looking for answers Posted January 16, 2018 Share Posted January 16, 2018 Can it give u energy? Make you more alert??? im on lithium 1200, seroquel ir 400, buspar30, clonzapem 1mg 2xday, latuda 20 just started the latuda I’m tired a lot feel like it’s giving me a hint of energy, I live on coffee. And maybe just maybe a spry of depression lifting Link to comment Share on other sites More sharing options...
mikl_pls Posted January 16, 2018 Share Posted January 16, 2018 Low doses of Latuda for some people can be a bit stimulating (it was for me at 20 mg), but with Seroquel on board, it might not be stimulating enough to push through the Seroquel, lithium, and clonazepam. Abilify would, in my opinion, be more likely to be more stimulating, and probably enough to push through that cocktail, but even then, I don't know for sure. 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 I had a bad reaction to Abilify. What about Latuda at a higher dosage would that be stimulating i want to go higher Link to comment Share on other sites More sharing options...
mikl_pls Posted January 16, 2018 Share Posted January 16, 2018 Latuda in higher doses became sedating for me, and from what I've heard from others, that tends to be the case with them too. 40 mg tends to be sort of a "medium" dose where it's neither stimulating nor sedating. I'd actually say it's more "calming" than "sedating." But I got akathisia and Parkinsonism at higher doses too, so that wasn't so good, but I'm very susceptible to EPS like that. 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 Problem is they Added that to my cocktail. Im still depresssed they took a shot adding the second aap approved for bipolar depression. I was really tired On the xr seroquel so he switches me back to ir i need some energy and lose the depression Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 Abilify intrigues me but last time I took it I don’t remember a week n didn’t sleep for three days even with ambien Link to comment Share on other sites More sharing options...
Iceberg Posted January 16, 2018 Share Posted January 16, 2018 Personally latuda was activating til about 80mgs then it became a sedation bomb. What is the primary symptom they are trying to treat with the two aaps? Bipolar depression? Fwiw I've never heard of latuda and abilify combined 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 No no I more meant replace latuda with abilify and yes never ending depression. It’s been better since seroquel and lithium but not gone but I need a lift as wel Link to comment Share on other sites More sharing options...
Iceberg Posted January 16, 2018 Share Posted January 16, 2018 I feel ya. My depression was tricky enough that I had to do ECT twice. I used to have terrible suicidal thoughts and lack of interest in anything. For me the only boost was a stimulant. Abilify was too activating, and seroquel hands down didn't work. I liked rexulti and that wasn't sedating at all 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 Rexulti isn’t covered they say take abilify I won’t do ect unless all options have been tried, twice an old doc had me on stimulants they worked a bit, but not totally. wgats the difference bw activating and a stimulant Link to comment Share on other sites More sharing options...
Iceberg Posted January 16, 2018 Share Posted January 16, 2018 Well- stimulants are activating because that's their sole purpose therefore they act differently on neurotransmitters and boost dopamine. Abilify modulates dopamine at low doses in a way that can give a boost but it's not the same punch Link to comment Share on other sites More sharing options...
looking for answers Posted January 16, 2018 Author Share Posted January 16, 2018 so how was abilify too activating but a stim is not Link to comment Share on other sites More sharing options...
Iceberg Posted January 17, 2018 Share Posted January 17, 2018 Because abilify gave me akathisia. Horrible akathisia 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 17, 2018 Author Share Posted January 17, 2018 Got yah, sorry to hear that. Like I said I didn’t sleep on ability n blacked out but I had a ton medically going on then, I’d try again or more latuda Link to comment Share on other sites More sharing options...
mikl_pls Posted January 17, 2018 Share Posted January 17, 2018 MAOIs are said to be good for bipolar depression, especially Parnate. Parnate can be paired with a stimulant (despite being commonly warned against) for a magical combination (or at least it was for me). You won't need as large a dose of either med in that case. 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 17, 2018 Author Share Posted January 17, 2018 (edited) 29 minutes ago, mikl_pls said: MAOIs are said to be good for bipolar depression, especially Parnate. Parnate can be paired with a stimulant (despite being commonly warned against) for a magical combination (or at least it was for me). You won't need as large a dose of either med in that case. dont MAOI come with a range of side effects and you cant eat and drink alot of things, also how long does it take to kick in. Ive been on 20 latuda for 2 weeks.on top of my other meds(been on those for a while). You think i should ask for higher dose of latuda, and/or something to perk me up.......or maybe latuda will do that. or abilify or MAOI lol sorry i know you guyus know how it is, when you feel like crap, your grasping at straws Edited January 17, 2018 by looking for answers Link to comment Share on other sites More sharing options...
