Posted by yxibow on June 10, 2008, at 18:52:26
In reply to Re: URGENT EXPERT ADVICE NEEDED, posted by bleauberry on June 10, 2008, at 17:40:53
> I'm really sorry things are so trying for you right now. You deserve to feel better.
>
> While the diagnosis and symptoms point to using antipsychotics, I think your experience with them shows that in your case that is not applicable. There is something else going on that is totally untouched by dopamine blockade and serotonin blockade. Whatever is causing your symptoms appears to be outside the dopamine/serotonin systems, and that would hypothetically explain why antipsychotics have not helped you very much. They are missing the chemistry that is the problem.
>
> So what chemistry is the problem? I have no clue. Only that if serotonin and dopamine are somehow involved, they are only minor players.
>
> Other drugs used in schizophrenia are lithium, depakote, and memantine. Sometimes lamictal. Your symptoms might be based more in the glutamate/gaba axis than anything else. I wonder if you have ever tried Xanax? Klonopin?
>
> Just some ideas. If what should work doesn't work, well, logic says look elsewhere. Simple as that.Well a second opinion is always a good idea, but I wouldn't be quick to completely judge because we don't know and shouldn't know his complete medical records and how his doctor has observed him.
As for the clozapine -- 10 days is rather short on the psychotropic timeline -- a month ore more really as said before is more going to say anything. Medication starts and stops have trails as receptors become used to and not used to being manipulated by a particular medication, to make a very brief summary.
poster:yxibow
thread:833941
URL: http://www.dr-bob.org/babble/20080606/msgs/834044.html