Severe akathisa developing randomly

[dthorse5]

I keep having a restless feeling in my entire body and doctors/psychiatry seem to be of no help but anyway i know its caused my opiate withdrawal but heres the problem it happens when im high too (use kratom but it happened ton bupe.

I take

Promethazine 75mg
Gabapentin 4500mg 2x a week
Kratom 10 gr only in the morning
Clondine .1-.2mg a day tapering
Benzos of all kinds 8 days a month at high dosees short half ones
Never alcohol or tobacco
I take magnesiium laxatives and
immodium sometimes

At a loss for what is the cause and i trust alot of ppls answers here it happens randomly and never at night

 

[sekio]

benzo overusage?

 

[checktest]

Second the benzos contributing. Even gabapentin withdrawal at high doses. Promethazine could exacerbate as well, though not too high.

 

[Limpet_Chicken]

If you aren't at all benzo dependent or to gabapentin, the promethazine would be prime suspect. Its a phenothiazine dopamine D2 antagonist like the oldschool, nastier antipsychotics.

 

[d1nach]

I agree with limpet chicken


Can you space out the promethazine? Maybe into three doses spaced out.

Why are you taking 75 mg of promethazine?

 

[Limpet_Chicken]

Why take it at all? it isn't in clinical use as an antipsychotic. Primary uses are as a sedating antihistamine/sleep aid. And its one rotten enough to be allowed over the counter sale. (sure, call me cynical, but its true, with a very few exceptions, its the least effective and the shittiest meds that are allowed for OTC sale in pharmacies)

 

[dthorse5]

Thanks for all the advice, my psych scripted it for nasea but it enchances kratom too its not a nessecity that i take it so i will only use when sick feeling. Was using it to prevent nasea from happening in the first plaxe

 

[Limpet_Chicken]

There are plenty of superior alternatives. Just about ALL of them in fact. Sedating antihistamines are OTC in more or less any country I know of, they aren't expensive and its just promethazine out of the lot of the commonly OTC ones which is a nasty ass dopamine antagonist.