Jump to content
CrazyBoards.org

Recommended Posts

I'm dealing with a depressive downswing at the moment and I'm looking for some opinions so that I can go into next weeks pdoc appointment educated.

1. Does Geodon have an antidepressant effect? If so, will going up on the dose help?

2. If Geodon doesn't do much for depression, will adding an antidepressant help?

3. Is there a different anti-psychotic that might have a bit of a lift for mood?

4. My therapist mentioned today a drug that I didn't catch the name of and wondered if I was on it. It wasn't one I'd heard of before. Is there an antidepressant that works well with my current medications?

Please add anything else you think I might need to know. I've lost my train of thought now.

Link to comment
Share on other sites

Guest Vapourware

This is just my personal experience with ziprasidone/Geodon, but I found it to be really helpful with my moods. Before taking it, I had some issues with depression and once I started taking it, my mood lifted considerably. I found myself energetic and productive very quickly, to the point where I went from being something of a turnip to being back in full-time employment in about two weeks. I found 80mg to be helpful for a while, then later on I boosted it to 120mg. The recommended max for ziprasidone is 160mg, so you still have enough room to move.

In the greater scheme of things, taking 80mg of ziprasidone is not that much, so perhaps you might benefit from seeing how you'd go with a raise. If that fails, then you can consider other options like an AD. How an AD will play with the rest of your meds really is up to how your body will react...it's hard to gauge with much certainty what will, and what will not, play nicely until you've actually tried it.

I believe there's quite a few APs that have an AD effect? Although pharmacology is far from my strength, so take that with a hint of salt.

Link to comment
Share on other sites

Guest Vapourware

Yes, I generally found ziprasidone pretty sedating. Especially in the beginning - it would put me out like a light within the hour. I'd basically take it and then go to bed.

Link to comment
Share on other sites

Geodon is actually considered one of the more activating AAPs, mood wise, it's often used for depression, similarly to abilify, but has the added bonus for some people of making them extra sleepy. SOME people.

That being said, due to its short half life, the sleepiness can be a problem if it hits you hard.

Geodon is in fact SO similar to abilify in some regards that it's one I would NEVER consider, no thanks. But I think that Geodon is in fact often used for add on AAP for depressive sx, rather than some of the others, though they all have some effects in that regard, in various ways for various people. My magic AD AAP is risperdal for some reason, which I can't exactly figure out. But for some reason, it works better for my depression than any of the other AAPs. Go figure. We all react differently.

But, provided Super Mania on everything is not your problem, Geodon may not be a bad choice.

Anna

Link to comment
Share on other sites

Depending on how bad the sleepiness is, you could try increasing the geodon.

Abilify can also really helpful to people mood wise. i don't know if you are on the aap for psychosis or mood stabilization.

also, what antidepressants, if any, have you been on before?

have you been on any other antipsychotics?

And have you been on lithium? Adding lithium might be a good thing to try as well, because if you haven't, lithium is magic for some people!

Link to comment
Share on other sites

Depending on how bad the sleepiness is, you could try increasing the geodon.

Abilify can also really helpful to people mood wise. i don't know if you are on the aap for psychosis or mood stabilization.

also, what antidepressants, if any, have you been on before?

have you been on any other antipsychotics?

And have you been on lithium? Adding lithium might be a good thing to try as well, because if you haven't, lithium is magic for some people!

I tried abilify, discontinued it due to weight gain and ineffectiveness. I'm on an AAP for both mood stabilization and psychosis. About 10 years ago I had tried celexa but I don't remember how well that worked any more. I haven't been on lithium, but I have seen where people are on both lithium and lamictal at the same time. That's something I could maybe bring up with her. I think I need an antidepressant or something to add to my current mix.

Thanks everyone for the input.

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.

  • Similar Content

    • By Blahblah
      Has anyone (without a clinical thyroid disorder) tried Cytomel and had benefit with depression & fatigue? It seems most docs are resistant to trying it due to the possible heart/ bone density side effects.
      Even when it comes to thyroid disorders, There are some circles that disagree with the TSH lab ranges (what is "acceptable") and that TSH may not be good indicator of thyroid function for everyone anyway...
      I know T3 is rarely prescribed (even for ppl with thyroid issues). But I also read that in a few studies, folks with treatment-resistant depression (with no thyroid issues) can also benefit from using T3 as an add-on or "booster".
       
       
    • By Blahblah
      I banged my head (outer eyebrow near temple) a week ago, on a cabinet door. I'm wondering if anyone here has got a concussion from this sort of thing? How do you know for sure?
      I iced it for an hour immediately, so very minimal bruising, but had a large lump (which is going down). Its very tender. My temple and eyebrow still feel "achey" (it's not really a headache). I also feel extra lethargic with brain fog, abrupt worsening of mood. I go to doc tomorrow, but I read that MRI scans cannot show mild concussions (only bone fractures or brain bleeding) and I also wonder if it's just my depression getting worse (versus a head injury from a bump)...?
      I HATE going to the Dr for this sort of thing... because I don't want to be labeled as "malingering" or a hypochondriac mental case. Doctors always see a diagnosis of depression on my file (and meds I'm on) and of course (being a woman also), it makes them more apt to always write things off as psychological or stress-related. 😞
    • By Inanlae
      So for seventeen years I've had pain depression.  It especially feels like it's squeezing my heart.  It hasn't historically been *about* anything.  I've just chalked it up to biochemistry, heredity.  And I've thought about suicide, most days, for at least fifteen years - because pain sucks.  Ups-and-downs.  Roller-coasters.  Probably every person on here has done time at the worst torture theme park in the world.

