![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Jeroen on December 27, 2008, at 16:31:31
hi, i have psychosis treated with abilify but i want to add trazodone because all neuroleptic failed except seroquel wich pooped out
Posted by SLS on December 27, 2008, at 18:46:10
In reply to wanting to try Trazodone, posted by Jeroen on December 27, 2008, at 16:31:31
> hi, i have psychosis treated with abilify but i want to add trazodone because all neuroleptic failed except seroquel wich pooped out
Trazodone is an interesting choice. What are your reasons for choosing it?
- Scott
Posted by Jeroen on December 28, 2008, at 3:55:14
In reply to Re: wanting to try Trazodone » Jeroen, posted by SLS on December 27, 2008, at 18:46:10
because i tryed dopamine agents witouth success, its time to try a Tricyclic AD wich was used in the past as neuroleptic alike agent
Posted by SLS on December 28, 2008, at 8:25:27
In reply to Re: wanting to try Trazodone, posted by Jeroen on December 28, 2008, at 3:55:14
> because i tryed dopamine agents witouth success, its time to try a Tricyclic AD wich was used in the past as neuroleptic alike agent
Yes, but trazodone is not a TCA. It is a weak inhibitor of serotonin reuptake and does a bunch of other stuff (good and bad), but it does not inhibit the reuptake of NE like the true TCAs do. I wouldn't recommend that you not try trazodone. You never know what drug is going to hit the right target. However, if you are motivated to try a TCA at this point, you might want to look at drugs like nortriptyline or desipramine or even Asendin - a TCA with antipsychotic activity. If you have already tried loxapine and failed to respond to it, then don't bother with Asendin. Asendin is like a combination of imipramine and loxapine. You know, the anticholinergic properties of the TCAs impramine and protriptyline might mitigate your involuntary movement issues.
- Scott
Posted by Jeroen on December 28, 2008, at 8:30:52
In reply to Re: wanting to try Trazodone » Jeroen, posted by SLS on December 28, 2008, at 8:25:27
SLS thanks but ill try Trazodone with my doc first, you say the other have anti psychotic activity wich i need and is good
Posted by Phillipa on December 28, 2008, at 10:40:41
In reply to Re: wanting to try Trazodone, posted by Jeroen on December 28, 2008, at 8:30:52
Jeroen will you continue to take the antipsychotics? Phillipa
Posted by sdb on January 3, 2009, at 14:42:47
In reply to wanting to try Trazodone, posted by Jeroen on December 27, 2008, at 16:31:31
> hi, i have psychosis treated with abilify but i want to add trazodone because all neuroleptic failed except seroquel wich pooped out
the role of the (5-HT)2 receptor family is not entirely clear and there are reported conversely data. If you try this, then maybe better start on a very low dosage closely monitored by your doctor.
what I have heard is that trazodone can induce strange thoughts.
Due to its alpha antagonism there is a risk for priapism. After years that drug was introduced the urologists have again found something pro sexual, libido enhancing with pro erection properties. Its a warm up of old knowledge that I recently read.
all the best for you
warm regards
sdb
*again a capsula interna problem detected at the railway station, we're privileged to have some health.
Posted by Jeroen on January 3, 2009, at 15:15:25
In reply to Re: wanting to try Trazodone }} Jeroen, posted by sdb on January 3, 2009, at 14:42:47
sounds dangerous again :(
Posted by sdb on January 3, 2009, at 15:25:58
In reply to sounds dangerous again :(, posted by Jeroen on January 3, 2009, at 15:15:25
> sounds dangerous again :(
I don't want to sound only negative. Where there is something negative, there's maybe something positive :) Talk about crucial points with your doctor. For example cardiac stuff, syncopes with trazodone, priapism etc. Look for information on trazodone on the internet and then talk about it to have answers.
*trazodone has nothing to do with that capsula interna case !!!
Posted by Jeroen on January 3, 2009, at 16:35:29
In reply to Re: sounds dangerous again :( }} Jeroen, posted by sdb on January 3, 2009, at 15:25:58
*trazodone has nothing to do with that capsula interna case !!!
i dont understand what you mean by this
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.