mikl_pls Posted January 17, 2018 Share Posted January 17, 2018 4 hours ago, looking for answers said: dont MAOI come with a range of side effects and you cant eat and drink alot of things, also how long does it take to kick in. MAOIs do have some significant food-drug interactions and drug-drug interactions, but they're not as hyped as many people believe they are. Unless you eat a lot of pickled or fermented foods or aged cheeses, you should be fine for the most part with the food interactions. The drug-drug interactions mostly pertain to hypertensive crisis, serotonin syndrome, and to a much lesser extent, orthostatic hypotension (Parnate, I think, is the worst offender of this--personally, I never had a problem with this, and adding a stimulant can actually help with this despite their being contraindicated with MAOIs). Cold medicines like decongestions (pseudoephedrine, ephedrine, and phenylephrine) can be a problem, but the first two can likely be taken concomitantly with an MAOI under close supervision. Dextromethorphan, a cough suppressant, can cause serotonin syndrome, as well as certain opioids, like meperidine (Demerol) as well as some others (I don't have my pharmacology book with me at the moment). Other opioids can be prescribed though, some with more caution than others though (like hydrocodone vs. oxycodone). Certain dietary supplements must be avoided too unless specified to be taken with the MAOI, like 5-HTP or L-tryptophan, due to serotonin syndrome, or L-phenylalanine or L-tyrosine, due to hypertensive crisis. They usually take anywhere from 2-4 weeks to kick in from what I've read. Don't cite me on that. However long it takes to disable the monoamine oxidase enzyme is how long it takes to kick in since that's how they work. If you are currently on an antidepressant, you will have to do anywhere from a 1-3 week flush out period (depending on the antidepressant and its half-life and how cautious your pdoc is) of no antidepressant (5 weeks if it's fluoxetine (Prozac)), but it appears that you aren't taking an antidepressant, but BuSpar is contraindicated with MAOIs, so you would have to discontinue that and flush it out because it can cause hypertensive crisis with an MAOI. 4 hours ago, looking for answers said: Ive been on 20 latuda for 2 weeks.on top of my other meds(been on those for a while). You think i should ask for higher dose of latuda, and/or something to perk me up.......or maybe latuda will do that. or abilify or MAOI lol sorry i know you guyus know how it is, when you feel like crap, your grasping at straws 10 MAOIs are typically 2nd line or 3rd line agents (depending on how a pdoc looks at antidepressants and how they tier them). BuSpar isn't really for depression, but rather for anxiety, which I imagine is why you're taking it. Seroquel XR is usually less sedating than Seroquel IR, which is surprising to me that XR made you more sedated and you are going back to IR for less sedation. I'm also surprised that instead of switching to another AAP that you're being put on an additional AAP which can actually be dangerous metabolically (risk of weight gain, hyperglycemia and even diabetes, although Latuda isn't known to cause this much at all), cerebrovascularly (antipsychotics increase risk of stroke, etc.), and neurologically (increased risk of seizures and extrapyramidal side effects, including tardive dyskinesia). I don't remember how to taper from a "-pine" to a "-done," again because I don't have my pharmacology book with me, but I, again, would imagine your pdoc would switch you from the "-pine" (Seroquel) to the "-done" (Latuda) to help you overcome the sedation, perhaps even lower your lithium dosage a little (even if it's by 150 mg) and/or your Klonopin dosage. Do you have trouble primarily with depression? Or do you have trouble with mania/hypomania too? Also, do you have a lot of issues with anxiety too? I see in your signature you have "MDD vs BP2." Has your pdoc been able to verify which you are yet? Also, it says "anxiety" and "irritability." Has s/he been able to verify what kind of anxiety you deal with? Like GAD, panic disorder, etc., and if the irritability is part of the MDD or BP2? 1 Link to comment Share on other sites More sharing options...
