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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Jimmyboy on September 3, 2006, at 12:11:45
Just started 20 mg of Geodon, and woke up feelig better, but very drowsy, and kindo fout of it.. Does anyone know if this side effct wears off with time?
JB
Posted by Jimmyboy on September 3, 2006, at 13:48:57
In reply to Geodon - do side effects go away?, posted by Jimmyboy on September 3, 2006, at 12:11:45
Also, does anyone know how long it would take for any antidepressant effects to start happening? Thanks
JB
Posted by yxibow on September 3, 2006, at 15:31:53
In reply to Re: Geodon - do side effects go away? - Also, posted by Jimmyboy on September 3, 2006, at 13:48:57
> Also, does anyone know how long it would take for any antidepressant effects to start happening? Thanks
>
> JBSome feel very jumped up (akathisia), like myself -- others I've heard strangely feel rather tired on Geodon. This is something you may get used to but it may not entirely go away, I can't say since I didn't go much further at the time with the akathisia.
Antidepressant effects on some antipsychotics can happen in terms of days actually -- I felt this on Zyprexa. They're much more fast acting, which is why although its extremely harsh, Haldol is sometimes used in cases of suicide attempts in the ER. But I am assuming and hoping its not that dark for you so yes, I would say within a week or so compared to weeks for SSRIs.
Posted by Phillipa on September 3, 2006, at 21:31:41
In reply to Re: Geodon - do side effects go away? - Also » Jimmyboy, posted by yxibow on September 3, 2006, at 15:31:53
Seriously Jay I didn't know antipsychotics acted as antidepressants too. Love Phillipa
Posted by yxibow on September 4, 2006, at 5:48:08
In reply to Re: Geodon - do side effects go away? - Also » yxibow, posted by Phillipa on September 3, 2006, at 21:31:41
> Seriously Jay I didn't know antipsychotics acted as antidepressants too. Love Phillipa
Oh, of course -- especially the atypicals but even the old line ones have 5HT blockades in the same way that Remeron does. Now I wouldn't use them long term as an antidepressant but it explains why their adjunctive use with SSRIs help depression and anxiety. But as a short term boost, definately -- I felt it early on with Zyprexa.
Posted by Jeroen on September 9, 2006, at 1:47:34
In reply to Geodon - do side effects go away?, posted by Jimmyboy on September 3, 2006, at 12:11:45
be carefull, it gave me TD in 3 weeks usage, never went away
Posted by yxibow on September 9, 2006, at 17:30:43
In reply to tardive dyskinesia, posted by Jeroen on September 9, 2006, at 1:47:34
> be carefull, it gave me TD in 3 weeks usage, never went away
While your experiences are awful, the leading experts on Tardive Dyskinesia (Drs. Wirshing and Wirshing, Veterans Administration) say the following: that it a) is tardive (that means late in treatment, not 3 weeks) and b) that the patient is unaware of the movements of it.
I have had various movements over the course of my treatment Seroquel but they all have been classified as EPS and not TD, by several examinations.
The part about the patient being aware is important -- though patient knowledge is taken into account in AIMS examinations, it is not a significant part of them. If one is aware of a particular movement occurring, the chances are greater than lesser that it is a (guaranteed uncomfortable) form of EPS and not TD.
Now to minimize risk of TD, if one is worried, the choice of neuroleptic should be kept to both the MED (minimum effective dose) and the chosen atypical neuroleptic that has the least activity at D2 that causes EPS movements (high to low) [Risperdal->(Geodon, Abilify)->Zyprexa->Seroquel->Clozaril(None, but other unpleasant effects)]. In your country (not the US), you may also have the Sulprides, which would be around Zyprexa/Seroquel. The most conservative estimate for Seroquel is 1% per year, but that is over estimation, the actual cases are far below that as of today's measurement.
Also, this choice is important for those who do not suffer from a psychotic/schizophreniform disorder but rather affective (mood, e.g. severe depression, anxiety, OCD, etc.) disorder, where EPS and possibly TD have greater impacts.
The doctors prescribing an atypical neuroleptic should be aware of their risks, give you informed consent (knowledge of risks and that you agree to them), and know to give AIMS (subjective examination for TD -- Abnormal Involuntary Movement Scale) exams every 6 months or if the patient requests them earlier (they don't take very long to perform, measuring various aspects of musculature of the patient.)
-- tidingsJay
Posted by Another Phil on October 1, 2006, at 23:10:34
In reply to Re: Geodon - do side effects go away? - Also » Phillipa, posted by yxibow on September 4, 2006, at 5:48:08
Geodon had an excellent and immediate antidepressant effect. However, I could not sleep while on it -- wide awake for 7 days on end. And I constantly had music playing in my head that was a bit distracting. My current pdoc claims that a possible solution for the insomnia is to *increase* the dose of Geodon. (Apparently, he is highly respected, but he's done several things over the past year that make me question his judgment. So take that for whatever it's worth).
This is the end of the thread.
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