Posted by yxibow on February 3, 2007, at 0:34:42
In reply to Re: Akathisia or RLS? )) halcyondaze, posted by halcyondaze on February 2, 2007, at 21:16:27
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> > If you are off the akathisia inducing med, I have heard that 1 or 2 low doses (high doses can induce or make it worse) tablets of fluvoxamine can potentially reduce the symptoms of severe akathisia. due to the harsh side effect profile, and the number of systems affected by fluvoxamine, I wouldn't recommend it for more than the minimum amount required for relief.
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> Are you forgetting that I take a MAOI? And therefore Luvox is contraindicated?I would definately say so.
> > you won't see it recommended in the literature though as it is no longer a major brand. typically you will see reports of mirtazapine in low doses (7.5mg) used for the same purpose, but with mirtazapine there is the risk of agranulosytosis, but with only a couple of low doses, this may help too.
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> Remeron is still a "major" brand despite being generic. And the risk of agranulocytosis is with CLOZARIL, not Remeron. There is no substantial risk of agranulocytosis with Remeron. Where on earth are you getting your information?
The one truth is there is actually a true risk with Remeron if you read the PI, but it is far lower than Clozaril, which has a mandatory discontinuation rate of around 2% and costs $9,000 at least at one point in time to monitor it.Remeron is more in the range of .1% give or take. My doctor was thorough though and did give a blood test just for my concerns and CYA after I was on the medication for some weeks. It can occur (not for me), but it is rare. And even rarer, the Seroquel potential for turning beagles into glaucoma patients, but I was given a test anyhow. There have never been substantiated proven reports of glaucoma in humans.
> > also I think you need a better pdoc, one who doesn't try and bandaid a potentially life threatening situation.
> >
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> My psychiatrist is fantastic, thank you very much. I've been with her for three years, and she's also my therapist. And she has single-handedly saved me from some REAL life threatening situations.
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> But thank you sooooo much for your expertise. </sarcasm>
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poster:yxibow
thread:728565
URL: http://www.dr-bob.org/babble/20070201/msgs/729254.html