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Re: Should I try Requip?

Posted by linkadge on August 8, 2010, at 20:39:20

In reply to Should I try Requip?, posted by Dima on August 8, 2010, at 16:23:49

>On Thursday, I stopped taking the Abilify >because of the akathisia, and my doctor >prescribed 600 mg Lithium per day and 100 mg >Seroquel to sleep. This was added to 15 mg >Remeron and 40 mg Celexa.

>Tomorrow, I plan to call my family doctor about >my RLS and hopefully he will prescribe either >Requip or Mirapex. Doesn't it seem like it's a >low dopamine issue? Family history of >Parkinson's, low motivation, social anxiety, >RLS, muscle twitches...

I have to totally agree with Ed! First of all, many of the meds you are taking can induce tremor, muscle rigidity, and RLS.

All of lithium, seroquel, citalopram, and remeron have been associated with RLS. Citalopram, like other SSRI's is associated with RLS, probably due to the indirect suppressive effect that boosting serotonin has on dopamine neurotransmission. Lithium will augment this. As mentioned, the seroquel is a dopamine antagonist (effectively doing the exact opposite that a dopamine agonist like mirapex would do).

Muslce twiches aren't associtated with low dopamine, but they are associated with citalopram and / or lithium.

First of all...figure out what in the heck your diagnosis is. It looks like your doctor is adding mood stabilizers onto your antidepressant. Is the diagnosis of bipolar disorder in question?

If this is true, reduce the citalopram and this may indirectly improve your RLS. Parkinsons disease is not due to low dopamine, it is due to distruction of the dopamine receptors in the brain.

You're taking 4 meds right now, all of which have been associated with RLS symptoms. You really don't want to be on a fifth medication to combat side effects of the first 4.

I'm 27 but was on many meds when I was your age too. I'm still suffering the effects of some of the wierd multi med concoctions the doctors dreamed up. I got onto the roller coaster of knee jerk reactions to drug side effects. Please, care for your brain. I wish I could have gone back to tell myself just to settle down and stick to 1 or 2 meds that really help.

Linakdge



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poster:linkadge thread:957858
URL: http://www.dr-bob.org/babble/20100731/msgs/957949.html