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  • BDD Moderators: Keif’ Richards | negrogesic

Antipsychotic dosage and comparison

well I took 14 ambian pills last night. thats 140mg. didnt do shit all. like 30mg temazepam.
couldnt get to sleep. took 75mg seroquel & didnt have any probs after that.

why didnt the ambian work? I only have a moderate tolerance to benzos.
anyways i feel i need an antipychotic or atleast something to help me sleep. ambian didnt work so i suppose the other z drugs wont either. mirtazepine didnt make me tired.

surprizingly otc promethazine 75mg was pretty effective. doxylamine didnt help. what do u guys think is the best sedative antihistamine for insomnia?

I dont wanna take larage doses of temazepam to sleep, nor could i get my hands on a sufficiant amount to take that much every night anyway....

so what other options do i have? i see no other meds except antipsychotics or sedating antihistamines to get me to sleep otherwise i seriously just dont get to sleep until the sun is comin up & i dont sleep a solid 8 hrs without waking up several times.
 
melatonin? are u kidding me? well maybe i dont know what im talking about but could that REALLY help me sleep?

took 80mg diaz. dont feel a fucking thing except for about 30 mins. tried 140mg ambian last night. didnt do a fucken thing so had to take seroquel.

now that amount of valium only recently used to get me high. could it be possible that taking APs could be increasing my tolerance to all other sedatives.

cuz since ive started APs no other sedatives work. its like cuz ive had the stong shit nothing else with compare. which really sux because i liked to chill out with benzos once in a while.

pot doesnt help me sleep any more. & just a few months ago i didnt need anything to sleep.
fucking APs. i think the dr isnt telling me the truth about these drugs. A drug so powerful must have terrible w/d

how can valium which hardly does anything have worse w/d than APs which knock me the fuck out.

anyone have any experience with AP w/d & has anyone else noticed that after starting APs that other sedatives just dont compare & barely do shit.

K'd out this website has ratings of levels of sedation of the common APs.
it states seroquel is twice as sedating as seroquel
ii also has other useful info like which adds the most weight. doses, time for the drug to peak. half-life & affinity to receptors.
http://www.psychresidentonline.com/atypical antipsychotics.htm
 
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Enki said:
^It was extremely common to prescribe benztropine or diphenhydramine (both anticholinergics used for Parkinsons) along with first generation APs to offset rigidity and other extrapyrmidial effects from the APs. Less common with 2nd generation. Sometimes they used the dopamine agonist amantadine to offset the parkinson's like effects from the APs.

2nd generation APs don't usually have extrapyrmidial side effects as severe as the 1st gen APs. Risperidone has more EPS than most of the other 2nd gen so you might find some meds to treat EPS prescribed with it once and a while.

Extrapyrmidial side effects and parkinsons are for many purposes the same thing.
Click to expand...

Yeah with typical anti-psychotics such as haldol, chlorpromazine, fluphenazine, etc TD and EPS can be a big problem especially with high potency ones such as haldol. So benzotropine is often used along with it if needed. With the atypicals risperidone is the worst for causing tardive dyskinesia and EPS. It is also the most potent atypical anti-psychotic mg for mg. Zyprexa is alot more potent then seroquel mg for mg. Seroquel is a very low potency anti-psychotic and rarely causes much in the way of pseudoparkinsons symptoms since it is not a strong D2 antagonist.
 
