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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by NikkiT2 on March 15, 2002, at 8:11:40
Since raising my Zyprexa dose to 15mg (am going up to 20mg) I;'ve been getting really restless legs and twitchy arms and legs at night... I can;t get a octors appointment till may and wondered if there was anything over the counter that I coul take to help.
Ta
Nikki
Posted by JohnX2 on March 15, 2002, at 8:27:44
In reply to TD - anything to help it??, posted by NikkiT2 on March 15, 2002, at 8:11:40
Hi Nikki,You may be able to relieve this with anticholinergic medications. Try some whopper benadryl. But you *really* need to call your doctor immediately and let him know that this is happening.
Best Wishes
John
> Since raising my Zyprexa dose to 15mg (am going up to 20mg) I;'ve been getting really restless legs and twitchy arms and legs at night... I can;t get a octors appointment till may and wondered if there was anything over the counter that I coul take to help.
>
> Ta
>
> Nikki
Posted by OldSchool on March 15, 2002, at 10:47:18
In reply to TD - anything to help it??, posted by NikkiT2 on March 15, 2002, at 8:11:40
> Since raising my Zyprexa dose to 15mg (am going up to 20mg) I;'ve been getting really restless legs and twitchy arms and legs at night... I can;t get a octors appointment till may and wondered if there was anything over the counter that I coul take to help.
>
> Ta
>
> Nikki
OTC Benadryl could probably help it. You NEED to talk to a doctor about this immediately, not in May! Sounds like EPS type symptoms. Dont mess with this stuff...see someone about it NOW.Old School
Posted by NikkiT2 on March 15, 2002, at 14:43:44
In reply to Re: TD - anything to help it?? » NikkiT2, posted by JohnX2 on March 15, 2002, at 8:27:44
My Pdoc has left, and new one doesn;'t start for another two weeks.. called my GP and she can't see me till 14th April, when I'll be on holiay... really wanted this sorted before then!
Nikki
Posted by NikkiT2 on March 15, 2002, at 14:49:40
In reply to Re: TD - anything to help it??, posted by OldSchool on March 15, 2002, at 10:47:18
Posted by OldSchool on March 15, 2002, at 15:19:15
In reply to Whats EPS?? (nm) » OldSchool, posted by NikkiT2 on March 15, 2002, at 14:49:40
EPS stands for "Extrapyramidal Syndrome" and it is basically anti-psychotic drug induced parkinsons like symptomology. It can typically consist of tremors or twitches, muscle stiffness or tightness, tightness in the throat, having a "numb tongue" feeling. Its the most common side effect of anti-psychotics and its usually treated either by reducing the anti-psychotic dosage, going off the anti-psychotic totally or adding an anti-cholinergic drug like Cogentin or Artane. Usually it goes away if you go off the anti-psychotic.
The bad thing about EPS is if you stay on the anti-psychotic longterm with these symptoms, it can cause longterm, chronic problems like parkinsons, TD, etc. Its best to talk to your doctor pronto about this.
here are some decent links that describes EPS:
http://www.merck.com/pubs/mmanual/section14/chapter179/179d.htm
http://www.mhsource.com/expert/exp1053199c.html
http://www.mhsource.com/expert/exp1083198a.html
http://www.mhsource.com/expert/exp1040201a.html
Old School
Posted by NikkiT2 on March 15, 2002, at 16:39:43
In reply to Re: Whats EPS??, posted by OldSchool on March 15, 2002, at 15:19:15
*sobs* And I've been getting on so well with it.. I think I;ll cut the dose back own to 10mg as it was just about oK on that...
Would a benzo help do you think?? Its also only at night that I notice it.. even though I get very restless during the day..
Ta :o)
Nikki x
Posted by OldSchool on March 15, 2002, at 18:41:42
In reply to Re: Whats EPS?? » OldSchool, posted by NikkiT2 on March 15, 2002, at 16:39:43
> *sobs* And I've been getting on so well with it.. I think I;ll cut the dose back own to 10mg as it was just about oK on that...
>
> Would a benzo help do you think?? Its also only at night that I notice it.. even though I get very restless during the day..
>
> Ta :o)I STRONGLY suggest you talk to your doctor before you change anything Nikki. I dont see why you dont have access to the doctor who prescribed this drug. Does this doctor have another doctor covering for them? When doctors go out of town usually another doctor covers for them.
Old School
Posted by JohnX2 on March 15, 2002, at 19:12:57
In reply to Re: Whats EPS??, posted by OldSchool on March 15, 2002, at 18:41:42
> > *sobs* And I've been getting on so well with it.. I think I;ll cut the dose back own to 10mg as it was just about oK on that...
> >
> > Would a benzo help do you think?? Its also only at night that I notice it.. even though I get very restless during the day..
> >
> > Ta :o)
>
> I STRONGLY suggest you talk to your doctor before you change anything Nikki. I dont see why you dont have access to the doctor who prescribed this drug. Does this doctor have another doctor covering for them? When doctors go out of town usually another doctor covers for them.
>
> Old SchoolNikki,
This happened to me on Zyprexa at high dose, and it was eased by lowering the dose. I discontinued the medicine. I personally feel it is inexcusable for there not to at least be a doctor on call for you to talk to this about, and agree fully with Old School on all Old School's thoughts.
May I asked why you are taking the increased dosage? Is this for bipolar to help with mood stabilization/antimanic effect?
TD/EPS is serious business. You don't want this baggage with you for the rest of your life.
John
This is the end of the thread.
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