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  #76  
Old Apr 25, 2020, 08:29 PM
*Beth* *Beth* is offline
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10mg caused too much tremor (jaw tremor, which actually causes my breathing to be "shaky" - creepy).

I've neglected this post, though. I actually stopped the 10mg at least a week ago. I've been staying with the 8mg. Pdoc says it's okay if I take the Trilafon prn once in a while and if I really need it.

So far, so good. My anxiety is manageable at this point. The main problem I have now is an inability to fall asleep for 2 to 3 hours, then awakening about 4 hours in so I have to get up for an hour or so. I'm so tired, I fall asleep around 11a.m. and that's the best sleep. Pdoc has prescribed melatonin. Fingers crossed xx

I apologize to anyone who reads this; it's boring. I'm really using this thread to keep track of the Trilafon, until I feel truly stable.
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  #77  
Old Apr 25, 2020, 09:45 PM
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  #78  
Old Apr 26, 2020, 12:25 PM
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Thank you, Fuzzy, for your kind support
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  #79  
Old Apr 27, 2020, 07:20 PM
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Originally Posted by Wild Coyote View Post
I think it's great you are willing to contact your pdoc and you get a helpful response from her! My pdoc has always been readily available and responds quickly. We are both very fortunate this is a part of our experiences.

It must feel good to get some relief.

I'd designed a way to quiet my mind. This might or might not be helpful to you. I'd wanted to take some time to share.

I grew up in a highly anxious environment. Once I'd left that environment, I'd found I was too "keyed up" for my new environment(s). I'd then realized just how much anxiety was eating up time, energy and interfering with peace of mind. I did seek treatment.

Over time I had further decreased my anxieties by identifying what was driving my anxiety. I was often "worrying." which was also habitual.

I don't know if you "worry" or not. Just wanted to share how I'd minimized any worry./decreased anxiety. I'd found worry fed anxiety which increased worry, which fed anxiety, etc.

I'd worked at managing my worry by assigning a time(s) when I'd allow myself to think about, even obsess about, certain topics. I might have assigned a time,like maybe 10am to 11 am. and maybe 6pm to 7 pm.

When I'd found myself habitually "worrying"(which fed anxiety and vice versa), I'd stop myself and remind myself a time was assigned to this type of thinking.
It took quite awhile to catch myself, to stop myself and train myself to limit any of that type of thinking to the scheduled times..

I did honor the times I had set aside to experience, express worry/anxieties during those scheduled times. Over time, with consistent practice, I'd significantly decreased the amount of anxiety. My days were no longer filled with anxieties.

Over more time, I'd decreased the length of the assigned times. I'd eventually influenced my own behaviors/habits so I very rarely worried and I was able to discontinue any/all anxiety meds.

It's been many years since and I continue to enjoy the drastic change in my life. I continue to enjoy the freedom. I am very blessed this type of "behavioral" based approach was so helpful to me.

I don't mean to minimize your experiences with high anxiety. It can be so overwhelming, even incapacitating. It can be, or can seem to be, free floating in nature. Sometimes we can find some added relief if/when we look into the sources of our anxieties.

As you know all too well, anxieties around things like trying to survive on disability pay can be so anxiety producing in an ongoing manner. The challenges are very real. I'd found stress/anxiety around these types of challenges incredibly difficult to minimize. Until people have been there, they just cannot understand the ongoing difficulties involved in meeting only the very basic needs.

Just wanted to share. Take anything helpful and leave the rest

Much Love to You!
Good post. Hugs and love to all
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  #80  
Old Apr 27, 2020, 07:21 PM
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  #81  
Old Apr 28, 2020, 10:02 AM
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10mg melatonin definitely helping to fall asleep. Such a relief. Also improves my sleep, overall. I do have a hangover effect, however. I also have to watch for depression from the melatonin.
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  #82  
Old Apr 28, 2020, 10:10 PM
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Originally Posted by BethRags View Post
10mg melatonin definitely helping to fall asleep. Such a relief. Also improves my sleep, overall. I do have a hangover effect, however. I also have to watch for depression from the melatonin.
It's great to hear the melatonin is improving your sleep
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  #83  
Old Apr 28, 2020, 10:31 PM
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It's great to hear the melatonin is improving your sleep

Thank you so much, Fuzzy dear
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  #84  
Old Apr 29, 2020, 06:24 AM
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Originally Posted by BethRags View Post
10mg melatonin definitely helping to fall asleep. Such a relief. Also improves my sleep, overall. I do have a hangover effect, however. I also have to watch for depression from the melatonin.

Nice.

