted by judy1 on April 22, 2004, at 10:42:56
Thanks, all. I'm going to try not taking the Nortriptyline for a few days and see how it goes.
As far as mood stabilizers, my pdoc is hesitant to try another. I'v shown hypersensetivity to Neurontin, Tegretol, Lithium and Lamictal.
<sigh>
Posted by HappyGirl on April 23, 2004, at 0:10:12
In reply to Re: intermittent crying fits, posted by sdjeff on April 22, 2004, at 21:03:33
Hi sdj:
>>> As far as mood stabilizers, my pdoc is hesitant to try another. I'v shown hypersensetivity to Neurontin, Tegretol, Lithium and Lamictal.<<<--- I totally agree with your pdoc.'s opinion in regard to 'mood stabilizer,' as seeing those M.S. failed to respond correctly in your system. In my knowledge, if M.S.s stated above didn't help you, ... then most likely even other 'good/first-lined' Depakote does NOT do the job, either. Long ago, ... at the beginning when I started to join 'Support Group' like here, 'Psycho.Bubble,' I still recall one of Bp'ers said that she does not stand any of AD meds., however other alternative meds. lifted her depressive side of her Bp., ... just can't remember the name of those meds. she was on, due to my 'inexperience' on psycho.meds. on those days, back 5-6 years ago. Then, hopefully you're able to find the right med. combo. in the near future as seeing/believing your pdoc. is one of the best pdocs. who is able to rx those 'potent' APs/med. combo. with a good knowledge and expertise on all psycho. meds. Try to keep a good communication with him/her. For me, it took almost 2 years to find the right med. combo. During that time, I did all of those experience describing in your first post, 'crying spell, rage, hyper and all Bp symptoms to endure.' At least, you're not only one to have those symptoms during/before the right med.combo. search.
H.G.
Posted by sdjeff on April 24, 2004, at 23:05:07
In reply to Re: intermittent crying fits, posted by HappyGirl on April 23, 2004, at 0:10:12
Insteadof starting another thread, I though I'd bring it up here.
I've been off the Nortriptyline for 2-3 nights and no relief from these emotional fits as well as mild akathesia.
Is it still too close to call, or could it actually be the geodon? anyone experience this with an AP?
Posted by HappyGirl on April 25, 2004, at 0:16:49
In reply to Re: intermittent crying fits and Geodon?!, posted by sdjeff on April 24, 2004, at 23:05:07
Hi sdjeff:
>>> I've been off the Nortriptyline for 2-3 nights and no relief from these emotional fits as well as mild akathesia. <<<--- As to 'the emotional fits,' ... it sounds to me like definitely due to the depressive side of BPD/BP. For this kind of problem, you need some form of AD, preferably SSRI, such as 'Zoloft' is one of the best, ... in my knowledge. However, it might be still hard for you to find a right AD since you have AD sensitivity, in my recollection from some of your previous threads. Most of depressive folks has/had one way or other, 'crying fits/spells,' because 'tear' is said to be a 'relief,' then in a way it's good when/before 'enormous pressure' building up in your system, that I heard.
Under this situation, 'emotional fits,' however, you want some remedy to make it stop, ....
In my suggestion, you may/need to call your pdoc. for your up-to-date 'emotional situation.'
In my case, the pdoc. is available in a day or so after urgency-call. However, I know every pdocs. must be different schedule/approach for their patients's needs. So, it might be quite tricky in this regard.Concerning 'mild akathesia,' .... possibly I too had to some extent, not serious form at the beginning of AP regimen, but that was a way back, ... about three or four years ago, then I cannot remember about this well. However, it may go away with the time, possibly about 3-4 weeks' use, ... gradually. If it does not occur, and then it's better to inform your pdoc. soon.
During the right med. combo. search, ... I know from my personal experience, it's SO frustrating, even angry over those tele. calls and appts. with the pdoc., but in the end, it's well worth!
Hopefully, someone else has MORE helpful and knowledgeable reply on your current situation! H.G.
Posted by sdjeff on April 25, 2004, at 18:42:50
In reply to Re: intermittent crying fits and Geodon?!, posted by HappyGirl on April 25, 2004, at 0:16:49
Happygirl,
Just so that you know, I do appreciate your input. Thank you.
This is the end of the thread.
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