![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Sheilac on May 17, 2016, at 13:05:19
I'm taking 2500mg of Keppra and 200mg of Geodon. I take all my Geodon at night. If I try to take any geodon even during the day it makes me sleepy, but it doesn't seem to make me sleepy at night!
I'm having terrible shakiness during the day and it gets worse the closer I get to taking my next dose of Geodon. I hate feeling this way.
I've tried splitting my Geodon dose, but then I have to take a nap a few hours after I take it in the day. It's just not worth taking it during the daytime.
Why am I so shaky? Xanax helps, but I don't know if it's actually anxiety I'm feeling. Could Geodon cause excessive shakiness or anxiety?
I feel so mixed up. I'm also having insomnia. I dose myself with Benadryl & a muscle relaxer (zanaflex).
Coffee only makes the shakiness worse in the morning.
Any suggestions? Am I missing something? It seems like the Geodon is the one causing the problems, but it has taken away my mania.
Posted by J Kelly on May 17, 2016, at 13:37:01
In reply to Very shaky the next day! Help, posted by Sheilac on May 17, 2016, at 13:05:19
> I'm taking 2500mg of Keppra and 200mg of Geodon. I take all my Geodon at night. If I try to take any geodon even during the day it makes me sleepy, but it doesn't seem to make me sleepy at night!
>
> I'm having terrible shakiness during the day and it gets worse the closer I get to taking my next dose of Geodon. I hate feeling this way.
>
> I've tried splitting my Geodon dose, but then I have to take a nap a few hours after I take it in the day. It's just not worth taking it during the daytime.
>
> Why am I so shaky? Xanax helps, but I don't know if it's actually anxiety I'm feeling. Could Geodon cause excessive shakiness or anxiety?
>
> I feel so mixed up. I'm also having insomnia. I dose myself with Benadryl & a muscle relaxer (zanaflex).
>
> Coffee only makes the shakiness worse in the morning.
>
> Any suggestions? Am I missing something? It seems like the Geodon is the one causing the problems, but it has taken away my mania.I took Geodon and had to d/c it due to its side effects. It made me dead tired in the middle of the day, to the point where my eyes were shutting even while out in public. In addition I suffered extreme anxiety while taking it.
Can you switch to an AP or AAP with a "friendlier" s/e profile?
Good luck,
Jade
Posted by Sheilac on May 17, 2016, at 13:41:33
In reply to Re: Very shaky the next day! Help » Sheilac, posted by J Kelly on May 17, 2016, at 13:37:01
Any suggestions on AP or AAPs?
I tried & failed seroquel, risperdal & ability (ability also gave me akathesia).
Posted by J Kelly on May 17, 2016, at 13:55:16
In reply to Re: Very shaky the next day! Help » J Kelly, posted by Sheilac on May 17, 2016, at 13:41:33
> Any suggestions on AP or AAPs?
>
> I tried & failed seroquel, risperdal & ability (ability also gave me akathesia).I, too, had akathesia with Abilify. I'm currently taking Zyprexa, which I love, except it usually causes weight gain. If you can get past that s/e I'd definitely give it a go if your pdoc agrees.
Posted by herpills on May 21, 2016, at 18:45:18
In reply to Re: Very shaky the next day! Help » J Kelly, posted by Sheilac on May 17, 2016, at 13:41:33
I preferred Saphris over Geodon and it's great for sleep.
Could you lower the Geodon dose a little and still have the mania prevention?
Posted by Christ_empowered on May 23, 2016, at 7:56:51
In reply to Re: Very shaky the next day! Help » J Kelly, posted by Sheilac on May 17, 2016, at 13:41:33
what other meds are you taking? My concern is...well, you seem prone to akathisia with the newer meds, so the older ones are probably a no-go. The other issue is that you are female with a mood disorder, so your risk of long term problems (tardive dyskinesia, for example) is higher than, say, a male with schizophrenia.
If benzos help but you're still anxious/nervous/restless, you should talk to your doctor. You may want to consider a dosage reduction and maybe see about options that aren't neuroleptics. They're not for everybody.
There is a newer round of atypicals now...Vraylar, Rexulti, Latuda, Saphris...maybe some others I don't remember...one of those might be the way to go, if your insurance will cover it (increasingly an issue for a lot of people).
Akathisia can sometimes become long lasting, even permanent (tardive akathisia), so I think (personal opinion) you should see about a dose reduction or a switch. Simply suppressing the akathisia seems like a bad idea, especially since you have other options and you don't have a psychotic disorder.
Good luck!
Posted by Sheilac on May 23, 2016, at 11:38:46
In reply to Re: Very shaky the next day! Help, posted by Christ_empowered on May 23, 2016, at 7:56:51
Thanks! I will talk to my doc about these meds & my akathesia.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.