Quote:
Originally Posted by BirdDancer
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 alonge...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.
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I'm on 4mg of Rexulti right now. The next step down is 3mg. The problem is that I had psychosis nonstop at 3mg, which is why we moved up to 4mg. So I think this is an all or nothing med, unfortunately -- that is, either take 4mg with something like cogentin, or take a different AP.
My pdoc will probably suggest Vraylar again, and I may take him up on it. I mean, I would rather switch out a med than add an extra one (Cogentin, propranolol, etc.), if that makes sense. But I'm still looking up info on akathisia/RLS meds in case my pdoc wants me to stay on Rexulti.
But anyway, this akathisia/restlessness/whatever is making me less productive with work because I'm pacing around half the time (literally) and focusing on pacing to alleviate the discomfort. It's quite bothersome.