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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by JonW on August 28, 2002, at 15:50:57
Hi all,
I posted a message a few weeks ago about a stiff neck when I was comming off of Nardil and it still has not gone away. I also have muscle rigidity that is noticeable when doing a situp or pushup for example.
Anyway, I was previously on a low dose of Risperdal while on Nardil and wonder if this isn't an EPS from the Risperdal. If so, how long does it take to go away? I don't know anything about EPS or if that's what I'm even experiencing, but any input is much appreciated.
Thanks,
Jon
Posted by Ritch on August 29, 2002, at 0:10:55
In reply to Stiff neck, rigidity, EPS???, posted by JonW on August 28, 2002, at 15:50:57
> Hi all,
>
> I posted a message a few weeks ago about a stiff neck when I was comming off of Nardil and it still has not gone away. I also have muscle rigidity that is noticeable when doing a situp or pushup for example.
>
> Anyway, I was previously on a low dose of Risperdal while on Nardil and wonder if this isn't an EPS from the Risperdal. If so, how long does it take to go away? I don't know anything about EPS or if that's what I'm even experiencing, but any input is much appreciated.
>
> Thanks,
> JonJon,
The last time I experienced EPS was with Risperdal. It took a few weeks to completely fade after I stopped it. You have mentioned taking Geodon as well. Other posters have complained about EPS associated with Geodon. I get milder dystonia from SSRI's as well. I am taking a low-dose of Effexor now and it "gets" me in my upper back-neck muscles (it is very mild though-and I dont' mind it). Celexa and Prozac "gets" me in my throat (lump in throat-muscles very tight). Also, withdrawing from the Nardil may have precipitated part of it. You have got a reduction of DA circulating around and it could be affecting your motor circuits. Have you considered selegiline?
Mitch
Posted by action_jackson on August 29, 2002, at 2:28:03
In reply to Re: Stiff neck, rigidity, EPS??? » JonW, posted by Ritch on August 29, 2002, at 0:10:55
Before A/P's there was virtually no drug induced tardive eps (any effect lingering > 1 month including simple non a/p drug sensitivity).
If you never had eps prior to an a/p - but did after - almost for sure the a/p caused your eps and continuing problems with med sensitivity. For example normally people will not react to SSRI or MAOI's with dystonia - unless they have sustained a brain lesion from an a/p previously.
Polypharmacy with an a/p can change the risks involved - usually increasing risks...
Continued use of A/p's can make the problem worse and/or more chronic.
Chad / Action Jackson
Posted by JonW on August 29, 2002, at 2:34:29
In reply to Re: Stiff neck, rigidity, EPS??? » JonW, posted by Ritch on August 29, 2002, at 0:10:55
> The last time I experienced EPS was with Risperdal. It took a few weeks to completely fade after I stopped it. You have mentioned taking Geodon as well. Other posters have complained about EPS associated with Geodon. I get milder dystonia from SSRI's as well. I am taking a low-dose of Effexor now and it "gets" me in my upper back-neck muscles (it is very mild though-and I dont' mind it). Celexa and Prozac "gets" me in my throat (lump in throat-muscles very tight). Also, withdrawing from the Nardil may have precipitated part of it. You have got a reduction of DA circulating around and it could be affecting your motor circuits. Have you considered selegiline?
Mitch,
What you describe sounds very similar to what I am experiencing. I would describe it as mild but rather annoying. I can't sit for very long times, etc. I have tried stopping the Geodon but only briefly and went back on it. Currently, I am giving it another go without it for a bit longer to see if this goes away. I recently started moclobemide so maybe this will at least do something similar to the selegiline idea.
Thanks again,
Jon
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