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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by monkeysmama on November 23, 2007, at 23:09:39
So here I go again... I am having this weird sensation like I am going to start jerking... if that makes any sense at all. It feels like my neck is about to just twitch. lol. It sounds funny, but it really isn't. It is extremely obnoxious and it is driving me crazy. (crazier than normal anyway) Does anyone have any idea what this could be?? Oh, I am taking zoloft and risperdal
Posted by Phillipa on November 23, 2007, at 23:25:13
In reply to strange sensations, posted by monkeysmama on November 23, 2007, at 23:09:39
Still think it's the resperidol. Did you call you pdoc? Phillipa
Posted by monkeysmama on November 23, 2007, at 23:35:25
In reply to Re: strange sensations » monkeysmama, posted by Phillipa on November 23, 2007, at 23:25:13
She is out of town... I don't have another appointment until the 15th of December. What do you think I should do? I am really not okay. Everyday I have a new symptom, and today I feel so sad. All of the things that I normally do with my children and husband I am really struggling to enjoy. It is breaking my heart. I just read about some side effect that can happen with risperdol, that can make you twitchy. It is said to be irriversable. Tarkin.. crud, I don't remember what it is called. It scared me though.
Posted by Justherself54 on November 24, 2007, at 1:27:16
In reply to Re: strange sensations, posted by monkeysmama on November 23, 2007, at 23:35:25
Tardive Dyskinesia or tardive dystonia are probably the terms your pdoc used. If you think you are experiencing these you should seek medical help ASAP. It usually occurs at high doses and in people who've taken it for a long time but my brother took one dose of an AP and developed severe dystonia and had to go to the ER for a shot of something that stopped it (sorry I can't remember what they gave him)..
Posted by 4WD on November 24, 2007, at 11:38:39
In reply to strange sensations, posted by monkeysmama on November 23, 2007, at 23:09:39
> So here I go again... I am having this weird sensation like I am going to start jerking... if that makes any sense at all. It feels like my neck is about to just twitch. lol. It sounds funny, but it really isn't. It is extremely obnoxious and it is driving me crazy. (crazier than normal anyway) Does anyone have any idea what this could be?? Oh, I am taking zoloft and risperdal
I expect it's from the Risperdal. It can cause tardive dyskinesia which it sound like you are experiencing. It is not necessesarily irreversible. For a lot of people, the symptoms go away when the medication is stopped. But I'd definitely call my pdoc ASAP and tell him/her what is happening.
Good luck.
Marsha
Posted by yxibow on November 24, 2007, at 12:25:21
In reply to strange sensations, posted by monkeysmama on November 23, 2007, at 23:09:39
> So here I go again... I am having this weird sensation like I am going to start jerking... if that makes any sense at all. It feels like my neck is about to just twitch. lol. It sounds funny, but it really isn't. It is extremely obnoxious and it is driving me crazy. (crazier than normal anyway) Does anyone have any idea what this could be?? Oh, I am taking zoloft and risperdal
Tardive Dyskinesia occurs LATE in treatment and is reversible about 30%+ of the time. It really depends how long you've been taking it and the dose.
Its often mistaken for other things. Now I'm not saying to not be concerned -- I would try to page your doctor if you can, because it can be other things like tics and precursors to Tardive Dystonia and minimizing the risk to that is important.
Jerks are also just EPS as well.
I wish more doctors could sort these nuances out.
Not to alarm you since I unfortunately probably already have but Risperdal is on the top of the atypical spectrum potency, if you can switch to something like or Seroquel that would probably be better and might improve the situation.
-- Jay
Posted by monkeysmama on November 24, 2007, at 13:00:33
In reply to Re: strange sensations » monkeysmama, posted by yxibow on November 24, 2007, at 12:25:21
I lowered my dose... hopefully that will help. I don't have a way to get ahold of my dr. I am moving in a month and will have a new one THANK GOD, so hopefully I can get this straightened out. I really don't want to take this junk anymore.
Posted by Phillipa on November 24, 2007, at 17:31:07
In reply to Re: strange sensations, posted by monkeysmama on November 24, 2007, at 13:00:33
Are you taking it for anxiety? If so might want to start weaning off the dose. Is there a covering doc for yours? Can you call an ER psych hot line for advise? Phillipa
Posted by monkeysmama on November 24, 2007, at 19:03:52
In reply to Re: strange sensations » monkeysmama, posted by Phillipa on November 24, 2007, at 17:31:07
Yes, it is for anxiety. I have no clue if there is a covering doc for her. I don't know an ER psych number. I didn't know there was one. I feel pretty good today, so maybe it is helping to lower?? I lowered the zoloft too to counteract. It can't get any worse, right?
Posted by yxibow on November 26, 2007, at 5:05:59
In reply to Re: strange sensations, posted by monkeysmama on November 24, 2007, at 19:03:52
> Yes, it is for anxiety. I have no clue if there is a covering doc for her. I don't know an ER psych number. I didn't know there was one. I feel pretty good today, so maybe it is helping to lower?? I lowered the zoloft too to counteract. It can't get any worse, right?
I won't comment on the latter, your antidepressant can be separate in this case or the cause (as I say later)...
Be careful when "weaning off" an antipsychotic you've been taking for a while for anxiety. You can have reverse anxiety syndromes if you drop it like a stone especially and you will then end up in the ER. If you feel you need to take matters into your own hand, one can't stop you, it is your body, but you don't know which one of the two medications is causing things. Zoloft is the only SSRI that is mildly dopaminergic. Titrate slowly depending on how long you've been on the Risperdal.
If you have insurance coverage, which under HIPAA you want to be careful with because the Mental Health Parity Act has loopholes and all sorts of can of worm ramifications of mental health disclosure if you "overturn" your policy and use it. This doesn't apply to prescriptions typically, it is a sad fact of things. Short term non-bed ER visits are best self-paid unfortunately. We're speaking if you're a US resident.
Ultimately in this case if you have a good Trauma I/Trauma II ER (not that the Trauma matters but its a sign of JCAHO rating) near you, I would use it rather than self-titrate and get a psychiatric and/or neurological or neuropsychiatric (harder to find in an ER) consult, but that is up to you.
This is the end of the thread.
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