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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 31. This is the beginning of the thread.
Posted by Jeroen on August 30, 2009, at 9:25:22
time for Seroquel XR - available Belgium in september
no idea of the tolerance issue has been fixed or my body will accept the new formula differently
i'm also taking Abilify, will it blocks anti depressant or anti psychotic effect of the Seroquel XR
will ask my doctor for a low dosage to start with and build upto 400-800 mg
XR XR XR XR XR XR XR XR XR XR XR XR XR XR :)
Posted by Phil on August 30, 2009, at 9:44:36
In reply to time for Seroquel XR - available Belgium september, posted by Jeroen on August 30, 2009, at 9:25:22
Don't know the technical aspects but I'm happy you're getting another weapon in the arsenal.(America talk...all guns all the time) lol
Posted by Jeroen on August 30, 2009, at 10:23:06
In reply to Re: time for Seroquel XR - available Belgium september » Jeroen, posted by Phil on August 30, 2009, at 9:44:36
Phil cool isn't it?
Posted by SLS on August 30, 2009, at 10:25:10
In reply to time for Seroquel XR - available Belgium september, posted by Jeroen on August 30, 2009, at 9:25:22
Good luck, Jeroen.
Don't forget about Risperdal + Seroquel.
I know you are getting sick and tired of me saying that, but it is a combination that you have not tried yet.
- Scott
Posted by Jeroen on August 30, 2009, at 10:31:44
In reply to Re: time for Seroquel XR - available Belgium september, posted by SLS on August 30, 2009, at 10:25:10
i tried risperidal and it made me zombie same with 6 mg of invega
Posted by SLS on August 30, 2009, at 10:52:09
In reply to To SLS, posted by Jeroen on August 30, 2009, at 10:31:44
> i tried risperidal and it made me zombie same with 6 mg of invega
You would only need 3.0mg.
How long were you on Risperdal before you discontinued it?
I felt a bit like a zombie on Risperdal during the first week. Afterwards, I was ok.
Risperdal might be the wrong drug for you, but I just wanted to make sure that you gave it a fair trial.
Only trying to help...
- Scott
Posted by Jeroen on August 30, 2009, at 10:56:44
In reply to Re: To SLS » Jeroen, posted by SLS on August 30, 2009, at 10:52:09
it simply doesnt make me happy and psychosis isnt entirely gone, why take it then? my doctor sais i'm not going to give you Risperdal
Posted by Phillipa on August 30, 2009, at 11:03:20
In reply to Re: To SLS, posted by Jeroen on August 30, 2009, at 10:56:44
Jeroen have you now changed clinics or is this the same doc? Glad your're getting the seroquel XR. Phillipa
Posted by SLS on August 30, 2009, at 12:02:00
In reply to Re: To SLS, posted by Jeroen on August 30, 2009, at 10:56:44
> it simply doesnt make me happy and psychosis isnt entirely gone, why take it then? my doctor sais i'm not going to give you Risperdal
I understand completely.
I know it is easy to say and so difficult to do, but try to be patient with the Seroquel. I want to impress upon you that you are not treating depression, where it might take only a few weeks to respond. You are treating a schizoid disorder, which can take MONTHS to respond to treatment.
Good luck. I hope you hit the bullseye this time.
- Scott
Posted by jms600 on August 30, 2009, at 12:09:57
In reply to time for Seroquel XR - available Belgium september, posted by Jeroen on August 30, 2009, at 9:25:22
> time for Seroquel XR - available Belgium in september
>
> no idea of the tolerance issue has been fixed or my body will accept the new formula differently
>
> i'm also taking Abilify, will it blocks anti depressant or anti psychotic effect of the Seroquel XR
>
>
>
> will ask my doctor for a low dosage to start with and build upto 400-800 mg
>
> XR XR XR XR XR XR XR XR XR XR XR XR XR XR :)
I took Seroquel XR as an augmentation to Cipralex about 18 months back. I went up to 200mg of Seroquel and it didn't really seem to do much to help my depression and anxiety at that dose.
Posted by SLS on August 30, 2009, at 12:14:37
In reply to Re: time for Seroquel XR - available Belgium september, posted by jms600 on August 30, 2009, at 12:09:57
> I took Seroquel XR as an augmentation to Cipralex about 18 months back. I went up to 200mg of Seroquel and it didn't really seem to do much to help my depression and anxiety at that dose.
If you still would like to continue to try antipsychotics, I would recommend you take a look at Geodon to add to the Cipralex.
- Scott
Posted by Phil on August 30, 2009, at 12:15:24
In reply to america talk, posted by Jeroen on August 30, 2009, at 10:23:06
It's allllright. Good luck, my friend.
