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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Jeroen on December 15, 2008, at 5:53:47
want to try Seroquel XR 400 mg for lamictal psychosis
after newyearis it possible i dont have the tachardia side effect with the XR version like in the IR i have tachardia attacks above 225 mg of seroquel IR
Posted by Phillipa on December 15, 2008, at 12:32:14
In reply to want to try Seroquel XR 400 mg for lamictal psycho, posted by Jeroen on December 15, 2008, at 5:53:47
Jeroen have you spoken about it with your doc? Love Phillipa
Posted by Jeroen on December 15, 2008, at 12:56:29
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » Jeroen, posted by Phillipa on December 15, 2008, at 12:32:14
yes
Posted by yxibow on December 20, 2008, at 1:57:23
In reply to want to try Seroquel XR 400 mg for lamictal psycho, posted by Jeroen on December 15, 2008, at 5:53:47
> want to try Seroquel XR 400 mg for lamictal psychosis
>
>
> after newyear
>
> is it possible i dont have the tachardia side effect with the XR version like in the IR i have tachardia attacks above 225 mg of seroquel IR
Well I wish you the best on a trial -- I mean, its conceivable that peak plasma levels might be different, but generally if you're getting the same side effect with a substance, you'll get the same side effect with it in another format.There are some exceptions, sour stomach with dissolvable formats, lessening of risk of seizures with extended release Wellbutrin, less possibility of hypertensive crisis with -only- the lowest form of the EMSAM patch vs. selegeline.
On the other hand, if you've gotten angioedema or rashes with the clonidine patch, you can't take the pill form again or you may risk serious angioedema.
As for the tachycardia, how exactly are you or your doctors defining it? I mean, some medications, noradrenergic effects can be uncomfortable at 90-100bpm, but they're not life threatening and side effects can be mitigated with occasional use of beta blockers.
You're only going into tachycardia >150-160bpm or even more in older individuals I believe, and if that is happening, covering up a serious medical condition as opposed to rapid pulse is not the best idea.
I still don't see how by this point Lamictal would have anything to do with your current level of psychosis, but I suppose anything is possible.--best wishes
Jay
Posted by Jeroen on December 20, 2008, at 3:44:42
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » Jeroen, posted by yxibow on December 20, 2008, at 1:57:23
the new symptoms i experience after lamictal are simply psychotic due to an overproduce of dopamine in my brain
abilify is treating it 2 hours after intake
zyprexa making it worse and clozapine too
Posted by yxibow on December 20, 2008, at 19:20:37
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho, posted by Jeroen on December 20, 2008, at 3:44:42
> the new symptoms i experience after lamictal are simply psychotic due to an overproduce of dopamine in my brain
But I, theoretically have some overproduction at D2 just by deducing from what I have taken, for my rare visual somatoform disorder. There's no etiology, how and where it comes from, but its innate.
I assume by you having a condition in the schizophrenic spectrum of disorders would also, for reasons we don't completely understand have over production at Dx and possibly at 5HTx and other centers.
The Lamictal was just a drug you tried quite a while ago -- its very unfortunate and we all here feel a lot for you, but its your body (and not your fault at all -- dont see this as critical and don't blame yourself for it, I have enough self-blame of my own problems, I know I can get caught in that) that continues to produce the dopamine problems, not a drug that you haven't taken for ages --
--- like I said, anything is rarely possible to have shifted a balance, but by now also by that very note, your disorder and the psychosis it produces has also shifted it another direction I'm sure over time.
> abilify is treating it 2 hours after intake
>
> zyprexa making it worse and clozapine tooWell maybe Zyprexa is not the drug for you, and I know you had problems with Clozaril with bad side effects and abandoned it but I still believe that if you continued to try it, something else may have happened better -- but I have no crystal ball. I can't tell you what the right agent for it.
It sounds like Abilify is working for you at least in part, maybe you need to continue to take it and possibly raise the dose a little bit, however your doctors see it.
But don't split an XR, there is no point and it could be negative.
-- best wishes
-- Jay
Posted by SLS on December 29, 2008, at 6:20:27
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » Jeroen, posted by yxibow on December 20, 2008, at 19:20:37
Hi Jay.
Does low-dosage Abilify make your condition worsen?
- Scott
Posted by Jeroen on December 29, 2008, at 9:47:23
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » yxibow, posted by SLS on December 29, 2008, at 6:20:27
no better
Posted by yxibow on December 30, 2008, at 0:18:41
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » yxibow, posted by SLS on December 29, 2008, at 6:20:27
> Hi Jay.
>
> Does low-dosage Abilify make your condition worsen?
>
>
> - Scott
I can't take anything but Seroquel because of EPS -- I'm very sensitive now to neuroleptics, especially with an affective disorder.
Seroquel "worked" for about 5 1/2 years and then everything fell apart when I got scared and depressed -- needn't go back to that time but I was really worse off than now even though I think I can't get back there.
