Although the symptoms were not completely managed by Amisulpride, at least I wasn’t having to eat at 8pm, take meds and go to sleep before anything bad happened
The heart stuff is annoying, but I am not sure if the trade off between hidden side effects is better than one as pronounced as the akathisia
It has been horrible
Diazepam sort of helps it, but the Propranolol they gave me I think was too low of a dose
I’ve been aggresive with my meds. Tried changes numerous times for better function but ended up on the same old same old. Just relieves the pressure somewhat.
I’ve done that myself. I want better function. Lets try something else. Still irks me that psydoc choices were the ones I stuck with but he’s old enough to see the ends of institutions but young enough to see atypicals. He knows some things but a lot of it is guesswork. Still. His decisions have helped me no end.
There are some additional drugs that can be theraputic for akathesia that being said, you and your psychiatrist need to work through this I hope you find a good outcome.
For the indication of schizophrenia, the rank order for propensity for weight gain appears to be brexpiprazole > aripiprazole > cariprazine, the propensity for somnolence aripiprazole > brexpiprazole > cariprazine, and the propensity for akathisia cariprazine > aripiprazole > brexpiprazole
Because of the partial agonist activity at the dopamine D2 receptor, aripiprazole, brexpiprazole, and cariprazine are less likely to cause hyperprolactinemia than other first-line first- or second-generation antipsychotics. Other differentiating features of the dopamine receptor partial agonists compared with other choices include a relative lack of effect on the QT interval
Idk which have more akathisia Latuda or Vraylar. I think it also depends on the individual, some might get akathisia on a specific med while some won’t. I think you should try it.
I went off Latuda completely and my akathesia went away. My pdoc put me on a very small dose of zyprexa. Zyprexa has always worked but the side effects were intolerable. Now the dose I’m on is too small to cause side effects. lt has been a few days now and I’m not sleeping all day. I have worked out my problems over the years and think I may be all right on this small dose. Crossing my fingers.
Go back on Solian because that it’s ranked as the next strongest antpsychotics after Clozapine whereas
Latuda is ranked as the second weakest antipsychotics. Only illoperidone is weaker.
What about the QTC prolongation? That was one of the reasons I was taken off it. I was on 1.2g though when they tested me (I was on 800mg for most of the time)