looking for answers Posted January 17, 2018 Author Share Posted January 17, 2018 (edited) It’s depresssion my lithium level is only0.68 on 1200 anxiety is gad irritiabikity not defined the seroquel back to ir was because I wasn’t sleeping and then it would clear my system early in the day where xr would keep working . So thought was it would Make me sleep better. The latuda got me why I’m On it . I dunno whether to ask for a higher dose, ask for abilify, ask for a stim, ask for an ad , snri also no mania/hypomania I question the bp2. many supplements I game interact with maio Edited January 17, 2018 by looking for answers Link to comment Share on other sites More sharing options...
mikl_pls Posted January 17, 2018 Share Posted January 17, 2018 41 minutes ago, looking for answers said: It’s depresssion my lithium level is only0.68 on 1200 anxiety is gad irritiabikity not defined 2 Wow, that's a low lithium level for that high of a dose. But that's a good lithium level for depression. That's below the level used for mania, and low-dose lithium is beginning to be considered a "different drug" from "normal-dose" or higher-dose lithium typically used for maintenance treatment or acute treatment of mania. My impression is that you may not need too stimulating of an agent if you have irritability and anxiety along with your depression because you don't want to worsen the former two issues. My guess would be to stick with Latuda for now. If it were me in your place, I would ask about maybe consolidating antipsychotics into one and maybe see about coming off the Seroquel (or tapering off of it) and staying on the Latuda, maybe even increasing the dose, but not by too much because you don't want to get akathisia which Latuda is very capable of causing. 46 minutes ago, looking for answers said: the seroquel back to ir was because I wasn’t sleeping and then it would clear my system early in the day where xr would keep working . So thought was it would Make me sleep better. The latuda got me why I’m On it . I dunno whether to ask for a higher dose, ask for abilify, ask for a stim, ask for an ad , snri I see. Well, if you do end up coming off of Seroquel to clean up your regimen, you may need something for sleep to replace the Seroquel like trazodone or something. I'm worried Abilify might agitate you with your anxiety and irritability, but then again, higher doses can actually help those things if you can make it through the initial titration. A stimulant can actually help those issues too if your brain chemistry has deficiencies in norepinephrine and dopamine activity. An antidepressant can help with anxiety for sure and possibly irritability if you are deficient in serotonin activity. An SNRI may help too. 50 minutes ago, looking for answers said: also no mania/hypomania I question the bp2. Supposedly you can be bipolar without hypomania, called "mini-bipolar" or "mild bipolar..." It's kind of a more modern diagnosis. Or it's a way to diagnose someone with bipolar without their having a manic episode... It depends on how you look at it. *shrugs* 52 minutes ago, looking for answers said: many supplements I game interact with maio You may not need the supplements you get if you try an MAOI. Link to comment Share on other sites More sharing options...
looking for answers Posted January 17, 2018 Author Share Posted January 17, 2018 If the latuda isn’t nipping the depression totally at 2 wouldn’t. We go up Link to comment Share on other sites More sharing options...
looking for answers Posted January 17, 2018 Author Share Posted January 17, 2018 1 hour ago, mikl_pls said: Wow, that's a low lithium level for that high of a dose. But that's a good lithium level for depression. That's below the level used for mania, and low-dose lithium is beginning to be considered a "different drug" from "normal-dose" or higher-dose lithium typically used for maintenance treatment or acute treatment of mania. My impression is that you may not need too stimulating of an agent if you have irritability and anxiety along with your depression because you don't want to worsen the former two issues. My guess would be to stick with Latuda for now. If it were me in your place, I would ask about maybe consolidating antipsychotics into one and maybe see about coming off the Seroquel (or tapering off of it) and staying on the Latuda, maybe even increasing the dose, but not by too much because you don't want to get akathisia which Latuda is very capable of causing. I see. Well, if you do end up coming off of Seroquel to clean up your regimen, you may need something for sleep to replace the Seroquel like trazodone or something. I'm worried Abilify might agitate you with your anxiety and irritability, but then again, higher doses can actually help those things if you can make it through the initial titration. A stimulant can actually help those issues too if your brain chemistry has deficiencies in norepinephrine and dopamine activity. An antidepressant can help with anxiety for sure and possibly irritability if you are deficient in serotonin activity. An SNRI may help too. Supposedly you can be bipolar without hypomania, called "mini-bipolar" or "mild bipolar..." It's kind of a more modern diagnosis. Or it's a way to diagnose someone with bipolar without their having a manic episode... It depends on how you look at it. *shrugs* You may not need the supplements you get if you try an MAOI. Also my anxiety and irritability has been worlds better since getting lithium into therapeutic range, almost gone, I just wanna be happy n awake Link to comment Share on other sites More sharing options...
