philosophin Posted December 9, 2017 Share Posted December 9, 2017 Just bumped up to 40mg from 20mg yesterday and I believe I experienced akathisia for the first time last night. It felt awful and I'm not sure I can do it justice with words, but I'll try. It was like a gnawing, driving compulsion to move, and it hit while I was laying in bed trying to go to sleep. Should I report this to pdoc? I find it worrying that this side effect is coming on after one dose--I'm concerned that if I try to stay on 40mg the akathisia will intensify and persist. Thoughts? Link to comment Share on other sites More sharing options...
philosophin Posted December 9, 2017 Author Share Posted December 9, 2017 Update: called answering service for pdoc and she called me. Said to continue with 20mg because I didn't experience any symptoms at that dose, and to not attempt a 40mg dose. Said we could consider cogentin to counter the akathisia if we really wanted to try upping the dose. I probably won't go that route though. Already about to start a small dose of oxybutynin for excessive sweating--I think that's enough "meds to counteract the side effects of other meds" for my cocktail, imo. Link to comment Share on other sites More sharing options...
notloki Posted December 9, 2017 Share Posted December 9, 2017 It varies among AP's and AAP's how likely EPS is (akathisia is one of many kinds of EPS) but it is never zero. Link to comment Share on other sites More sharing options...
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