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Dr. Bob is Robert Hsiung, MD,
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Posted by Sprat on March 30, 2019, at 22:10:04
Hi all
I've been on several different antidepressants for the last 20 years for agoraphobia. They keep pooping out on me :(
My pdoc decided to add on risperidone when the last one pooped out and it has worked brilliantly. I'm currently on 40mg paroxetine, 0.5mg risperidone and 25mg amitriptyline (for bladder pain). The only problem is the fatigue that the risperidone causes. I've been on it for about 4 years, and it was OK when I was working part time, but now I'm working closer to full time hours I'm completely shattered come the weekend. I spend half the time in bed when I'd rather be playing with my son. Any suggestions for mitigating the fatigue? I'm currently chugging caffeine and that's not cutting it.
cheers
Sprat
Posted by Christ_empowered on April 2, 2019, at 14:47:03
In reply to Risperidone fatigue - ways to mitigate it?, posted by Sprat on March 30, 2019, at 22:10:04
hi. sorry about your situation. abiify works for me at a full dose (meaning the dose they use in the original indications, not low doses), and the fatigue is fairly minimal. even there, i have a dosage i dont exceed...even without overt sedation, the tranquilizers...well...tranquilize, sometimes a bit too much.
so, obviously, id say maybe ask about a low dose of abilify. it has a long half life, so if the prescriber person thinks its worth a shot, keep in mind that -some- 'experts' recommend a low dose every 2nd or even 3rd day, not daily.
geodon. latuda. if you have excellent insurance coverage, id personally try latuda over geodon...i think the cardio-toxicity is less of an issue with latuda (scary, i know).
stimulants. ritalin was better -for me- when i was prescribed uppers and also neuroleptics than amphetamines. some people do better on a low dose of, say, adderall than on a moderate dose of ritalin, so...its between you and the doctor(s) involved.
provigil/nuvigil. i cannot say from personal experience if this is good or not, but some people swear by it. insurance coverage can be tricksy, i dont know anything about the company vouchers (sorry).
sometimes wellbutrin is used in people dealing with sedation and such from neuroleptics. given what you're already on, id ask about provigil/nuvigil, ritalin, or an amphetamine. antidepressants, including wellbutrin, can mess with blood levels of other drugs....
and wellbutrin does have the seizure risk at higher doses, plus adding antidepresants often increases neuroleptic blood levels, so...there's that, plus the tca to consider. but...again; talk to the doctor(s) and you might also want to see if your medical coverage has a list of "preferred drugs."
good luck :-)
This is the end of the thread.
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