domovoi Posted January 17, 2018 Share Posted January 17, 2018 omg i used to be the same way, seroquel used to work well for my depression but i was asleep 24/7 and also got diabetes on it. i switched to latuda 80 it's always made me sleepy also but not as much. i have to take concerta to stay awake during the day. but latuda has been amazing for my depression, it works great maybe give it a try and when you're less depressed you tend to be less sleepy also don't stop until you reach at least 80 to try and see if it helps with depression, good luck Link to comment Share on other sites More sharing options...
looking for answers Posted January 18, 2018 Author Share Posted January 18, 2018 why 80? i hear some ppl on latuda are tired, some arent, but im on latuda and seroquel Link to comment Share on other sites More sharing options...
looking for answers Posted January 18, 2018 Author Share Posted January 18, 2018 didnt realize my signature didnt have recent meds in there, now they are recent and yes my lithium really is 0.68 on 1200. i drink 140-200 oz a day Link to comment Share on other sites More sharing options...
crtclms Posted January 20, 2018 Share Posted January 20, 2018 I took Latuda for bipolar depression, and it was the most stable I'd been in years. Unfortunately, it costs too much ($700 a month a couple of years ago). I was really upset. Mkl_pls, my dad did a lot of the primary research on MAOIs, and while I'm not claiming he taught me all he knew, he taught me a lot. He would agree with everything you said, I'm kind of impressed. Link to comment Share on other sites More sharing options...
looking for answers Posted January 20, 2018 Author Share Posted January 20, 2018 9 hours ago, crtclms said: I took Latuda for bipolar depression, and it was the most stable I'd been in years. Unfortunately, it costs too much ($700 a month a couple of years ago). I was really upset. Mkl_pls, my dad did a lot of the primary research on MAOIs, and while I'm not claiming he taught me all he knew, he taught me a lot. He would agree with everything you said, I'm kind of impressed. My pdoc said he’d give me latuda samples due to the cost I’m so hopeful, and scared d Link to comment Share on other sites More sharing options...
mikl_pls Posted January 20, 2018 Share Posted January 20, 2018 15 hours ago, crtclms said: Mkl_pls, my dad did a lot of the primary research on MAOIs, and while I'm not claiming he taught me all he knew, he taught me a lot. He would agree with everything you said, I'm kind of impressed. Thank you @crtclms! That means a lot to me! Link to comment Share on other sites More sharing options...
looking for answers Posted January 22, 2018 Author Share Posted January 22, 2018 I upped to 40 mg and i feel worse. I’m exhausted. I feel fluish and chest tightness. I also feel little more depressed and anxious. Gonna try taking it at night. Gonna make sure I get 8-10 hours sleep with that an seroquel. Bc I took it last yesterday i thought it was my pre workout but that has glycerine and betaine nitrate should be fine and was ok taking it on 20mg. i had high hops and am hoping this feeling is side effects, anyone have input? Link to comment Share on other sites More sharing options...
mikl_pls Posted January 22, 2018 Share Posted January 22, 2018 Usually, it's dosed in the evening with food (at least 350 calories), so perhaps switching to the evening will help you out. Link to comment Share on other sites More sharing options...
looking for answers Posted January 22, 2018 Author Share Posted January 22, 2018 I was told to take in am . Was activating at first. A bit. I’m kinda sad. Link to comment Share on other sites More sharing options...
mikl_pls Posted January 22, 2018 Share Posted January 22, 2018 2 hours ago, looking for answers said: I was told to take in am . Was activating at first. A bit. I’m kinda sad. I see. Just make sure you take it with food. I don't blame you for feeling upset about it. It's a shame that you're feeling the way you are with the dose increase. Maybe if your pdoc lowered your Seroquel you'd feel a little better? I dunno though. I wouldn't want to suggest anything that would tamper with you negatively. Link to comment Share on other sites More sharing options...