I really need help. all im doing all day is seeking out benzos. most drs wont give it to me so i move on to a new dr. I moved to a new dr yestuday who gave me valium but says he doesnt specialize in anxiety so he refered me to another which i have to wait a few days for. the other drs he refered me to ive already been there & have been black listed a long time ago for dr shopping about a year ago.
so i only received 20 valiums yestuday. so what am i gunna do now?
i was seeing an after hrs sergury before yesturday which was giving me temaze & diaz but they said they couldnt precribe anymore because they not alouid so thats why i went to the new dr yesturday & told him the story. Before that i was getting em from another dr who suddenly had a change of heart for precribing em.
Im not dr shopping because im not getting scripts from at the same time from different sergeries. im just moving on to new ones until i find a dr who will precribe benzos. i feel i need em.
im wasting alot of time just chasing small amounts of benzos. & i receive the occational few from someone i know who has a scruipt for temaz & diaz every month (which is all i want).

the fucked up thing is 80mg barely does anyting. i think im more addicted to the thought of getting anxiety releif than the actualy anxiety releif i get.

anyways i dont know if anyone can help me with suggestions.
which AP i should take. if theres any ADs that can help anxiety or how i can get out of this craving for benzos. is there other sleeping pills avaible?
Im looking into pregabulin. is there any other meds like this i could look into trying for anxiety?
I gather u can just take melatonin with any other meds.
 
The posting of any suggestions on how to get prescription requests from different doctors (aka doctor shopping) is not allowed on this site.

There are many sleeping medicines and probably even more medicines that are off-label prescribed for sleep as well.

How would our medication suggestions be helpful if you do not have a physician yet?
 
^^i already said im not dr shopping. im trying to find a dr that will give me meds i want. im not getting several scripts from different drs. & the new drs i see i explain that the last dr wont give me benzos for whatever reason.

if u go & see a dr that u have disagreements with u have the right to change drs & keep changing drs until ya find one that ya feel is compasionate & willing to take the time to treat u as an actual person.


my pyysisican have suggest eiter effexor or Luvox (i think thats how its spelt)
SSRI & SNRIs along with Zyprexa.
only some get anxiety releif from SSRIS. & if valium doesnt give m anxiety releif how is SSRIs
I need some kpins or xanax.... which will probably end in disaster later down the track
she will not prescribe benzos cuz she knows i used to take alot of em last year.
shes not a gp but specialized in mental health.
she says not to take lexapro because it will make my insomnia worse. but isnt effexor worse for causeing insomnia. i really beleive i have just as much understanding of meds if not more from yrs of research on bluelight.

www.askapatient.com also is an exellent site where ppl rate & write commenrs on medications.

if u havnt seen this website take a look. its rates anti-anxiety, AD, AP, pain killers with a score out of 1-5 of the average rating ppl have given along with comments.
it's very useful for finding suitable meds
 
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Anon54 said:
^^i already said im not dr shopping. im trying to find a dr that will give me meds i want. im not getting several scripts from different drs. & the new drs i see i explain that the last dr wont give me benzos for whatever reason.
Click to expand...
Was just sayin....

Anon54 said:
my pyysisican have suggest eiter effexor or Luvox (i think thats how its spelt)
SSRI & SNRIs along with Zyprexa.
only some get anxiety releif from SSRIS. & if valium doesnt give m anxiety releif how is SSRIs
I need some kpins or xanax.... which will probably end in disaster later down the track
she will not prescribe benzos cuz she knows i used to take alot of em last year.
shes not a gp but specialized in mental health.
she says not to take lexapro because it will make my insomnia worse. but isnt effexor worse for causeing insomnia. i really beleive i have just as much understanding of meds if not more from yrs of research on bluelight.
Click to expand...

I find absolute opinions ("DON'T take lexapro because it WILL MAKE insomnia worse" and such)on psych meds vary from physician to physician. Like you said, if your needs are not being met, find another one.

Edit:

I assume you have been diagnosed as bi-polar or schizophrenic?
 
^^no neither
only diagnosd with general anxiety disorder. & have been dianosed with depression in the past too. they go hand in hand i suppose. This diagnoses was made from a mental health team. not just a GP (I do get mild pyschotic symptoms though so i think i may have mild skizphrenia is there's such a thing). they are using antipychotics off label for anxiety.
what realy treatments are there for anxiety. ADs are more useful for depression & "pick me up" feeling. but often that can make ppl with anxiety worse. kind of like coffee makes ya feel good when ya calm but whan ya anxious it makes ya feel worse.
this is why the dr has turned to antipychotics. all the most effective antianxiety treatments are addictive as u already know.
 
