Posts by granitefalcon26

Jerry Martinez5 said:You hit him and broke his nose. Whether he actually filed a lawsuit against you or not, you’ve got a problem. A massive one.

Say you go to Target tomorrow, for example, and the cashier makes a mistake and gives you less change than you're owed. Are you going to break her nose? Shoot her in the head?

You clearly have some deep-seated frustrations in your personal life that you need to deal with. That guy was just the trigger.

I have to disagree. Honestly, I think she handled it just fine.👍 And I'm pretty sure she doesn't react like that every time something goes wrong. That guy clearly wasn't going to stop; he would've kept pushing.
Sometimes a person just reaches their limit and snaps. It doesn't mean they're a killer.
I tend to stay quiet, bottle things up, and then eventually just lose it on the road. I've definitely snapped before. I once kicked my old boss out of the clinic. And honestly? I'd do it again. I felt a whole lot better afterward. 😉

Honestly, I mostly blame the parents. They just sweep everything under the rug. But the second their kid ends up in the ER getting their stomach pumped, suddenly everyone else is the villain. It’s the school, the teachers, the doctors—everyone except them.🙄
I dealt with three minors about ten years ago. People called 911. When we showed up, they were practically ten feet away from us, totally wasted. They had zero clue where they were. It was a nightmare—they’d been vomiting everywhere. They ended up on the internal medicine ward for a stomach pump. And you know what? These parents are the absolute best. How does that work? In their minds, their kid doesn't even drink. 🙄

boldowl88 said:So, based on what you know, should Fever and Risset even be taken together? Do you happen to know why, or what kind of side effects might occur with that combination? I'm also wondering if anyone else has been prescribed this specific combo by their psychiatrist and what your experiences have been, assuming this isn't just an isolated case. Thanks.

Tylenol is an SSRI (selective serotonin reuptake inhibitor), while Risperdal (risperidone) is an antipsychotic that has a high affinity for those serotonergic 5HT2 receptors. Because of that overlap, taking both can potentially lead to serotonin syndrome.
Serotonin syndrome usually shows up as sweating, muscle stiffness, spasms, instability, confusion, irritability, or even extreme agitation.

cosmictinker21 said:First things first: for the umpteenth time: schizophrenia. If you're struggling, at least try to spell it right. Not that I know... 🤣

Second: with sch (another imprecise term, though commonly used), you get these so-called negative symptoms, which include depressive episodes. Mood swings are incredibly common with this condition anyway, even if they don't fit neatly into one specific clinical category... because of that, doctors often prescribe supplemental meds—antidepressants, anxiolytics, sleep aids, and so on. Depression isn't necessarily a side effect of antipsychotics, since those tend to partially blunt the emotional spectrum. People often overlook the possibility of a co-occurring depressive syndrome because the primary schizophrenia symptoms are just so much more prominent. Also, Risperdal and its generics are essentially the same thing, just different manufacturers... let's not get too philosophical about whether a psychiatrist made the right call or not; that's for the patient to decide based on their own reality...

Look, it's pretty clear you aren't exactly an expert in medicine or psychiatry.🤣
You should probably do a little reading on how antipsychotics work before making such vague claims.
Here’s that link from Wikipedia again so you can catch up. It’s written in plain English. Hopefully, it makes sense this time.😁
http://en.wikipedia.org/wiki/Postschizophrenic_depression

Kenneth Scott41 said:I actually started out on the Zoloft 🤣 and, if I'm being honest, I felt significantly worse on that than I did on the Luvox. With the Luvox, everything else feels fine and I suppose I'm doing alright, aside from the whole sexual dysfunction issue...

Look, don't take everyone else's advice here as gospel. Medicine isn't math. We aren't all built the same way, and everyone reacts to antidepressants differently.👍

cosmictinker21 said:That’s a pretty common side effect with fluvoxamine. You might want to look into Lexapro (escitalopram). Patients usually have great results, and it doesn't typically mess with your sex life as much...