looking for answers Posted January 22, 2018 Author Share Posted January 22, 2018 Maybe it’s just adjusting to new dose. Lithium un increases fd me up then leveled off I just wanna feel normal, don’t we all though Link to comment Share on other sites More sharing options...
mikl_pls Posted January 22, 2018 Share Posted January 22, 2018 10 minutes ago, looking for answers said: I just wanna feel normal, don’t we all though This is so true... We know your pdoc will get your cocktail right though! Link to comment Share on other sites More sharing options...
looking for answers Posted January 22, 2018 Author Share Posted January 22, 2018 3 minutes ago, mikl_pls said: This is so true... We know your pdoc will get your cocktail right though! The man who told me numerous times he doesn’t understand me? Told me it’s just trial and error. Told me I was taking one med and came back with latuda? or the other docs over the years that cant fix me Link to comment Share on other sites More sharing options...
quiet storm Posted January 22, 2018 Share Posted January 22, 2018 (edited) My pdoc wants me to try Latuda. I think she went with it because it's one of the lowest for weight gain. She gave me a months sample at my last appointment at the end of December. I haven't taken it yet and not sure if I want to. She wants me to try this for moodiness after failed trials of lamictal and trileptal( itching on both that wouldn't go away). Which sucks because I really liked both. She said 40mg's would be the tops she would want me to try. I'm not sure I want to take an AP for moodiness. I especially don't want to be taking something that might make me more wound up. And I see it's one of the worst offenders for the dreaded akathisia. The 350 calories thing is a bummer which means I would be stuck taking it at dinner because I don't eat that much for breakfast and lunch and I really don't want to adjust my diet. So if it amped me up at supper I would be screwed because I don't sleep the best as it is. I'm also weaning myself off of clonazepam at the moment and down to .25 milligrams and don't want the possibility of sabotaging that. And lastly its criminal how expensive this stuff is. With all that said I welcome opinions on taking it(or something else) for "moodiness". Seems like overkill to me considering the positives vs negatives. I have another appointment Feb 1st. Edited January 22, 2018 by quiet storm Link to comment Share on other sites More sharing options...
looking for answers Posted January 22, 2018 Author Share Posted January 22, 2018 45 minutes ago, quiet storm said: My pdoc wants me to try Latuda. I think she went with it because it's one of the lowest for weight gain. She gave me a months sample at my last appointment at the end of December. I haven't taken it yet and not sure if I want to. She wants me to try this for moodiness after failed trials of lamictal and trileptal( itching on both that wouldn't go away). Which sucks because I really liked both. She said 40mg's would be the tops she would want me to try. I'm not sure I want to take an AP for moodiness. I especially don't want to be taking something that might make me more wound up. And I see it's one of the worst offenders for the dreaded akathisia. The 350 calories thing is a bummer which means I would be stuck taking it at dinner because I don't eat that much for breakfast and lunch and I really don't want to adjust my diet. So if it amped me up at supper I would be screwed because I don't sleep the best as it is. I'm also weaning myself off of clonazepam at the moment and down to .25 milligrams and don't want the possibility of sabotaging that. And lastly its criminal how expensive this stuff is. With all that said I welcome opinions on taking it(or something else) for "moodiness". Seems like overkill to me considering the positives vs negatives. I have another appointment Feb 1st. I think u try it. Everyone reacts different. Medication roulette sucks. But it may be what ur looking for im Still hopeful it’s for me Link to comment Share on other sites More sharing options...
mikl_pls Posted January 23, 2018 Share Posted January 23, 2018 4 hours ago, looking for answers said: The man who told me numerous times he doesn’t understand me? Told me it’s just trial and error. Told me I was taking one med and came back with latuda? or the other docs over the years that cant fix me Oh... my... I'm sorry, I wasn't aware of that. If you said that in this thread I must've overlooked it accidentally. It is, indeed, to some degree, trial and error, but there is also, to some degree, an "art" to prescribing medicines and deciding which one to prescribe based on symptoms and how you react to ones already prescribed. But it's another thing to say "I don't understand you" to a patient... Link to comment Share on other sites More sharing options...