Posted by Maxime on August 30, 2009, at 12:47:06
In reply to time for Seroquel XR - available Belgium september, posted by Jeroen on August 30, 2009, at 9:25:22
I hope the Seroquel XR helps you. That's a good idea to get to a high dosage. I think you will be able to tolerate it. Good luck!
Posted by Jeroen on August 30, 2009, at 12:47:29
In reply to Re: time for Seroquel XR - available Belgium september » jms600, posted by SLS on August 30, 2009, at 12:14:37
geodon and cipralex? is dangerous
it had a really bad serotoenergic effect on me
i wont do it
Posted by SLS on August 30, 2009, at 13:12:14
In reply to geodon and cipralex? is dangerous, posted by Jeroen on August 30, 2009, at 12:47:29
> geodon and cipralex? is dangerous
>
> it had a really bad serotoenergic effect on me
>
> i wont do itWhat do you consider to be a "bad serotonergic effect"? Can you describe the symptoms you displayed?
That exact combination saved a friend of mine from a life of misery.
I understand that Geodon is a reuptake inhibitor. However, clinically, it doesn't seem to provoke a serotonin syndrome in the people I know who have used it as an augmenter of SRIs. Me included.
- Scott
Posted by Jeroen on August 30, 2009, at 13:23:41
In reply to Re: geodon and cipralex? is dangerous » Jeroen, posted by SLS on August 30, 2009, at 13:12:14
i had unknown stumach pains, agitation, change in personality but it went away after i stopped taking the geodon and continue taking the cipralex 10 mg
Posted by Jeroen on August 30, 2009, at 13:28:55
In reply to Re: geodon and cipralex? is dangerous, posted by Jeroen on August 30, 2009, at 13:23:41
hi maxime, i propably have severe tachardia again on XR, but who knows
im blocked with other meds,Zyprexa dont work
Abilify dont takes psychosis entire away
Seroquel only that worked but pooped out
Geodon, never worked and got TD
Clozapine never did a damn thing and coudnt swallow normalSSRI like paxil just gave me more energy not psychosis good feeling
Solian never worked
Sulpiride, did something but not it, could be the abilify blocking its effects, tryed to go higher dosage and got pannick attacks so didnt go up more
Risperidone & Invega, did nothing and make me a zombie
Posted by SLS on August 30, 2009, at 13:44:50
In reply to Re: geodon and cipralex? is dangerous, posted by Jeroen on August 30, 2009, at 13:23:41
> i had unknown stumach pains, agitation, change in personality but it went away after i stopped taking the geodon and continue taking the cipralex 10 mg
I don't understand how you ascribe serotonin toxicity to these things.
I believe you when you say that you had a bad reaction, but why serotonin? Some of the symptoms you describe overlap with those of serotonin syndrome, but taken as a whole, I have to question the certitude with which you arrived to your conclusion.
* Irritability
* Delirium
* Loss of consciousness
* Fits
* Restlessness
* Increased reflexes
* Stiffness
* Shaking
* Pain in the abdomen
* Diarrhoea
* Sweating
* Increased temperature
* High blood pressure
* Increased heart rate
* Sweating
* Shivering
* Tremor
* Mental status changes
* Restlessness
* Increased reflexes- Scott
Posted by Jeroen on August 30, 2009, at 13:55:57
In reply to Re: geodon and cipralex? is dangerous » Jeroen, posted by SLS on August 30, 2009, at 13:44:50
i'm so sad right now :( just crawling into my bed
when is this suffering going to end for us all?
they say therapy isnt a miracle thing, lol that's why i see cured people also people induced with psychosis
Posted by SLS on August 30, 2009, at 14:08:57
In reply to Re: geodon and cipralex? is dangerous, posted by Jeroen on August 30, 2009, at 13:55:57
> i'm so sad right now :( just crawling into my bed
>
> when is this suffering going to end for us all?
>
> they say therapy isnt a miracle thing, lol that's why i see cured people also people induced with psychosis
You are an amazing survivor. You always remain committed to living rather than dying. I admire this greatly.
- Scott
Posted by yxibow on August 30, 2009, at 19:15:11
In reply to Re: geodon and cipralex? is dangerous » Jeroen, posted by SLS on August 30, 2009, at 13:44:50
> > i had unknown stumach pains, agitation, change in personality but it went away after i stopped taking the geodon and continue taking the cipralex 10 mg
>
> I don't understand how you ascribe serotonin toxicity to these things.
>
> I believe you when you say that you had a bad reaction, but why serotonin? Some of the symptoms you describe overlap with those of serotonin syndrome, but taken as a whole, I have to question the certitude with which you arrived to your conclusion.
