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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Phidippus on September 15, 2010, at 13:57:28
Invega is causing me horrible akathisia, to the point of wishing I were dead. What's the best way to treat akathisia.
P
Lithium 1200 mg
Anafranil 200 mg
Gabitril 24 mg
Invega 6 mg
Keppra 1000 mg
Vyvanse 40 mg
Posted by ed_uk2010 on September 15, 2010, at 15:03:25
In reply to Akathisia, posted by Phidippus on September 15, 2010, at 13:57:28
The best way to treat akathisia is to discontinue or significantly reduce the dose of the drug which is causing it.
> Invega is causing me horrible akathisia, to the point of wishing I were dead. What's the best way to treat akathisia.
>
> P
> Lithium 1200 mg
> Anafranil 200 mg
> Gabitril 24 mg
> Invega 6 mg
> Keppra 1000 mg
> Vyvanse 40 mg
>
Posted by Phillipa on September 15, 2010, at 16:42:33
In reply to Re: Akathisia, posted by ed_uk2010 on September 15, 2010, at 15:03:25
Isn't that the invega? Phillipa
Posted by SLS on September 15, 2010, at 17:20:37
In reply to Re: Akathisia, posted by ed_uk2010 on September 15, 2010, at 15:03:25
> The best way to treat akathisia is to discontinue or significantly reduce the dose of the drug which is causing it.
If the offending drug is absolutely necessary, besides propranolol, what other remedies are available? I have read things suggesting that clonidine, mirtazapine, and cyproheptadine are effective.
- Scott
Posted by SLS on September 15, 2010, at 17:23:00
In reply to Akathisia, posted by Phidippus on September 15, 2010, at 13:57:28
Hi Phidippus.
> Invega is causing me horrible akathisia,
I'm sorry to hear that. I cannot imagine.
> P
> Lithium 1200 mg
> Anafranil 200 mg
> Gabitril 24 mg
> Invega 6 mg
> Keppra 1000 mg
> Vyvanse 40 mgWhat is the Gabitril for?
- Scott
Posted by Phidippus on September 15, 2010, at 17:26:22
In reply to Re: Akathisia » ed_uk2010, posted by SLS on September 15, 2010, at 17:20:37
Artane, Cogentin, Beta Blockers, Requip, Mirapex, Benzatropine, Vitamin b6,N Acetyl Cysteine...
P
Posted by Phidippus on September 15, 2010, at 17:30:32
In reply to Re: Akathisia » Phidippus, posted by SLS on September 15, 2010, at 17:23:00
Gabitril treats my Epilepsy, treats my anxiety and treats my ocd. Probably provides some mood stability, too.
P
Posted by emmanuel98 on September 15, 2010, at 20:53:46
In reply to Re: Akathisia » SLS, posted by Phidippus on September 15, 2010, at 17:30:32
When I had bad akathesia from 36mg of perphenazine, my doctor told me to take benadryl and that worked right away.
Posted by Phillipa on September 15, 2010, at 21:32:38
In reply to Re: Akathisia, posted by emmanuel98 on September 15, 2010, at 20:53:46
I would think the cogentin would do that? Phillipa
Posted by ed_uk2010 on September 16, 2010, at 13:45:40
In reply to Re: Akathisia » SLS, posted by Phidippus on September 15, 2010, at 17:26:22
> Artane, Cogentin, Beta Blockers, Requip, Mirapex, Benzatropine, Vitamin b6,N Acetyl Cysteine...
I don't think it makes sense to combine a dopamine agonist such as Requip with a dopamine antagonist (antipsychotic). It would be much better just to reduce the dose of the antipsychotic.
Posted by ed_uk2010 on September 16, 2010, at 13:50:19
In reply to Re: Akathisia » ed_uk2010, posted by SLS on September 15, 2010, at 17:20:37
> > The best way to treat akathisia is to discontinue or significantly reduce the dose of the drug which is causing it.
>
> If the offending drug is absolutely necessary, besides propranolol, what other remedies are available? I have read things suggesting that clonidine, mirtazapine, and cyproheptadine are effective.I think akathisia is a sign that the antipsychotic dose is too high ie. excessive dopamine antagonism is present. Akathisia is very distressing and can lead to an exacerbation of psychosis. Benzodiazepines such as diazepam and anticholinergics such as diphenhydramine can be used temporarily.
This is the end of the thread.
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