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Dr. Bob is Robert Hsiung, MD,
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Posted by SLS on March 15, 2016, at 13:27:50
In reply to Re: Magic Pill » SLS, posted by J Kelly on March 15, 2016, at 11:50:54
One more comment:
An antipsychotic named Saphris (asenapine) also has antidepressant effects, but is unlikely to cause akathisia. I have not seen it cause weight gain, and it can be energizing and improve cognition. If your akathisia was severe and intolerable when you tried Abilify, I would choose Saphris before Rexulti.
Okay... One more comment:
If you find yourself choosing Nardil treatment, and Saphris is less than effective at preventing mania, you might consider using Navane (thiothixene). Navane is an older antipsychotic that should be effective without causing weight gain. I know someone with severe schizoaffective disorder who is doing quite well on a combination of Saphris and Navane. She experiences no EPS. She also takes Wellbutrin, but Saphris was the key to unlock her potential.
- Scott
Posted by Lamdage22 on March 15, 2016, at 14:00:24
In reply to Re: Magic Pill » J Kelly, posted by SLS on March 15, 2016, at 13:27:50
Considering that your psychosis was med induced, you may be able to wein off of the APs if you avoid the offending med(s). I wasnt but that doesnt mean that you arent able to. I too never was psychotic before MAOI.
Maybe i could have weined off if i didnt try it (MAOI) 4 times and for such long periods of time.
Ouch.
Posted by Lamdage22 on March 15, 2016, at 14:01:39
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:00:24
So i am not "crazy" and this happens to other people, too.
I am careful to recommend MAOI because of what it did to me.
Posted by J Kelly on March 15, 2016, at 14:22:06
In reply to Re: Magic Pill » J Kelly, posted by SLS on March 15, 2016, at 13:27:50
> One more comment:
>
> An antipsychotic named Saphris (asenapine) also has antidepressant effects, but is unlikely to cause akathisia. I have not seen it cause weight gain, and it can be energizing and improve cognition. If your akathisia was severe and intolerable when you tried Abilify, I would choose Saphris before Rexulti.Yes akathisia from Abilify was intolerable. I tried Saphris years ago and didn't respond well. I didn't take it for its a/p effect. I'm realizing I need to do some research. I was negligent in keeping track of the meds I've tried and the resulting s/e's. My previous pdoc's should have those records I would think. However, I suppose its possible that a med or meds that were ineffective years ago, may show promise today.
>
> Okay... One more comment:
>
> If you find yourself choosing Nardil treatment, and Saphris is less than effective at preventing mania, you might consider using Navane (thiothixene). Navane is an older antipsychotic that should be effective without causing weight gain. I know someone with severe schizoaffective disorder who is doing quite well on a combination of Saphris and Navane. She experiences no EPS. She also takes Wellbutrin, but Saphris was the key to unlock her potential.I was diagnosed with Schizoaffective disorder at one point. That's been dismissed as it was an isolated incident. However, when considering adding Nardil, I think Saphris and Navane are worth thinking about.
Thanks for the comments :)
Jade
>
>
> - Scott
>
Posted by Lamdage22 on March 15, 2016, at 14:34:54
In reply to Re: Magic Pill » SLS, posted by J Kelly on March 15, 2016, at 14:22:06
> I was diagnosed with Schizoaffective disorder at one point. That's been dismissed as it was an isolated incident.
> >
>
>You are lucky. It sounds like my story could have been. But it wasnt:) I think due to too many of those MAOI trials. It sounds really stupid now but back then i thought i was doing the right thing.
I carry that diagnosis schizo-affective.
We are similar in some ways.
Lucky under the circumstances though i may find a way out of AP consumption through Cannabidiol.
I hold the belief that i could discontinue APs if i only do it slowly enough. But it would take too long. I could still get Diabetes or something equally ugly. So i try CBD.
Posted by J Kelly on March 15, 2016, at 14:42:22
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:00:24
> Considering that your psychosis was med induced, you may be able to wein off of the APs if you avoid the offending med(s). I wasnt but that doesnt mean that you arent able to. I too never was psychotic before MAOI.
I've gone long periods of time with no A/P on board since my psychotic reaction to Parnate. The reason I'm currently taking Zyprexa is not to treat psychosis, but hard to treat depression.
>
> Maybe i could have weined off if i didnt try it (MAOI) 4 times and for such long periods of time.
>
> Ouch.I'm so sorry that happened to you Lamdage. Psychosis s*cks. And its tough to discard a group of meds (MAOI's) when they have brought me/you remission. I'm assuming this is why you continued to take them?
You are like the Angel on my shoulder lol. "Don't do it Jade, its not worth it. Bad things could happen".