looking for answers Posted January 23, 2018 Author Share Posted January 23, 2018 15 minutes ago, mikl_pls said: Oh... my... I'm sorry, I wasn't aware of that. If you said that in this thread I must've overlooked it accidentally. It is, indeed, to some degree, trial and error, but there is also, to some degree, an "art" to prescribing medicines and deciding which one to prescribe based on symptoms and how you react to ones already prescribed. But it's another thing to say "I don't understand you" to a patient... On the first visit, after an iop stint Link to comment Share on other sites More sharing options...
looking for answers Posted January 23, 2018 Author Share Posted January 23, 2018 took at night last night, feel ok thus far in the morning , we'll see how it goes, i always feel ok whne i wake up bc i have to move move move bfast, coffee, shower, dress, out the door, so if im fatigued i dont notice it till later, i ahev a meeting in a few hourse, thats when i will notice it Link to comment Share on other sites More sharing options...
looking for answers Posted January 26, 2018 Author Share Posted January 26, 2018 noope still tired during the day Link to comment Share on other sites More sharing options...
looking for answers Posted January 31, 2018 Author Share Posted January 31, 2018 Now today I’m zonkd and have been the longer I’m in 40mg the more tired I am, and anxiety is coming back and mild irritability i also don’t feel as good of a lift in mood. Felt better at 20 but I know 20 doesn’t do crud. im very disappointed , maybe it’s just due to fatigue... Link to comment Share on other sites More sharing options...
Iceberg Posted January 31, 2018 Share Posted January 31, 2018 Do u take it am or pm Link to comment Share on other sites More sharing options...
looking for answers Posted January 31, 2018 Author Share Posted January 31, 2018 Was taking in the am when I was on 20, switched to pm on 40. anxiety, irritable, tired on 40 all we’re managed and the mood boost is going away dt said symptoms Link to comment Share on other sites More sharing options...
looking for answers Posted February 1, 2018 Author Share Posted February 1, 2018 @mikl_pls is that normal, sorry to always tag you but your like the med guru Link to comment Share on other sites More sharing options...
mikl_pls Posted February 1, 2018 Share Posted February 1, 2018 31 minutes ago, looking for answers said: @mikl_pls is that normal, sorry to always tag you but your like the med guru Aww, I'm humbled! Thanks! 15 hours ago, looking for answers said: Was taking in the am when I was on 20, switched to pm on 40. anxiety, irritable, tired on 40 all we’re managed and the mood boost is going away dt said symptoms Personally, I've never heard of anyone becoming anxious and irritable on Latuda, but that doesn't mean that it can't happen. I mean, it certainly can be stimulating in certain regards, and those are symptoms of being stimulated in the wrong way by medication(s). But you say you feel tired again, which I can see why since you're on so many sedating meds already, and for me, anyway, Latuda lost its stimulant-like properties after 20 mg. 40 mg was kinda neutral for me. So it could be that 40 mg is neutral for you too, and the prior sedation you were experiencing is returning. Something to ponder with your pdoc might be to discuss trying an even higher dose of Latuda (60 mg would be the next step, maybe trying up to 80 mg?) without the Seroquel since the Latuda is taken in the evening (I know I said it before but be sure to take it with food, at least 350 calories for Latuda) and might help you sleep too at a higher dose like the Seroquel would've once done. I know that for me, personally, in the higher doses, Latuda did help me sleep (well, at first, then the sleepiness wore off and I needed something to help me sleep again). If you're afraid you might have trouble sleeping, perhaps you could ask for a prescription for low-dose trazodone or maybe even low-dose doxepin (though the latter may interfere with your lithium levels...). Link to comment Share on other sites More sharing options...
looking for answers Posted February 1, 2018 Author Share Posted February 1, 2018 Also yes the seroquel I could cut back I’m scared to stop dt sleep Link to comment Share on other sites More sharing options...
mikl_pls Posted February 1, 2018 Share Posted February 1, 2018 1 minute ago, looking for answers said: Also yes the seroquel I could cut back I’m scared to stop dt sleep You could always have it on standby to take PRN. I was just proposing trazodone or doxepin as alternatives since being on two AAPs (or more in some people's cases) can more readily lead to metabolic disturbances like diabetes and weight gain as well as EPS like akathisia and whatnot. Yet Latuda is generally very metabolically friendly and Seroquel is generally EPS-free, whereas Latuda tends to cause EPS more readily and Seroquel tends to cause weight gain more readily. Link to comment Share on other sites More sharing options...