Pharmaceuticals are the front line treatment. But, most physicians are hesitant to prescribe benzos for an extended period of time. Antipsychotics at higher doses makes me wonder if your doctor might be treating a "hunch" without giving you the full story. Antipsychotics seem like overkill to me for GAD. Does your doctor think you abuse the benzos or any other substance?

Have you researched cognitive behavioral therapy at all?
 
first of all thx for talking to me. psychopath. i can talk about more things on BL than i can with my drs. thats why BL is such a good source for information & help.
no i havnt tried CBT. its been suggested but i dont have much faith in it. im not sure what its all about really. might do some research. do u think it could help?

atleast im not drinking these days. i used to get so anxious that i would turn to alcohol. i wasnt an acloholic or anything but ive certainly drank for the sake of just getting releif.
im still using codeine sometimes. I just drank some 15 mins ago. & im taking the ceiling dose.
im not sure if this is really helping at all. Do u think it could be contibuting? (I think of it as self medication) it helps temporarily & w/d are easy. cuz its pretty rare i ever get oxy but i find it as strong as about 30mg.
I used to be a regular pot smoker but only occationly smoke it now. maybe mj isnt the innocent drug that BL makes it out to be. drugs i dont mention to drs because ive learnt that as soon as u mention recreational drugs drs think u'll abuse any med they give. they're convinced that pot is worse than cigarettes/alcohol & ive been told that using mdma even once causes perminent damage.
pregabulin looks promising. & ive often seen ppl being presribed Soma.
im sure i'll work something out. i think i will give ADs a try again. Lexapro has the least side effects so id probably try that one. I know u said it makes insomnia worse. but i have seroquel.
u think any ADs can help me with anxiety because right now im willing to try anything to get back on my feet & feeling well again.
 
Anon54 said:
no i havnt tried CBT. its been suggested but i dont have much faith in it. im not sure what its all about really. might do some research. do u think it could help?
Click to expand...

It is possible. I know success rates are higher with other illnesses than with GAD, but it is worth at least asking your dr. about.

Anon54 said:
atleast im not drinking these days. i used to get so anxious that i would turn to alcohol. i wasnt an acloholic or anything but ive certainly drank for the sake of just getting releif.
im still using codeine sometimes. I just drank some 15 mins ago. & im taking the ceiling dose.
im not sure if this is really helping at all. Do u think it could be contibuting? (I think of it as self medication) it helps temporarily & w/d are easy. cuz its pretty rare i ever get oxy but i find it as strong as about 30mg.
Click to expand...

Most codeine formulations have a ton of APAP in them as well. Search the site for CWE (cold water extraction), especially if you are drinking with it. APAP can destroy your liver. So can alcohol.

Anon54 said:
im sure i'll work something out. i think i will give ADs a try again. Lexapro has the least side effects so id probably try that one.I know u said it makes insomnia worse . but i have seroquel.
Click to expand...

You misread or I worded it poorly. I meant that often different doctors have different opinions on the effects of different medications.
Anon54 said:
u think any ADs can help me with anxiety because right now im willing to try anything to get back on my feet & feeling well again.
Click to expand...

I have been on Paxil for anxiety and it is a AD (antidepressant?)