Glad to hear your sleep has improved overall. How did you sleep last night?
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  #85  
Old Apr 29, 2020, 08:42 AM
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Originally Posted by BethRags View Post
10mg melatonin definitely helping to fall asleep. Such a relief. Also improves my sleep, overall. I do have a hangover effect, however. I also have to watch for depression from the melatonin.
My pdoc told me to do two weeks on, one week off to avoid the depression. I would taper the dose halfway through the second week so as not to have problems sleeping.
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  #86  
Old Apr 29, 2020, 11:40 AM
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Originally Posted by Zeroid View Post
My pdoc told me to do two weeks on, one week off to avoid the depression. I would taper the dose halfway through the second week so as not to have problems sleeping.

Good advice - thank you!
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  #87  
Old Apr 29, 2020, 01:59 PM
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  #88  
Old Apr 29, 2020, 02:59 PM
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Originally Posted by bluebicycle View Post
Nice.

Glad to hear your sleep has improved overall. How did you sleep last night?

Falling asleep is much improved. Staying asleep is easier. My only concern is that I feel rather depressed when I awaken. Many, many years ago I tried melatonin; it caused me to be quite depressed, so I stopped it. I have been reluctant to give it another chance.


I'm thinking that I will take it tonight and maybe tomorrow night, see where I am at that point..
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  #89  
Old May 12, 2020, 04:16 PM
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So the melatonin helped me fall asleep more quickly for about a week, then the effect seemed to wear off. My pdoc says I should keep taking it, but I don't understand why. I'm thinking that stopping it for a week, then restarting it might give me another few days of improved sleep, until it wears off again.

Years ago I took valerian root to help sleep, but I cannot recall if it worked or not. I've heard some people say that a combination of melatonin/valerian root is a good sleep aid.


The Trilafon continues to keep my anxiety to a tolerable level. YYYYAAAAYYY!!!!
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  #90  
Old Jun 14, 2020, 11:24 AM
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I think that perphenazine (Trilafon) is the most effective medication I've ever taken...and that's out of at least 30+ different meds and countless med combinations.

I've raised the dose to 10mg/day (6mg a.m., 4mg p.m.). The great news is that I have no additional tremor than I had at 8mg. Yay! That would be the deal breaker.

As for melatonin...eh. Sometimes helps me fall asleep, but it doesn't seem to do too much as far as staying asleep. Melatonin and valerian together is a possible option.

Had achilles tendon surgery 5/28. It went very well. I have a cast on for 3 more weeks, then I'll transition to a "boot." I admit that I am exhausted, the cast is heavy, but it's okay...the goal is to be able to walk normally eventually. I'm excited about that.

I did venture out to get my hair cut. Our numbers in NorCal are decently stable (unlike SoCal, 500 miles down south). Getting my hair cut really lifted my spirits, plus it was terrific to see my stylist after all these months. Besides that venture I am staying entirely in my apartment. Living upstairs makes going out mostly impossibly with cast/crutches (stairs). But it's okay; going out is very tiring.

I was on an opiate pain med for 2 weeks. When it was time to stop it I had no problem with doing so (except that of course, the pain is slightly worse).

Having a rough time with teletherapy (as I've been ranting all over the forum about ). I absolutely know that it's better than no therapy, but wow- do I miss having appointments in her office. I miss being with her in the same space. I just wish there was a set time for when we'll meet IRL again, but there isn't one, at all. I doubt it will happen for many months.

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  #91  
Old Jun 14, 2020, 12:27 PM
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Originally Posted by BethRags View Post
I think that perphenazine (Trilafon) is the most effective medication I've ever taken...and that's out of at least 30+ different meds and countless med combinations.

I've raised the dose to 10mg/day (6mg a.m., 4mg p.m.). The great news is that I have no additional tremor than I had at 8mg. Yay! That would be the deal breaker.

As for melatonin...eh. Sometimes helps me fall asleep, but it doesn't seem to do too much as far as staying asleep. Melatonin and valerian together is a possible option.

Had achilles tendon surgery 5/28. It went very well. I have a cast on for 3 more weeks, then I'll transition to a "boot." I admit that I am exhausted, the cast is heavy, but it's okay...the goal is to be able to walk normally eventually. I'm excited about that.

I did venture out to get my hair cut. Our numbers in NorCal are decently stable (unlike SoCal, 500 miles down south). Getting my hair cut really lifted my spirits, plus it was terrific to see my stylist after all these months. Besides that venture I am staying entirely in my apartment. Living upstairs makes going out mostly impossibly with cast/crutches (stairs). But it's okay; going out is very tiring.

I was on an opiate pain med for 2 weeks. When it was time to stop it I had no problem with doing so (except that of course, the pain is slightly worse).