looking for answers Posted February 1, 2018 Author Share Posted February 1, 2018 I see, what’s eps? As of now my weigh has stayed stable Link to comment Share on other sites More sharing options...
looking for answers Posted February 1, 2018 Author Share Posted February 1, 2018 (edited) Also if the depression was better at 20 and less sedatig and less anxiety/irritability why go up to 60/80 i hate meds plus since goofing to 40 I sleep and pass out but it’s broken sleep Edited February 1, 2018 by looking for answers Link to comment Share on other sites More sharing options...
mikl_pls Posted February 1, 2018 Share Posted February 1, 2018 5 hours ago, looking for answers said: I see, what’s eps? As of now my weigh has stayed stable EPS = extrampyramidal symptoms, like akathisia, Parkinsonism, etc. That's great that your weight has stayed the same! Have you had your cholesterol checked lately? 4 hours ago, looking for answers said: Also if the depression was better at 20 and less sedatig and less anxiety/irritability why go up to 60/80 I thought you said 20 mg wasn't effective after a while? 5 hours ago, looking for answers said: plus since goofing to 40 I sleep and pass out but it’s broken sleep Maybe Latuda isn't for you? Link to comment Share on other sites More sharing options...
looking for answers Posted February 1, 2018 Author Share Posted February 1, 2018 Have had cholesterol checked at last check it was 60 so i should be goood even with an increase 20 wasn’t enough. I dunno where to go from here Link to comment Share on other sites More sharing options...
jt07 Posted February 2, 2018 Share Posted February 2, 2018 What symptoms do you have that require you to be on two antipsychotics? Psychosis? Mania? If your problem is mostly depression and anxiety, you might be better off getting on either Abilify or Rexulti which have indications for depression. Link to comment Share on other sites More sharing options...
looking for answers Posted February 2, 2018 Author Share Posted February 2, 2018 3 minutes ago, jt07 said: What symptoms do you have that require you to be on two antipsychotics? Psychosis? Mania? If your problem is mostly depression and anxiety, you might be better off getting on either Abilify or Rexulti which have indications for depression. Depression. But they think I’m bipolar which I disagree with and those are the two aap for bipolar depression. I took abilify low dose a long time ago and didn’t sleep for days but I’d try again it’s stimulating too. rexulti is not covered unless they give me samples Link to comment Share on other sites More sharing options...
jt07 Posted February 2, 2018 Share Posted February 2, 2018 Well, generally, you want to be on as few antipsychotics as possible while still controlling your symptoms. And multiple antipsychotics are used mainly to treat treatment resistant psychosis or mania and not generally depression. In fact, some pdocs consider the use of multiple antipsychotics controversial. You are adding to your risk of EPS including TD. Link to comment Share on other sites More sharing options...
looking for answers Posted February 2, 2018 Author Share Posted February 2, 2018 Just now, jt07 said: Well, generally, you want to be on as few antipsychotics as possible while still controlling your symptoms. And multiple antipsychotics are used mainly to treat treatment resistant psychosis or mania and not generally depression. In fact, some pdocs consider the use of multiple antipsychotics controversial. You are adding to your risk of EPS including TD. I’m just doing what I was told..... Link to comment Share on other sites More sharing options...
looking for answers Posted February 2, 2018 Author Share Posted February 2, 2018 I just wanna feel ok, so I listen to my doctors, and it’s been hell for years 1 Link to comment Share on other sites More sharing options...
jt07 Posted February 2, 2018 Share Posted February 2, 2018 It's important to listen to you doctor, but you are free to ask questions and I would ask questions in this case. Link to comment Share on other sites More sharing options...
looking for answers Posted February 2, 2018 Author Share Posted February 2, 2018 I did he said they do this and it’s worth a try, it’s not wirking Link to comment Share on other sites More sharing options...
looking for answers Posted February 2, 2018 Author Share Posted February 2, 2018 i almost wanna drop the seroquel down and start an AD and a stim or provigil Link to comment Share on other sites More sharing options...
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