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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by SLS on September 30, 2012, at 4:26:25
I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
1. Diagnosis?
2. Dosage?
3. Therapeutic effects?
4. Side-effects?
5. Reasons for discontinuation?
6. Would you recommend it to others?Thank you.
- Scott
Posted by SLS on September 30, 2012, at 4:43:50
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
> I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
> 1. Diagnosis?Bipolar Depression.
> 2. Dosage?
40 - 80 mg/day
> 3. Therapeutic effects?
Mild to moderate antidepressant effect during first week followed by relapse.
> 4. Side-effects?
Cognitive blunting, brain-fog, derealization
> 5. Reasons for discontinuation?
Lack of efficacy, cognitive disturbances.
> 6. Would you recommend it to others?
It would not be my recommendation as a first-line treatment for any condition. I believe that it has a place in the treatment of schizophrenia where negative symptoms predominate.
> Thank you.
>
>
> - ScottYour welcome.
- Scott
Posted by phillipa on September 30, 2012, at 10:19:37
In reply to Re: Geodon (ziprasidone) - What are your experiences? » SLS, posted by SLS on September 30, 2012, at 4:43:50
Are you thinking of switching abilify for geodon? Just curious? Phillipa
Posted by SLS on September 30, 2012, at 14:29:25
In reply to Re: Geodon (ziprasidone) - What are your experiences? » SLS, posted by phillipa on September 30, 2012, at 10:19:37
> Are you thinking of switching abilify for geodon? Just curious? Phillipa
No.I just thought it might be valuable to the Psycho-Babble community to collect some anecdotes as information to help make treatment decisions.
I am usually disappointed whenever I try to do this.
- Scott
Posted by phidippus on September 30, 2012, at 15:35:43
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
1. Diagnosis? ADHD, Bipolar 1, OCD
2. Dosage? 40mg, 80 mg, 160mg
3. Therapeutic effects? anxiolysis, anti-manic, mood uplift.
4. Side-effects? mania
5. Reasons for discontinuation? did not treat OCD.
6. Would you recommend it to others? yesEric
Posted by sheilac on September 30, 2012, at 18:20:33
In reply to Re: Geodon (ziprasidone) - What are your experiences? » SLS, posted by SLS on September 30, 2012, at 4:43:50
> > I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
>
> > 1. Diagnosis?
>
> Bipolar Depression.
>
> > 2. Dosage?
>
> 40 to start got up to 100-120 a day
>
> > 3. Therapeutic effects?
>
> It made me manic until I got up to 100-120mg
>
> > 4. Side-effects?
>
> heart palpatations, irregular heart beats/skipped beats
>
> > 5. Reasons for discontinuation?
>
> Too unreliable, plus heart concerns
>
> > 6. Would you recommend it to others?
>
> Not really. The doc told me to keep taking it even though I told him for weeks and months it was making me manic. I spent a lot of money last summer due to Geodon. Not a good stabilizer. More like a de-stabilizer. Just my experience.
>
> > Thank you.
> >
> >
> >Sheilac
Posted by 4WD on October 2, 2012, at 12:34:46
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
> I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
>
> 1. Diagnosis?
> 2. Dosage?
> 3. Therapeutic effects?
> 4. Side-effects?
> 5. Reasons for discontinuation?
> 6. Would you recommend it to others?Hi Scott, When I first went on Geodon, it was like a miracle. Almost overnight, just 20mg h.s. Stopped my depression in it's tracks, wiped out my anxiety and virtually made me well. A couple of weeks later it wasn't working quite so well and we had to raise it to 40 mg. This went on, bumping it up by 20mg every few weeks till I reached my maximum tolerable dosage of 120 mg akasthisia above that). I kept it at 100 mg for a long time and am now trying raising it again-I had dropped down to 40 mg for a few months in hopes it would start working again later if I raised it back y up. It's only been one day but I'll let you know how it goes. I sure miss that great window back in 2008-it was almost like a mild, controlled hypomania with no downside.
Dx; mdd, bipolar II, GAD, panic disorder, treatment resistant depression, atypical depression. I definitely would recommend it. No side effects at all. Oh, except a prolonged qt interval on EKG but felt nothing bad.
