Quote:
Originally Posted by bluebicycle
I'm debating on what I should do with my medication cocktail. On one hand, I can't stand the akathisia/restlessness from my AP and thus want to stop taking it, but on the other hand, my AP has helped me so much mentally. So, do I find a side effect med to deal with the akathisia/restlessness/whathaveyou, or do I just try a new med altogether (likely Vraylar since my pdoc keeps mentioning it to me)? I'm thinking that the "healthier" thing to do is go with Vraylar. I don't want to add another med to my cocktail JUST so I can take rexulti. Yet, my pdoc may not like that idea or I may have to go back onto Rexulti, so I'm looking into akathisia/RLS meds.
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If your current AP is very effective, and you like it, have you considered just seeing if it remains so with a dosage decrease? Sometimes akathisia lets up in those cases. If it is no, no, and/or no, then maybe a new medication is the ticket, but obviously there's the mystery of how you'll react to a new medication.
There was a point when I was taking my current mix, plus 160 mg Geodon (a high dose), though my Seroquel XR dose was lower. The Geodon gave me nasty akathisia and was not powerful enough to curb my mania alone...thus the Seroquel XR. As my Geodon dose was decreased, my akathisia unfortunately remained. My Seroquel XR dose had to be increased during that time, because the decrease in Geodon did remove mania fighting power. [So Geodon wasn't totally useless.] However, when the Geodon was gone, my akathisia did stop. Whew! However, my Seroquel XR dose was up, up, up. That was OK since the higher dose Seroquel XR was sufficiently effective. Plus, that reduced my cocktail by one medication.I was also able to be weaned off Ativan as a daily medication. Now Ativan is just a prn, which I rarely take. So, it was really two medications chopped off my cocktail.