Having a rough time with teletherapy (as I've been ranting all over the forum about ). I absolutely know that it's better than no therapy, but wow- do I miss having appointments in her office. I miss being with her in the same space. I just wish there was a set time for when we'll meet IRL again, but there isn't one, at all. I doubt it will happen for many months.

Trilafon has been a big game-changer for me, too. I was headed straight for Clozaril, but that Trilafon has just nipped my badass 8 months of psychosis right in the bud. Hooray!

Hope your leg heals quickly, Beth. What a pain being up the stairs. Be careful getting down those...

I have my next telemedicine pdoc thing in a week. I do not like not being able to see well, but, we are still not really open in this state and our numbers were a record-high on Thursday. People here are mainly very pro-mask, pro-distancing in the city. Out of town, in the rural areas, they have been having close gatherings with no masks in protest of whatever civil right you call it when you try to save thousands and thousands of lives by not being a complete freaking moron.. 22nd amendment or something? Dunno.
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  #92  
Old Jun 14, 2020, 02:21 PM
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Trilafon has been a big game-changer for me, too. I was headed straight for Clozaril, but that Trilafon has just nipped my badass 8 months of psychosis right in the bud. Hooray!

I was in the same situation. It was going to be clozaril, then a possibility of ECT. For some reason my pdoc recalled having used Trilafon in the past; she suggested we give it a try.

Hope your leg heals quickly, Beth. What a pain being up the stairs. Be careful getting down those...

Thank you!

I have my next telemedicine pdoc thing in a week. I do not like not being able to see well, but, we are still not really open in this state and our numbers were a record-high on Thursday. People here are mainly very pro-mask, pro-distancing in the city. Out of town, in the rural areas, they have been having close gatherings with no masks in protest of whatever civil right you call it when you try to save thousands and thousands of lives by not being a complete freaking moron.. 22nd amendment or something? Dunno.

People in my town are being cooperative about wearing masks, especially because all stores and medical settings require them.

I'm curious to find out what the result of the masses of people protesting will be...whether covid will spike or not.
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  #93  
Old Jul 03, 2020, 06:07 PM
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Currently on 12mg Trilafon (perphenazine) and still finding it excellent for keeping extreme anxiety down. Hand tremor is pretty bad, though, especially left hand. So pdoc has prescribed Amantadine 50mg/day. I'm starting it today.

I've taken the Melatonin only occasionally; it helps sometimes, but it's not amazing. I'm going to start taking Lamictal in the a.m., see if I have less insomnia and feel less "flat" (which could be from lack of good sleep).

California is having a substantial spike in covid cases, so bars and indoor dining has been closed again. Many ocean beaches closed, especially in SoCal. A cap on number of people allowed at lake and river beaches, no alcohol (wish they'd close all beaches, period).

Masks mandatory and people had better cooperate or all non-essential business will be shutting down again.

Cast on for full month on Wednesday, when I'll be getting it removed . It sure will be nice to have my regular leg back.
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  #94  
Old Jul 08, 2020, 04:57 PM
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The Amantadine is helping to control my hand tremor. I am amazed. The only side effect I might notice is feeling spaced-out. It's annoying, but I'm giving it time. Besides, I'm not even sure it's from the Amantadine.
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  #95  
Old Jul 08, 2020, 06:31 PM
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Have you had any weight gain with the trilafon?
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  #96  
Old Jul 08, 2020, 08:28 PM
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Have you had any weight gain with the trilafon?

Well, I gained well over 100lbs. on Seroquel, so honestly, it's hard to tell if I've gained any weight. I don't think I have, though. I might have lost a bit, actually. (I don't own a scale & haven't been on one since telemedicine.)


From what I've heard, and from my own experience, Seroquel is the major weight-gainer. The older AP's (such as Trilafon) didn't cause as much weight gain.
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  #97  
Old Jul 08, 2020, 08:33 PM
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Thanks. I’ll discuss swapping out Seroquel for an older AP when I see my pdoc next week.
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  #98  
Old Jul 10, 2020, 10:22 AM
*Beth* *Beth* is offline
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Originally Posted by Pookyl View Post
Thanks. I’ll discuss swapping out Seroquel for an older AP when I see my pdoc next week.

Let me know what your pdoc says. I'm curious to know what she'll suggest. It seems to me that the older AP's are being used more than they were a few years ago. The newer ones cause so much weight gain and the concurrent health problems that come with weight gain. It's understandable why many people are discouraged with them.
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  #99  
Old Jul 10, 2020, 10:25 AM
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My anxiety has been higher the past few days and I've wondered why. Well, last night I realized I've been taking only 8mg of Trilafon for the past week instead of 12mg. I felt like screaming. In past years I never screwed up my med doses, but this year I've done so several times.
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  #100  
Old Jul 10, 2020, 02:51 PM
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