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Re: Cyclothymia mood stabilizers-Zyprexa problems

Posted by Carter on December 17, 2001, at 14:20:33

In reply to Re: Cyclothymia mood stabilizers-Zyprexa problems Carter, posted by Mitch on December 17, 2001, at 9:54:47

> > I wasn't sure if anyon would respond. The responses are so sparse. Thanks for giving me more information about WB. Another thing that I forgot to mention about really affected my cognitive abilities. I like to think that I am a well educated guy and an eloquent speaker. My major in college was communications and I pride myself on how well I communicate; I also work in the field. Well Zyprexa slapped that right out of me. In conversations with my boss (we actually became really good friends outside the office too) I was unable to complete my thoughts. I couldn't retrieve words from my memory. That was bad b/c at the time my job depended upon my being able to explain a semi-complicated subject matter accurately in a way that it was easily understood by the people I was talking to. Luckily I was able to keep that under control, but in my personal really sucked. I'd like to ask this question, and if you don't want to answer I COMPLETELY understand, but I live in Southeastern United States. What about you? Not that it really matters. I just thought that it may help to establish dialog. I think you can never have too many people to talk to about our experiences.
> I also have some major attentional problems and have been diagnosed with adult ADHD. Most mood stabilizers (esp. at higher doses) tend to aggravate cognitive dysfunction. Depakote and Lithium can really do me in. I found that Neurontin, Tegretol, and Trileptal gave me the fewest problems. In fact, Neurontin seems to *improve* my attention and cognitive abilities (as long as I keep the dose below 900mg/day).
> As far as Zyprexa goes, I understand it is quite sedative and has a quite lengthy half-life. That may be the main problem with it(I haven't tried that particular one). I don't like to take antipsychotics for non-psychotic symptoms because of the risk of tardive dystonia/dyskinesia. However, I am very med-sensitive and a lot of other people will experience little problem with that and could benefit from them and I wouldn't want to discourage their use. FWIW, I found that Risperdal didn't cause as much trouble as some of the other AP's. When I was taking it-I took it only at bedtime, but it had benefits that extended through the next day without being too sedating. You might ask your doc about a flip to low-dose Risperdal from the Zyprexa for a while to see how that does instead.
> Mitch

I am no longer on the Zyprexa, but I hope others read this in order to have some information should they experience the same symptoms. As for my meds now, I am maxed out on Wellbutrin, 400 mg a day. And the Depkote, from what I understand, is low at 500 mg a day.

I recently moved and had to leave both my Psychiatrist and my therapist. I really liked them both. We all worked well together. So now I am about to have my first appointment with a new Psychiatrist. I am a little nervous about it. And even more nervous about finding a therapist that fits. I haven't been to a therapy session in about 3 months and I can tell. The psycho therapy is good for me.

Have you ever had to make a switch with your psychiatrist or therapist? Or both? I didn't even ask if you see a therapist. Have you any words of advice in this matter?

We had a holiday luncheon at the office today that I Organized and somehow the subject of psychology came up and once again "we" were slighted. I don't know why, but people's insensivity and ignorance still take me a little by surprise.




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