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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Sheilac on June 23, 2016, at 12:01:11
I take 160mg of Geodon for the past 9 months and have been bothered by tremors since at least January.
Is there anything I can take or do to stop the tremors?
Reduce the dose? Add something else?
Posted by Christ_empowered on June 23, 2016, at 14:50:56
In reply to Treatment for tremors..., posted by Sheilac on June 23, 2016, at 12:01:11
if you need a tranquilizer, I'd try a switch-a-roo. Maybe..latuda?
Propranolol can help, but...that'd just be suppressing it. It could turn into full fledged TD on propranolol treatment.
Posted by Sheilac on June 23, 2016, at 15:02:45
In reply to Re: Treatment for tremors..., posted by Christ_empowered on June 23, 2016, at 14:50:56
I thought Latuda is just like Geodon?
Isn't it an AAP? Wouldn't it cause tremors too?
Posted by Sheilac on June 23, 2016, at 15:09:27
In reply to Re: Treatment for tremors..., posted by Christ_empowered on June 23, 2016, at 14:50:56
My insurance doesn't cover Latuda. The doc would have to spend time on the phone trying to get it approved. Probably too much trouble.
Posted by rjlockhart37 on June 24, 2016, at 2:11:04
In reply to Treatment for tremors..., posted by Sheilac on June 23, 2016, at 12:01:11
not sure if tremors are associated, but cogentin is a good med to fight against jerking on antipsychotics
but geodon is not really a serious antipsychosis that can cause jerking, it works well with many people, i took 40mg of olanzapine and i jerked and would have uncontrollable tremors, but ... i guess lower the dose, but ask about cognentin
im not an expert on that, that's just my 2 cents
Posted by Christ_empowered on June 24, 2016, at 7:08:41
In reply to Re: Treatment for tremors..., posted by rjlockhart37 on June 24, 2016, at 2:11:04
latuda was just a random selection. I don't know its EPS profile.
You could try lowering the dose. What else are you taking? Some mood stabilizers can make EPS worse. I got bad EPS from Abillify+Depakote, but I don't get any EPS from Abilify+Trileptal+Lamictal. Weird, huh?
Propranolol, benztropine...I wanna say amantadine is used now, too. But that's just suppressing it.
What other AP/AAP drugs have you tried? My problem with this situation is that you're female, have a mood disorder, and you're experiencing pronounced EPS. If you suppress the symptoms, it could turn into full fledged TD over time, which is hard to notice until its too late because the neuroleptics themselves mask early signs of TD.
Have you ever tried Zyprexa or seroquel? I wanna say those 2 have lower EPS and TD rates than most other atypicals. Abilify...is hit or miss. I tolerate it better than anything else, some people do better on D2 blockers.
Weight gain with zyprexa can be mitigated with metformin, which has a fairly benign profile. Some smaller studies have used high doses of potent antioxidants, such as alpha lipoic acid, to good effect.
Posted by Sheilac on June 24, 2016, at 12:59:35
In reply to Re: Treatment for tremors..., posted by Christ_empowered on June 24, 2016, at 7:08:41
Thanks! Some good ideas to think about.
This is the end of the thread.
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