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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by bipolarspectrum on September 21, 2005, at 14:23:55
Hi,
I'm suffering from bipolar depression.. I take Lithium, Trileptal and Seroquel... I'm still really depressed, but I also have really bad agitation.. its like this constant inner tension that wont go away.. i was wondering if anyone know any drugs which may help with the agitation?
bps
Posted by felicity77 on September 21, 2005, at 15:11:51
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
> Hi,
> I'm suffering from bipolar depression.. I take Lithium, Trileptal and Seroquel... I'm still really depressed, but I also have really bad agitation.. its like this constant inner tension that wont go away.. i was wondering if anyone know any drugs which may help with the agitation?
> bps
Hey -- when did this agitation start? Like, with your depressive symptoms? Or, after you started one of your medications? And, can you describe it a bit better. Is it like anxiety? Or is it like you have this need to move?Thx,
felicity
Posted by Phillipa on September 21, 2005, at 18:22:19
In reply to Re: How to stop extreme agitation???, posted by felicity77 on September 21, 2005, at 15:11:51
Good questions. And isn't wellbutrin the only AD to use with bipolar? Fondly, Phillipa
Posted by FredPotter on September 21, 2005, at 19:06:28
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
same. Also I fight off sleep all day as I feel so exhausted. I go to bed at 9 and sleep about 10-11 hours. Does anyone remember how Periactin helps in this regard? It was once prescribed for me but I've forgotten why. Meanwhile, I'm with you on this. It's a terrible feeling. Do you rub body parts together like your feet and do you breathe like a train, particularly on exhale? This is what I get. Even in my sleep apparently. All the best
Fred
Posted by maddy4 on September 21, 2005, at 19:49:51
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
what about a benzo or buspar?
Posted by Declan on September 21, 2005, at 21:31:18
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
Opiates, but you know that of course.
Declan
Posted by SLS on September 22, 2005, at 7:52:51
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
What happens when you take a tricyclic?
- Scott
Posted by Chairman_MAO on September 22, 2005, at 10:29:38
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
Diazepam is my benzo of choice for outright agitation. 10-40mg/day in divided doses. A good starting dose is 2mg qid or 5mg tid.
Posted by Bill LL on September 22, 2005, at 15:24:40
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
I think the best thing would probably be to either raise the dose of seroquel, or add a benzo.
Posted by bipolarspectrum on September 23, 2005, at 1:34:00
In reply to Re: How to stop extreme agitation???, posted by felicity77 on September 21, 2005, at 15:11:51
> Hey -- when did this agitation start? Like, with your depressive symptoms? Or, after you started one of your medications? And, can you describe it a bit better. Is it like anxiety? Or is it like you have this need to move?
>
> Thx,
> felicityHi felicity,
I've always had some agitation.. but i think with the lithium its become really bad.. its more like constant inner tension, a definate need to move... thanx for ur post..
bps
Posted by bipolarspectrum on September 23, 2005, at 1:36:22
In reply to Re: How to stop extreme agitation???, posted by SLS on September 22, 2005, at 7:52:51
> What happens when you take a tricyclic?
>
>
> - ScottTricyclics and I are have a bad relationship.. they cause strong side effects, alot of sedation... thanx for the reply scott..
bps
Posted by bipolarspectrum on September 23, 2005, at 1:37:15
In reply to Re: How to stop extreme agitation???, posted by Bill LL on September 22, 2005, at 15:24:40
> I think the best thing would probably be to either raise the dose of seroquel, or add a benzo.
Thanx for the post... I've tried clonazepam and it unfortunately makes me really depressed, all i wanna do is cry...
bps
Posted by bipolarspectrum on September 23, 2005, at 1:37:36
In reply to Re: How to stop extreme agitation???, posted by Bill LL on September 22, 2005, at 15:24:40
Posted by Jedi on September 23, 2005, at 1:58:04
In reply to How to stop extreme agitation???, posted by bipolarspectrum on September 21, 2005, at 14:23:55
> Hi,
> I'm suffering from bipolar depression.. I take Lithium, Trileptal and Seroquel... I'm still really depressed, but I also have really bad agitation.. its like this constant inner tension that wont go away.. i was wondering if anyone know any drugs which may help with the agitation?
> bpsHi bps,
Though rare with the use of the atypical antipsychotics, akathisia is still a problem that arises. I will always remember that terrible feeling of inner restlessness from 15mg of Abilify. Just a quess without additional info.
Take care,
Jedi"...Akathisia is best managed by prevention. The dosage of the neuroleptic can be decreased or the medication changed to alleviate symptoms.11 There are several medications that can be used to help alleviate symptoms. Beta blockers are the most effective and well tolerated agents for akathisia. Anticholinergics have produced equivocal results in akathisia, and their use is limited by side effects such as blurred vision, constipation, and urinary retention.12 Benzodiazepines have some efficacy in acute and chronic akathisia. Other medications that have been used to treat akathisia with some success are cyproheptadine, clonidine, and mianserin.2"
...
Link:
http://www.seroquel.com/prof_asp/resources/newsletter/nl_08.asp?flash=1
Posted by terrics on September 23, 2005, at 19:40:07
In reply to Re: How to stop extreme agitation???, posted by maddy4 on September 21, 2005, at 19:49:51
bipolar agitation? I used to take lithium but now take lamictal (also effexor and klonopin). The lamictal helps with agitation. I take it 3 times a day and when I forget the middle dose I get agitated. The klonopin works GREAT for the agitation. I take it about once a day just as I start to feel agitated. terrics
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