      Two years ago, my cocktail started working.  There was some CBT and DBT in the mix too.  I decreased my daily Ativan from 3mg to 2mg.  Plus 20mg Latuda, 300mg Sertraline, 100mg Topamax.  I actually felt happy, for about two years, until this October.  Then it stopped working.  And I stopped working.  I work in a level I trauma center, where I identify cancer, anemia, and the effects of the coronavirus on the human body.  I feel like I have a front row seat to human suffering, without being empowered to ameliorate it, and it's another kind of torture.

      I am very tired of fighting.  If there was a euthanasia travel agency, where I could just walk in, plan my funeral and end-of-life arrangements, plan my ideal death, and just call this thing at 38, that would be a somewhat attractive option (not telling, The Tallest Man on Earth, flaming-Viking-burial-at-sea.)  I'm tired of fighting this disease, personally.  And I'm tired of coming up against the tsunami of "world suck" (H/T Vlog Brothers) which seems to be hate-fucking itself ad astra.

      So the strain theory, which I haven't read much on yet, is that we consider the termination of our lives when under one or more types of strain.  I personally find this theory hopeful, as targeting the sources of strain, i.e. "world stuck," could reduce the inducements to terminate one's life.  The General Strain Theory, according to one Wik I. Pedia cites loss of positive stimuli, addition of negative stimuli, or the inability to reach a desired goal, as three possible sources of strain.  I will follow up on this with my tdoc on Wednesday.  I think work is introducing negative stimuli, and I have a shit ton of unreached goals, but am starting to care about goals less and less.  Basically, it pisses me off that I've had to dramatically reduce my goals due to my diseases, and it's kind of tempting to just leave the party.  Please feel free to weigh in if you have personal and or academic experience with this.

      I'm also meeting virtually with my pdoc tomorrow... to tweak the cocktail.  Would love recommendations.  My current rx mix, dxs and rx, failures are in my signature.  Lamictal induces hives and vomiting.  Depakote causes dyskinesia.  Lithium ruined the thyroid and causes acute renal failure.  Medicine.  Ha ha.  Organ roulette.

      So the observation about different species of depression is that while for a decade-and-a-half I experienced what seemed like purely biochemical, chains-around-my-heart, tar-and-shark-filled, basements-beneath-basements depression.  This feels more like a rational(?) depression, which has me concerned about whether it will be responsive to biochemical therapy.

       
    • By Isaiah2017
      I'm having a hell of a hard time and experiencing rather weird symptoms. Whether they've anything to do with Mirtazapine (Remeron) is something that I strongly feel but can't quite convince any doctor of.   I was put on 15 mg of it in spring 2015 for depression and a severe insomnia - I hadn't slept an hour like since 25 nights back then! The benefits showed immediately within a day and surprised myself and my family. I would sleep well and be in a very happy and cheerful mood.   Then however, from summer 2016 I developed some strange food intolerances; caffeine, sugar, fruits containing high amounts of fructose, yoghurt, butter and so on. Eating anything of that would cause me jitteriness and insomnia. I steered clear of those foods.   From autumn last year though, a lot of those food intolerances have relented and it changed into intolerance towards medicines and supplements that I was on; the thyroid medicine for hypothyroidism, Vitamin D, Calcium, Vitamin E and could never again tolerate any new medicine or supplement. Symptoms resulting from these are, again, jitters, insomnia and a strange kind of feeling of being struck on the head, like I can't hear anything and the thinking becomes very unclear and blurred. Coupled with this is a weird sensation that if a medicine has any potential side-effect (even physical, such as urine retention), I get it at all costs. So I'm steering clear of the culprits here too.   However, avoiding the culprits doesn't end my misery, it just helps in avoiding a whole new set of symptoms, because since autumn 2016 I'm under constant brainfog anyway, have heart palpitations immediately after every meal (but worst after breakfast), have concentration and focus issues, lead a life without any hobbies, wishes or desires. Nothing excites me, nothing interests me and nothing catches my attention. Leave tasks pending for months (the most unlike me habbit), have badly lost my sense of humour. My sense of humour was something that I literally used to pride on, and friends from around the world would call me to fresh up if they were having a dull day. My mind feels numb, although it isn´t as if it´s the sedating effect of the Mirtazapine because 90% percent of the nights I don´t sleep well, and on a lot of nights I feel as if I´m asleep with an awake mind!   The GP who put me on it considered it to be just the effects of anxiety and depression and recommended the doubling of the dose to 30 mg. When I contested that, given that I´ve my doubts of a lot of these issues being brought upon by Mirtazapine itself, she referred me to a psychiatrist. He too strongly denies of Mirtazapine having any hand to play on it and instead thinks it´ll be best to combine it with another antidepressant for day-time.   He put me on Paroxetine, boom, a flood of side-effects! Then changed to Fluoxetine (Prozac) - third day on it and having weird feelings. The heart poundings are one and is in fact making me very depressed and hopeless!
    • By xheimlich
      I'm bipolar type X. NOS-ish but sort of 1.5 -- higher hypomanias and little depression, but also (in the ever-more distant past) mixed states.
      I've been taking nightly medications for over a decade now. Lamictal + Lithium + small dose Klonopin. These are usually enough to put me out (also because I'm usually tired at night). But when they don't I get in a state of "drunkness" that's somewhat disconcerting. Makes me talkative and impulsive. I once told my (decade-plus) wife I had a half crush on a coworker. Another time I shot off an email to said coworker to the tune of "just because I have a crush on you doesn't give you the right to half-ass your work and drop it on me". God only knows how I haven't been both dumped by wife and fired for harassment at work.
      Wife is now asleep and she's been having issues with too-light sleep so I'm making my best to not make noises that will wake her up but also deal with this volcano of directionless aimless impulsiveness and heightened feeling. I can't go and write a screenplay, my cognition is impaired. Can't go to sleep either, my head's on fire.
       
×
×
  • Create New...