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Low dose Zyprexa - Akathisia?! (Switch to Geodon?)

Posted by cache-monkey on July 8, 2005, at 1:04:57

Umm, so I thought Zyprexa was supposed to be one of the more sedating APs and that Abilify was the real baddie with Akathisia. But even on a puny 2.5 mg dose of Z, I started to get really revved up physically and mentally. Bouncy legs, feeling impatient, agitated and unable to concentrate. I've backed down to 1.25 mgs and added Lithium, both of which seem to have helped.

But I'm kind of at a loss as to what to do. I can't go higher than 600 mgs on Lithium or my kidneys start to get a little too much work. My pdoc wants me to either go back up to 2.5 mgs on Zyprexa or switch to Geodon. (The goal here is to prevent me from going into mild hypomania when on an antidepressant.)

I'm wondering first if anyone has experienced akathisia on such a low dose of Zyprexa. Second, should I expect it to be any better or worse on, say 20 mg twice a day of Geodon?

Thanks,
cache-monkey


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