It took several years of constantly tinkering with my psych meds to have my bi-polar treated properly. Keep the faith. You will probably find a combo (assuming you have the appropriate doctor) that works for you, but it might take a while.
 
yeah im using AD as antidepressant & AP antipsychotic.
im glad paxil is working for u. ive heard it is one of the poweful ADs & often makes ppl overly happy (I dont know wtf thats suppose to mean. how can ube overly happy?)

yeah I do cwe. cooling. stiring. putting every last bit of apap/codeine into a hanky over a bowl & squeezing every last drop out. than even do a 2nd filter with a coffee filter. water comes out a light grey. (Remember ive been looking at BL for yrs I know all the tricks such as grape fruit juice with benzos)

has paxil been the most successful med uve tried?
have u had much experience with other ADs?
consitering i get anxiety i should probably stay away from effexor., right?
I used tramadol for a few months as an AD 150mg/day which wasnt so bad & its suppose to be the closest related chemical to effexor i think i read. but maybe it was the opiod effect that was most appealing to me because i think the opiod effext maxes at about 100mg. & if i took more than 150mg of tram it would make me restless. I suppose because of its SNRI effect.
ive been told that tramadol is pretty much the superior SNRI that makes ya the most happy. & i didnt even like tramadol all that much.
 
Anon54 said:
has paxil been the most successful med uve tried?
have u had much experience with other ADs?
consitering i get anxiety i should probably stay away from effexor., right?
Click to expand...

Paxil was successful for anxiety when I needed it. I get bad anxiety randomly from time to time. I have tons of experience with ADs. I have been on nearly all of them. I currently take Cymbalta as AD(which I love) and Lamictal as mood stabilizer.

I do not know the effect of SNRIs and anxiety. A close friend is on Cymbalta and she has the worst anxiety ever (has been prescribed 90 2mg Xanax per month for at least 2 years). Not sure about Effexor.
 
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^^Cymbolta is an SNRI

anyways im still lookin for the most suitable antipychotic to take.
so if anyone has any comments with there experences with APs?

Zyprexa keeps me asleep but lasts to long making me drowsy half the day. also makes ya put on the most weight out of the APs

Seroquel only lasts until the morning so doesnt keep me drowsy during the day but i wake up several times during the night. it also puts on the least amount of weight compared to the other APs

Basically want a drug like Zyprexa but doesnt last as long.

Clozapine sounds good but is a pretty dangerous drug & is only precribed as a last resort. u have to be closely monitored & have blood test to make sure your white blood cells are in a safe range. Doesnt last as long as Zyprexa & put on less weight than Zyprexa but more than seroquel. it is also the most sedating.
 
How about maybe a low dose of a typical anti-psychotic such as chlorpromazine aka thorazine aka largactil. 25-50mg's taken at night should be enough. Like seroquel it is a low potency anti-psychotic and for me the only side effect i got from it was drowsiness as well as no longer puking. It doesn't seem to last that long in low doses anyway.
 
some nice stranger just gave me a little bit of weed down the st. how nice. rarely smoke pot these days. might be getting some temaze too soon. fucken benzos dont ever start em.
anyways back to the thread topic.. just took 300mg seroquel.
for anyone who is interested this is the most informative comparison chart ive ever come across on the internet with info on APs
http://drofrx.com/Diseases_files/RX files/Antipsychotics.pdf
scrol down theres 3 pages in the pdf file. I dont know what EPS is & cant seem to find half-life. I dont want something thats gunna keep drowsy all day otherwise zyprexa would have been perfect. (more natural sleepiness. not as weird)
100mg chlorpromazine only equals 60-75mg seroquel so 50mg I wouldnt even feel according to the above link.
u think chlorpromazine is a good AP paranoid android?
if i need to be taking something every night i wanna really do my research i choose the right one to take.
 
I wonder how long it would take to taper off 300mg seroquel.

benzos i find to be weak. & when i was hooked to them last yr it took me a few mounths to taper off.

APs i find really strong. they're only classified as being non-addictive because ya dont get a tolerance to em. mayve it was a mistake even starting em. even though i couldnt get to sleep. Maybe i should have done more exercise to help me sleep because ive got a feeling im going to have a really difficult struggle if i wanna stop taking them.

obviously they're not as difficult as benzos. but its ironic how benzos are so weak but have such bad w/d & APs are stong but are consitered to be non-addictive.
 
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