Posted by yxibow on October 1, 2008, at 0:03:39
In reply to i'd try a benzo first..., posted by med_empowered on September 29, 2008, at 16:13:49
> i mean, if you have the option.
>
> Antipsychotics can induce sedation, reduce agitation, and make you apathetic--all of which can create a "tranquilizing" effect, especially if you keep the dose low and are fortunate enough to avoid the ill-effects of taking antipsychotics (eps, akathisia, dysphoria, cognitive and affective dulling, etc.). And there's always Neuroleptic Malignancy Syndrome...watch out for that.I know you're not a fan of antipsychotics and I'm not a fan needing to take one for my functionality, but that is a broad spectrum generalization of neuroleptics in general, though I agree EPS is a possibility even with one single dose but that usually is more with typicals than atypicals -- however, a lot of the strong atypicals can produce it too, but then even some people react with akathisia with Seroquel, so who knows.
NMS is extremely rare, and on a single dose would be one for a letter to the editor of a psychiatric journal.
> Also, sometimes antipsychotics, epsecially used over the long-term, make panic *worse* or induce panic. Its probably because the dopamine blocking action creates chemically-induced Parkinson's (even before Parkinson's shows itself in muscle twitches and what not, patients will present with apathy, increased anxiety, panic attacks....basically all things that can also happen with antipsychotic usage).Lets say I agree to disagree. Panic is also induced in some people by incredible fear and sometimes, even for a brief period, a neuroleptic can reduce that. Yes, I don't like being dulled, and I need to "experience" the world -- but at the same time, experiencing it means possibly having my complex of anxiety back. It's a touchy balance. Anyhow, that's just a very long personal journey and not to be taken as what anyone else might feel.
As for the primary posting, I would agree and noted that a benzodiazepine would probably quell it and it would be far less flattening on the system, one could go about their business instead of being sedated for 6+ hours -- and with a TCA, could be sedated for an entire day if one isn't used to it.
-- tidings
Jay
poster:yxibow
thread:854647
URL: http://www.dr-bob.org/babble/20080926/msgs/855032.html