The Devil is telling me "go for it Jade! remission is in sight!!"
>
>Believe me Lamdage, I am listening and I hear you. I know you don't want to see me end up with permanent psychosis as a result of MAOI use. I thank you for your very real concern.
Jade
Posted by Lamdage22 on March 15, 2016, at 14:49:50
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:34:54
I dont want these additional health risks you know?
I want to be worry free.
Posted by Lamdage22 on March 15, 2016, at 14:58:26
In reply to Re: Magic Pill, posted by J Kelly on March 15, 2016, at 14:42:22
> > Considering that your psychosis was med induced, you may be able to wein off of the APs if you avoid the offending med(s). I wasnt but that doesnt mean that you arent able to. I too never was psychotic before MAOI.
>
> I've gone long periods of time with no A/P on board since my psychotic reaction to Parnate. The reason I'm currently taking Zyprexa is not to treat psychosis, but hard to treat depression.Its funny how different we all are. Zyprexa makes me lazy and lethargic. I would never think it could help depression.
> >
> > Maybe i could have weined off if i didnt try it (MAOI) 4 times and for such long periods of time.
> >
> > Ouch.
>
> I'm so sorry that happened to you Lamdage. Psychosis s*cks. And its tough to discard a group of meds (MAOI's) when they have brought me/you remission. I'm assuming this is why you continued to take them?Yes depression and social anxiety was much improved. At a time i was doing so freaking well when i was in Hawaii. but i took more than Just Nardil. Also Wellbutrin and a shitload of supplements. I was like "life? f*ck yeah lets do it". 1 1/2hours of sports every day. I wasnt always psychotic on Nardil.
> You are like the Angel on my shoulder lol. "Don't do it Jade, its not worth it. Bad things could happen".
Well if there is no alternative to Zyprexa then at least you could do regular bloodwork. If your sugar goes up you can stop.
> The Devil is telling me "go for it Jade! remission is in sight!!"
> >
> >
>
> Believe me Lamdage, I am listening and I hear you. I know you don't want to see me end up with permanent psychosis as a result of MAOI use. I thank you for your very real concern.
>
> Jade
Good:)
Posted by J Kelly on March 15, 2016, at 15:07:41
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:34:54
> > I was diagnosed with Schizoaffective disorder at one point. That's been dismissed as it was an isolated incident.
> > >
>
> You are lucky. It sounds like my story could have been. But it wasnt:) I think due to too many of those MAOI trials. It sounds really stupid now but back then i thought i was doing the right thing.It doesn't sound stupid at all Lamdage. You were trying to get well with the choices you felt were available to you. Don't beat yourself up. I would imagine that its possible you might have had a problem with psychosis with or without the MAOI's. We just cant know.
>
> I carry that diagnosis schizo-affective.I did too for a time. Its not easy to accept.
>
> We are similar in some ways.Yes we are. Can I assume that you are fairly young? I'm a mother and my heart goes out to you :) Babble mail me if you ever need to talk to someone.
>
> Lucky under the circumstances though i may find a way out of AP consumption through Cannabidiol.I REALLY hope this works out for you. But if it doesn't you just keep on. That's all we can do. And honestly if I found out I had to be on Zyprexa for the rest of my life I would accept it and move on. I might try and get my jaw wired shut though lol.
>
> I hold the belief that i could discontinue APs if i only do it slowly enough. But it would take too long. I could still get Diabetes or something equally ugly. So i try CBD.Keep trying. I've been pleasantly surprised by some meds. Granted they don't all work long term but there is always hope with new meds/combos.
Jade
Posted by SLS on March 15, 2016, at 15:32:57
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:58:26
Metformin?
Posted by Lamdage22 on March 16, 2016, at 3:58:09
In reply to Re: Magic Pill, posted by Lamdage22 on March 15, 2016, at 14:49:50
yes i take Metformin
Posted by SLS on March 16, 2016, at 7:25:27
In reply to Re: Magic Pill, posted by Lamdage22 on March 16, 2016, at 3:58:09
> yes i take Metformin
Would you suggest it for Jade?
- Scott
Posted by Lamdage22 on March 16, 2016, at 7:54:21
In reply to Re: Magic Pill » Lamdage22, posted by SLS on March 16, 2016, at 7:25:27
> > yes i take Metformin
>
> Would you suggest it for Jade?
>
>
> - Scott
>If she has weight gain, high cholesterol, high triglycerides, or a combination thereof, sure. Its worth a shot.
Also, since Jade doesnt take the 10mg Zyprexa for Psychosis (which i thought), she may be able to take Nardil with 10mg Zyprexa. She takes Zyprexa anyway and not because she is psychotic otherwise, so i dont know why she shouldnt try Nardil if she is careful.
