What are the overall best (atypical) antipsychotics for Depression, Anxiety, Agitation, OCD, Bipolar...?By Adolf
"Best" as in being effective with fewer side effects. Which ones were the best for you? Which ones did you take? What condition(s) did you treat? What side effects did you get? How did the antipsychotics compare to "conventional" antidepressants?
Can antipsychotics be an alternative to "conventional" antidepressants? What are the risks? What are the benefits? Do they make you a tomato with time? Psychiatrists prescribe them more often in recent times, it seems.
By Simba Cub
So, I've been complaining for a while now of Myoclonic Seizures which my doc tells me is most likely caused thanks to my antipsychotic regime, spanning Clozapine to Trifluoperazine. I get them worse at night, an hour or two after dosing. Why is that?
Is it because I've just taken my meds?
Or is it because it's at this point that my meds are on their lowest ebb, not having seeped back into my bloodstream yet?
I was on Olanzapine for about one year and during that time I did excessive spending which may have caused lowering impulse control and consequently am now in bankruptcy.
Have been off Olanzapine since December, 2018.
In March went on Seroquel and experienced manic situations, where I was out of control (never had this happen to me before). I became excessively hostile towards a clerk in Walgreens, reduced my veterinarian to tears and alienated alot of my neighbors by my raging. We upped the Seroquel thinking I was having my first manic episode, it only made everything worse. Since coming off of Seroquel in last two weeks, I am now calm and the urge to act out aggressively is gone and I am mortally embarrassed about my behaviors.
New psych doc now, former one retired. Started Reluxti two days ago at .5 mg. First day experienced some brain zaps and thinking it might have been due to the mixing of recently going off of Seroquel and introducing Reluxti. Today, no brain zaps. Taking Benadryl to help with insomnia as Rexulti may become stimulating.
I know this is a very expensive drug and being on Medicare I do not qualify for any of the manufacturer's savings plans. My new psych doc believes he can keep me on his extra supplies forever or until they go generic. I am worried about being on this drug and loosing him as a psychiatrist and ending up with a co-pay of $400.00 a month and ending up in the Medicare Donut-hole very quickly. The trial pack he gave me has a 14 day supply.
I recently did a gene study thru GenOMind. I am an ultra-rapid metabolizer and subject to many skin issues. When I first saw him, he became very frustrated with me and didn't believe me that I can't tolerate most of the behavioral meds out there but once he got the gene study, he then understood. The only drug he would suggest is Rexulti.
I am in a quandary as to what to do about going on this very expensive medication with no way of paying for this and getting stuck on this drug should I loose my new psych doc and his many samples.
I've tried quite a few meds, including but not limited to many beta-blockers (atenolol, propranolol, metoprolol, acebutolol, nadolol, currently on pindolol), anticonvulsants (topiramate, levetiracetam, gabapentin, and primidone), and benzos (pretty much all of them!), and haven't had good results.
Beta-blockers, even pindolol with its intrinsic sympathomimetic activity, causes bradycardia. Topiramate (Topamax) makes me STUPID AF. Levetiracetam (Keppra) makes me suicidal. Primidone (Mysoline), while it works really well, the cognitive issues are EONS worse than that of topiramate. Gabapentin (Neurontin) does nothing for me much except put weight on me, but then again, I didn't pay attention to my tremor at the time, so it could be worth another try. Benzos don't do anything, which I wasn't taking the benzo primarily for the tremor anyway... I've read up on other treatments of essential tremor, and I'm not too keen on using clozapine (Clozaril), mirtazapine (Remeron), or alcohol...
Does anyone know of any other treatments that would work? Or if I should retry gabapentin? I literally spilled my drink all over myself tonight when I went out to eat with my boyfriend. I'm sick of dealing with this.
I wanted some feedback on the difference between typicals and atypicals...specifically Abilify versus Prolixin.
I have been taking Abilify for years which means I have had to live with sh**y side effects for a while now. I got to the point where I could no longer tolerate the side effects so I decided it was time for another med change. Also, I finally realized that the Abilify could be a contributing factor to my weight problem.
My doctor suggested Prolixin and I agreed to try it. I remember being on Prolixin for a short period of time in the past and I don't recall any awful or intolerable side effects. The reason I quit the drug was an entirely different story all together which had nothing to do with the medication its self.
I have been struggling to find the right medication for years. I tried just about every option available to me with my previous psychiatrist. The trouble is that the meds work but they all cause intolerable side effects. Even the medications used to counter those side effects, have their own awful side effects. Both my previous and current psychiatrist recommended trying the older "typical" antipsychotics at low doses. Both of them said that their patients experienced less side effects on those medications at low doses, than with the atypicals. Since I am already on a very low dose of Abilify anyway, I figured it was a perfect fit.
I wanted to know if there are any marked differences between Abilify and Prolixin for the better or worse...in general and in terms of side effects.
I had gotten used to the sh**y side effects of Abilify although some of them seem to have worsened or I have developed new ones over time.
If this cocktail doesn't work, I am at the point where I am greatly considering going off of meds all together (safely by titrating down). However, I don't really feel that being medication-free is an option for me. Unfortunately, I am one of those people who seems to greatly benefit from medication and struggle without it.
Ps. Another side note: I had to quit cannabis due to my medication which is a major bummer. Ever since I started taking antipsychotics, years ago, cannabis began affecting me differently to the point where it wasn't worth it. It began interacting with the meds and causing adverse effects as well as dulling the high. I am hoping this changes once I start taking typicals, seeing as they work a little bit differently.