Posted by SLS on January 1, 2013, at 23:48:06
In reply to Re: Med decisions to make. Input welcomed., posted by jono_in_adelaide on January 1, 2013, at 19:32:16
> Hi Phil
>
> I'd be inclined to ask the doc if you could go from Seroquel to one of the atypicals with less propensity to cause weight gain and metabolic syndrome (eg geodon)I was thinking Latuda (lurasidone). It is probably less apt to produce anxiety and insomnia, and has been shown to have antidepressant effects sufficient that it will probably be given an indication for depression similar to Seroquel.
> As for the clonazepam, you could either slowly discontinue, or try swaping to one of the genteler benzos (Ativan/lorazepam, Valium/diazepam)
Good idea. Clonazepam can be depressogenic. If someone were to tell me that they experienced a reduction in libido with clonazepam, I wouldn't be surprised. The drug somehow affects serotonin neurotransmission - exactly how is not well understood. I sometimes think clonazepam is more difficult to discontinue because of this.
Perhaps now is the time to add Trileptal. It is helpful for BZD withdrawal and is a relatively clean mood stabilizer.
- 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:1034355
URL: http://www.dr-bob.org/babble/20121231/msgs/1034404.html