With Metformin and Zyprexa i would recommend regular blood tests though. Sugar and kidney function tests.
Its your choice, Jade.
Posted by Zyprexa on March 19, 2016, at 9:46:28
In reply to Re: Magic Pill, posted by Lamdage22 on March 16, 2016, at 7:54:21
When do you start the CBD? Have you seen your doc yet about it?
Posted by Lamdage22 on March 20, 2016, at 6:38:16
In reply to Re: Magic Pill » Lamdage22, posted by Zyprexa on March 19, 2016, at 9:46:28
> When do you start the CBD? Have you seen your doc yet about it?
I see a doctor that is specialized for cannabinoid medicines on April the 3rd. My psychiatrist is fine with me trying CBD.
They are two persons.
Posted by J Kelly on March 20, 2016, at 10:45:25
In reply to Re: Magic Pill » Lamdage22, posted by SLS on March 16, 2016, at 7:25:27
> > yes i take Metformin
>
> Would you suggest it for Jade?
>
>
> - Scott
>I'm gonna ask my pdoc about this if I end up staying on Zyprexa. I'm wondering why more people don't use it. How effective is it? Drawbacks?
Jade
Posted by Lamdage22 on March 20, 2016, at 12:34:11
In reply to Re: Magic Pill » SLS, posted by J Kelly on March 20, 2016, at 10:45:25
> > > yes i take Metformin
> >
> > Would you suggest it for Jade?
> >
> >
> > - Scott
> >
>
> I'm gonna ask my pdoc about this if I end up staying on Zyprexa. I'm wondering why more people don't use it. How effective is it? Drawbacks?
>
> Jade
>
>Once every three months i need to hit the bathroom really quickly (Nr. 2).
There can be some diarrhea but doesnt need to be. For me it passed. It depends on the dosage.When you are taking meds you should do regular blood tests (every 3 months). Kidney function should be monitored.
Gernerally speaking Metformin is very well tolerated. It can even extend life.
Posted by Lamdage22 on March 20, 2016, at 12:37:35
In reply to Re: Magic Pill, posted by Lamdage22 on March 20, 2016, at 12:34:11
It is pretty effective but then again not for all people.
You wont know unless you try.
Posted by Lamdage22 on March 20, 2016, at 12:42:57
In reply to Re: Magic Pill, posted by Lamdage22 on March 20, 2016, at 12:37:35
Know that Zyprexa can get you diabetic and along with Clozapine is the AP most likely to do so.
Posted by J Kelly on March 20, 2016, at 20:16:41
In reply to Re: Magic Pill, posted by Lamdage22 on March 20, 2016, at 12:42:57
> Know that Zyprexa can get you diabetic and along with Clozapine is the AP most likely to do so.
Yep. I'm gonna look into it and maybe give it a go. I have collected so many med ideas at this point I think I need to stop, wade through and pick the most promising, and run them by my pdoc. Nardil is still high on my list. I'm so f-ing sick of this depression.
Posted by Lamdage22 on March 21, 2016, at 8:42:38
In reply to Re: Magic Pill » Lamdage22, posted by J Kelly on March 20, 2016, at 20:16:41
I'm so f-ing sick of this depression.
>
>I hear you.
Posted by SLS on March 21, 2016, at 9:40:39
In reply to Re: Magic Pill, posted by Lamdage22 on March 21, 2016, at 8:42:38
> > I'm so f-ing sick of this depression.
> I hear you.
Me, too.
There are no words.
- Scott
Posted by Lamdage22 on March 22, 2016, at 10:50:03
In reply to Re: Magic Pill » Lamdage22, posted by J Kelly on March 20, 2016, at 20:16:41
i am not a fan of this "online scientist" thing. Nobody knows why these medications actually work.
SSRI are not diagnostic tools!
Posted by J Kelly on March 22, 2016, at 16:06:35
In reply to Re: Magic Pill, posted by Lamdage22 on March 22, 2016, at 10:50:03
> i am not a fan of this "online scientist" thing. Nobody knows why these medications actually work.
>
> SSRI are not diagnostic tools!I'm afraid I'm misunderstanding this post. Can you explain what you mean please? I don't want to respond until I understand.
Thanks,
Jade
Posted by Lamdage22 on March 23, 2016, at 8:40:26
In reply to Re: Magic Pill » Lamdage22, posted by J Kelly on March 22, 2016, at 16:06:35
well i think that you might be Serotonin deficient and still SSRIs make you worse.
Its not that easy, black and white.
It just means that the mechanism doesnt work for you.
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Dr. Bob is Robert Hsiung, MD,
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