Posted by Mitch on July 25, 2001, at 14:41:21
In reply to Re: Now I am a dopamine junkie » Mitch, posted by Chloe on July 25, 2001, at 8:54:59
Chloe,
There are only a couple of things I could suggest, that I can think of right now. One is lithium which is *supposed* to be more helpful for BP with psychotic features than AC's. You have probably been there done that, though. As far as all of the atypicals-Seroquel has the lowest EPS incidence (and it didn't bother me near as much as Risperdal). Another possibility may be a need to "juggle" your existing med combination without the Geodon. Maybe something is dosed too high or low, maybe one of your existing meds is actually creating more problems than it is solving. Some anticonvulsants (in some people) pushed to too high a dose level can *cause* psychosis and depression, by the way. Perhaps?? the *combination* of the Celexa and the Geodon is causing the EPS? I am taking a tiny dose of Zoloft right now (switched from Celexa) partly because the "tongue thing" happened to me with the Celexa. Hmmm. You said you were sweating excessively... Celexa makes me sweat like a pig-more so than the other SSRI's. You might be able to ditch the Celexa and the EPS might fade...maybe (a long shot). Hey, run all this by your pdoc and see what she thinks ok? I am going to be back in town Sunday.
good luck
Mitch> I get your point. And you are right I am not hearing voices or hallucinating. But I do have very distorted thinking and perceptions that make it difficult to manage in this world.
>
> I don't really feel comfortable being specific about my toubles out here on the www, however, surfice it to say, I have been hospitalized several times, and continue to seek ways to stay sane dispite my "psychotic features."
>
> I know I am going to have big troubles when I stop this stuff. I am so much calmer and able to understand and communicate better. That is one of the hardest things for me. I get into situations where I don't understand the meaning of discussion. I tend to be a bit paranoid and self deprecating and obsessive about things. I will replay a conversation or event over and over in my head, putting a negative twist on everything. I am chronically anehedonic, until Geodon.
>
> So, I really don't know what to do and my pdoc seems at sea as well. She knows me well, and knows the AP's work wonders for me. But at what cost?..I am on two mood stabilizers (Trileptal, neurontin), an AD(Celexa) and a benzo(Valium), which allow me to survive. But with little hope or lust for life. I cannot hold a paying job.
>
> That my story. I wonder how the next chapter is going to go...
> Any ideas for a med for anehedonia and distorted thinking that doesn't cause EPS? :)
> Chloe
poster:Mitch
thread:71234
URL: http://www.dr-bob.org/babble/20010725/msgs/71793.html