>
> * Irritability
> * Delirium
> * Loss of consciousnessNot to be terribly morbid, but also death (probably the coma part).
And people who are experiencing true (not retrograde) SS may not even be aware of it. Just as NMS, but in a slightly different way.
The symptoms overlap in those syndromes a bit.
One entering a true SS if they're aware would know it, high fever and delirium, and exaggerated psychiatric and organic.
If I ever had it, it was so mild as to be sub-clinical and pretty resolvable within days.
-- Jay
Posted by SLS on August 31, 2009, at 4:03:02
In reply to Re: geodon and cipralex? is dangerous » SLS, posted by yxibow on August 30, 2009, at 19:15:11
> > > i had unknown stumach pains, agitation, change in personality but it went away after i stopped taking the geodon and continue taking the cipralex 10 mg
> >
> > I don't understand how you ascribe serotonin toxicity to these things.
> >
> > I believe you when you say that you had a bad reaction, but why serotonin? Some of the symptoms you describe overlap with those of serotonin syndrome, but taken as a whole, I have to question the certitude with which you arrived to your conclusion.
> >
> > * Irritability
> > * Delirium
> > * Loss of consciousness
>
> Not to be terribly morbid, but also death (probably the coma part).
>
> And people who are experiencing true (not retrograde) SS may not even be aware of it. Just as NMS, but in a slightly different way.
>
> The symptoms overlap in those syndromes a bit.
>
> One entering a true SS if they're aware would know it, high fever and delirium, and exaggerated psychiatric and organic.
>
>
> If I ever had it, it was so mild as to be sub-clinical and pretty resolvable within days.There was one time that I was so desperate, that I wanted to see for myself whether or not combining an SRI with Parnate would precipitate a SS event. I chose Effexor as the SRI because it had a shorter half-life than the other drug I had available. I began displaying SS symptoms within 45 minutes, maybe less. I became incoherent and was talking jibberish to my parents. I could not get out of bed because my muscles were so rigid. I don't remember very much more about the episode except that I managed to somehow ask my parents to take my temperature. It was not elevated, so I decided there was nothing to worry about, and I resumed talking jibberish. It took about 2 hours to pass. I got lucky.
- Scott
Posted by Jeroen on August 31, 2009, at 4:10:47
In reply to Re: geodon and cipralex? is dangerous » yxibow, posted by SLS on August 31, 2009, at 4:03:02
that's horrible!
Posted by yxibow on August 31, 2009, at 22:48:24
In reply to Re: geodon and cipralex? is dangerous » yxibow, posted by SLS on August 31, 2009, at 4:03:02
> There was one time that I was so desperate, that I wanted to see for myself whether or not combining an SRI with Parnate would precipitate a SS event. I chose Effexor as the SRI because it had a shorter half-life than the other drug I had available. I began displaying SS symptoms within 45 minutes, maybe less. I became incoherent and was talking jibberish to my parents. I could not get out of bed because my muscles were so rigid. I don't remember very much more about the episode except that I managed to somehow ask my parents to take my temperature. It was not elevated, so I decided there was nothing to worry about, and I resumed talking jibberish. It took about 2 hours to pass. I got lucky.
I'm sorry to hear that, Scott.Those are all the major signs of SS.
I won't pry if you don't want to say that you had thoughts of harming yourself. From what I gather it could be a not thought through plan to try to get through a very painful period of depression.
I'm glad you came through that because that could land someone in the ICU.
We really only have acetaminophen or aspirin to stop things -- I've looked through all the esoteric NSAIDs and while they may mention antipyretic in the description, they're pretty much meant for specific types of arthritis, for people who have been taking them for years.
There is no new antipyretic... I mean maybe for some ibuprofen works, but it doesn't do anything for me for fever, only pain, and I'm a pretty high metabolizer of it, in terms of amount.
I know some doctor had told me when I had a flu and I had a fever of 104+ to combine acetaminophen and ibuprofen back and forth. I have heard of this strategy before. I don't know the mechanism or whether it works for everyone.
Its curious there's no new research into things that are purely antipyretic for intensive care. Mainly into pain relievers and at COX-2 and other sites of the brain.
Basically supportive care.. sometimes ice even, although that is controversial because it can shock the patient into even something worse.
Anyhow, this is off topic, but something I've thought about before.
-- tidingsJay
Posted by Jeroen on August 31, 2009, at 23:05:49
In reply to Re: geodon and cipralex? is dangerous » SLS, posted by yxibow on August 31, 2009, at 22:48:24
ibuprofen is no longer combatting the pain of my teeth infection
:( i took 4 todayanother poop out med
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