Marsha
Posted by herpills on October 2, 2012, at 13:25:32
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
> I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
>
> 1. Diagnosis?At the time, bipolar nos most recent episode mixed.
> 2. Dosage?80mg. Started as 40mg am and 40mg pm but it was so sedating we switched it to 20mg am and 60mg pm. The higher the dose the more sedating it was for me.
> 3. Therapeutic effects?
Calmed me down, and worked fairly quickly, I would say felt better by the third day of treatment.
> 4. Side-effects?
The extreme sedation was the worst side effect. I know it does something to the heart (qt interval) but not sure how that may have affected me.
> 5. Reasons for discontinuation?I needed something that was going to help the depression end of things, and Geodon did nothing really to help depression.
> 6. Would you recommend it to others?
Well based on my experience I'd say if you are having an acute manic or mixed episode it could be useful. I also had no weight gain, I took it for about 3 months. Not sure about its use as a long term med. Not an antidepressant for me.
> Thank you.
>
Thanks for asking...herpills
Posted by SLS on October 2, 2012, at 14:01:48
In reply to Re: Geodon (ziprasidone) - What are your experiences? » SLS, posted by herpills on October 2, 2012, at 13:25:32
> > Thank you.
> Thanks for asking...herpills
I think that this sort of thread represents one of the most potent uses of this forum. I'm glad you thought it valuable enough to offer your comments. In the past, I have been disappointed by a lack of participation.
- Scott
Posted by b2chica on October 3, 2012, at 11:08:50
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
diagn: varies, bipolar/mixed, agitated dep, MDD, psychotic depression
dosage: 80mg and 160. (i think that was it..been several years)
at 80 did nothing to help depressive symptoms
at 160 i had psychotic symptoms, severel obsessed on committing suicide (key word obsessed), bad energy, visual illusions frequent.only psychosis as side-effect, maybe some constipation.
discontinued due to psychosis.
i would recommend it but with caution to know symptoms as it snuck up on me then hit hard.
Posted by 4WD on October 4, 2012, at 0:05:13
In reply to Geodon (ziprasidone) - What are your experiences?, posted by SLS on September 30, 2012, at 4:26:25
> I am curious to know what are people's experiences with Geodon (ziprasidone). It seems to be a rather unpredictable drug.
>
> 1. Diagnosis?
> 2. Dosage?
> 3. Therapeutic effects?
> 4. Side-effects?
> 5. Reasons for discontinuation?
> 6. Would you recommend it to others?Hi Scott, When I first went on Geodon, it was like a miracle. Almost overnight, just 20mg h.s. Stopped my depression in it's tracks, wiped out my anxiety and virtually made me well. A couple of weeks later it wasn't working quite so well and we had to raise it to 40 mg. This went on, bumping it up by 20mg every few weeks till I reached my maximum tolerable dosage of 120 mg akasthisia above that). I kept it at 100 mg for a long time and am now trying raising it again-I had dropped down to 40 mg for a few months in hopes it would start working again later if I raised it back y up. It's only been one day but I'll let you know how it goes. I sure miss that great window back in 2008-it was almost like a mild, controlled hypomania with no downside.
Dx; mdd, bipolar II, GAD, panic disorder, treatment resistant depression, atypical depression. I definitely would recommend it. No side effects at all. Oh, except a prolonged qt interval on EKG but felt nothing bad.
Marsha
Posted by 4WD on October 7, 2012, at 1:31:58
In reply to Re: Geodon (ziprasidone) - What are your experiences? » herpills, posted by SLS on October 2, 2012, at 14:01:48
And so consequently I'd think each post/poster who troubled to check her med journals for dates and usages and results and then to type them out in hopes helping the community generally but more, you specifically, did you a service. I could be wrong of course.
Marsha
Posted by SLS on October 7, 2012, at 3:31:43
In reply to Re: Geodon (ziprasidone) - What are your experiences? » SLS, posted by 4WD on October 7, 2012, at 1:31:58
> And so consequently I'd think each post/poster who troubled to check her med journals for dates and usages and results and then to type them out in hopes helping the community generally but more, you specifically, did you a service. I could be wrong of course.
> Marsha
It really is an altruistic act to answer the questions I asked. Thanks for pointing that out.
- Scott
This is the end of the thread.
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