Abilify if I recall I thought would be a wonder because of its D2/-D2 action but it was just as akathisia making as Geodon.I already have two movement disorders as it is, so naturally you can see my hesitation of anything but the least cumulative impacting on my body.
A rare non-tardive orobuccal tic with vocalizations and probable TDy (tardive dystonia) in my legs (arms too, but legs hurt more) from one month of Zyprexa where I had stiffness as EPS, it didn't go away. Seroquel and Valium are probably covering it, I don't know.I'm overweight so the dystonia in my feet is compounded by osteoarthritis.
I hope I can lose the weight that I gained with Seroquel, its so hard to control my intake, and exercise is hard because of multiple things that the Seroquel is not covering now, including distractions, audio and visual so I don't know if I can go back to the gym.
But I'm going on, I didn't mean to make this a whole downer, its just reality, or how I feel anyhow.
I want to overcome it and have my dream of hiking and biking back again. I used to be avid at both.
There's a 10,000 foot mountain that I always wanted to climb, I've done part of it years ago.
Anyhow -- that's enough for now, unless someone is interested in my ramblings....
Seasons greetings and a happy new year to all and may your wishes and hopes be a better reality.
-- Jay
Posted by Jeroen on December 30, 2008, at 0:53:05
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » SLS, posted by yxibow on December 30, 2008, at 0:18:41
hi, yes im interested
i hope we get both better
Posted by SLS on December 30, 2008, at 6:45:43
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » SLS, posted by yxibow on December 30, 2008, at 0:18:41
Jay,
> Anyhow -- that's enough for now, unless someone is interested in my ramblings....
Always.
I'm sure you realize that I am not trying to pry. I'm just brainstorming. I sometimes get the silly idea that there is something that I might be able to do in order to help.
I get the feeling that you rarely "vent". I am fairly particular as to when and to whom I vent. I really don't like doing it because I assume it will be a "downer" and have no other value. I feel somehow less strong for venting.
I hope you feel somehow better, even if only temporarily, for having shared your story. I appreciate that your words probably really don't work to uncover much but the tip of the iceberg. A whole lot of people here like you and have an enormous respect for the knowledge, understanding, and compassion you display.
> Seasons greetings and a happy new year to all and may your wishes and hopes be a better reality.Thank you. You are to be included in my wishes as well.
- Scott
Posted by SLS on December 30, 2008, at 8:08:41
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » yxibow, posted by SLS on December 30, 2008, at 6:45:43
Which of the typical neuroleptics have you tried?
Perphanazine?
Sorry...
You can't blame a guy for trying.
:-)
- Scott
Posted by yxibow on December 31, 2008, at 5:22:38
In reply to Re: want to try Seroquel XR 400 mg for lamictal psycho » yxibow, posted by SLS on December 30, 2008, at 6:45:43
> Jay,
>
> > Anyhow -- that's enough for now, unless someone is interested in my ramblings....
>
> Always.
>
> I'm sure you realize that I am not trying to pry. I'm just brainstorming. I sometimes get the silly idea that there is something that I might be able to do in order to help.Not at all -- it wasn't that I thought anyone was trying to pry but I realized that I was going on about myself when I was trying to respond to someone else.
> I get the feeling that you rarely "vent". I am fairly particular as to when and to whom I vent. I really don't like doing it because I assume it will be a "downer" and have no other value. I feel somehow less strong for venting.
Well, I know you have had your journey through struggle and triumph, and while I can never create the world before Nov 17-18, 2001 again, as while examining the past and remembering it as a time of your life is a good thing, continuing to live there misses the present and if you live in the future you also never will see the changes, so you live in the Here and Now.
How much I always try to remind and remember that life is a temporary existence to push to its fullest isn't always the easiest when you're caught in something that is so strange and foreign of a disorder, its like I was struck by lightning or something and transported to Mars.Of course, I'm being grandiose there, I know fully well who I am and am not taking medications for their fully intended purpose, not that anyone with a florid psychosis should be looked upon any less, because they certainly wish they didn't have their struggle any more either.
And I do vent in therapy, a lot. Its a safe place to do so and I'm very lucky to have parents who care about me and can give that love through the guidance of two very good professionals. At the same time, of course that's a core issue too, my parents getting older and being the adult child and a 7 year "vacation" that I never wanted.Though I may have issues that I won't delve quite into about being very afraid of "living" -- i.e. going out into life, I miss the times in college when I was for all the problems I had, independent. I'm not the average person who camps on their parent's sofa. Its hard forcing yourself to get beyond your own preconceptions when others have more hope for you than the disastrous things you see.
> I hope you feel somehow better, even if only temporarily, for having shared your story. I appreciate that your words probably really don't work to uncover much but the tip of the iceberg. A whole lot of people here like you and have an enormous respect for the knowledge, understanding, and compassion you display.
You know, Scott, that makes me very happy that I can impart some of what I have learned, and that's exactly why I try and come back to this site even when I may have administrative disagreements because I feel that there is something nice about trying to help people, even if you are operating just on personal experience and everyone is different in their own way.
-- tidings-- Jay
This is the end of the thread.
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