Posted by SLS on February 26, 2012, at 9:17:18
In reply to Re: Bad Symptoms - Lithium or Saphris? » SLS, posted by Solstice on February 26, 2012, at 8:18:05
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> > >
> > > That doesn't sound like lithium to me.
> > >
> > > What about EPS dystonia caused by the Saphris? This occurs more often in young people, and begins a few days after beginning treatment.
> >
> >
> > I see that lithium can cause dystonia, but this occurs very infrequently. I still think it is the Saphris that is producing dystonia.
> >
> > It is important that you resolve this thing very soon. Please tell us how your daughter is this morning.
> And now I'm starting to get really worried.
>
> Before she went to bed (after midnight), she felt like a lot of the symptoms had resolved. I just went to her room to check on her, and she said her neck feels stiff. She seems to be able to move it, but she said it hurts and feels stiff. It's the back of her neck, from the base of her skull to between her shoulders that she said hurts. So now I'm worried about Neuroleptic Malignant Syndrome,Exactly. That's why I feel that it is urgent to resolve this thing as soon as possible.
> especially because she felt hot (like a fever)
Fever is a symptom of NMS and not lithium toxicity.
> from her shoulderblades to above her cheekbones last night. She's wrapped up in blankets right now so I didn't think it made sense to check on that until after she gets up. The symptoms of NMS include 'autonomic instability.'
Yup. This is another reason why I am somewhat concerned. It might not be that easy to distinguish between NMS and your daughter's dysautonomia.
> Her thermostat is not terribly great anyway, but last night she really complained about her hands. I felt her hands and one was warm, but the other one had four really cold (like freezing) fingers and one warm finger. The palm of her hand was also cold.
You would make a good doctor.
NMS develops very quickly. It might become dangerous within a few days. Now, it should be understood that NMS is relatively rare. The dystonic movements might be EPS dystonia and not a symptom of NMS. However, it is only prudent to act as if NMS is a possible reaction. There are blood tests to help determine this. Perhaps you should discontinue the Saphris until you can see your doctor. Either that, or go to an emergency room and have them check your daughter's WBC and creatine phosphokinase (CPK) levels.
If it were me, I would discontinue the Saphris temporarily.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1011587
URL: http://www.dr-bob.org/babble/20120221/msgs/1011622.html