Honestly, though, I'd leave the medical stuff to the pros. Like, let a psychiatrist handle the prescription.😁

wiredharbor18 said:Look, I am well aware they are different illnesses.
I didn't necessarily know the precise clinical terminology, but I do know there are cases where depression and schizophrenia occur together, which is why I reached that conclusion based on the medications being discussed.

Now, I’m certainly no psychiatrist, so I don't claim to be an expert on all these nuances and specific diagnostic labels, but here is a link regarding something similar:
http://en.wikipedia.org/wiki/Schizoaffective_disorder

Take care,😉

It talks about depression resulting from schizophrenia or appearing as a side effect during antipsychotic treatment, which could be it.
That’s not quite what I meant. It's pretty obvious people are going to feel depressed once they find out what they're dealing with.
😉

I met this girl through an online forum, and we went out a few times. During one of our dates, she opened up to me about her struggle with schizophrenia.
To be honest, it really spooked me. I started spiraling about what the future would look like and how a relationship like that could actually work. 😢
Naturally, I didn't want to dive headfirst into anything serious. I couldn't stop thinking about what our kids might face—schizophrenia has a genetic component, after all. 😢 Plus, she was on antipsychotics, and you definitely can't be taking those during pregnancy.
People who start preaching about discrimination clearly haven't found themselves stuck in this kind of spot before.
The truth is, whether we realize it or not, most of us are looking for a partner who is healthy and attractive. Why? Because, deep down, we just want our kids to be healthy and smart.
Anyone claiming otherwise is just being a hypocrite. 😉

wiredharbor18 said:As far as I know, Risperdal is used to treat schizophrenic psychosis, and that twitching is a known side effect of the medication.
Since you didn't specify the diagnosis, I'm assuming we're looking at schizophrenic depression.
I don't have direct experience with this specific situation, but speaking from my own journey (dealing with anxious depression and panic attacks), it took me a long time—over two years of medication and therapy—to reach a level where my concentration felt satisfactory.
In any case, you might find better insight from someone who has dealt with a similar clinical profile, or perhaps you could dig through other threads here to see if anyone else has shared a similar case.
Best regards,

There's no such thing as "schizophrenic depression." Those are two completely different conditions.😉

boldowl88 said:If I understand correctly, she would be transitioning from Risperdal to injections. So, this therapy isn't meant to taper her off these meds entirely, but rather serves as a bridge to the injectable version. It sounds like her doctor hasn't discussed this specific plan with her yet. Regarding the tremors, if we're talking about Cogentin, I couldn't recall if it was particularly effective; they were just told to take it as needed. One more question: based on your experience, how long after starting Risperdal does the switch to injections typically happen? And does she continue taking Paxil alongside the injections? Best regards.

Fevrier is an antidepressant, while Risperdal is an antipsychotic. That's a pretty odd combo, especially since you mentioned she was previously on Moditen.
Moditen and Risperdal are typically used for chronic schizophrenia. I'm a bit confused why she'd be on Fevrier too.🤷
There isn't any set rule for when someone moves from pills to injections. Some patients end up using both. It really all comes down to how the patient responds to the treatment.
One more thing: "schizophrenic depression" isn't actually a thing. It’s either depression or schizophrenia.

boldowl88 said:My sister, who is in her 50s, has been on 2mg of Risperdal for about three months now (down from 4mg). She also takes one Fevarin tablet and medication for blood pressure, specifically Cilazil. Even though she sleeps 8–9 hours, she struggles with intense morning fatigue, difficulty waking up, and general sluggishness. On top of that, she’s dealing with constant leg tremors. During the first few months, her doctor prescribed an anti-Parkinsonian med to help with the twitching. It helped slightly, but the doctor told her to take it only "as needed," even though the tremors never stop. Before this current regimen, she was on older medications after being hospitalized at a psychiatric facility about a year ago. Those didn't work, so she switched to the more expensive Risperdal, which required approval from her insurance provider. This whole cycle of antipsychotics and antidepressants has been going on for about eighteen months. Currently, she's functioning okay, but her focus is shot—she can't concentrate on a book for more than thirty minutes or sit through a movie longer than ninety. I would truly appreciate any advice based on your own experiences or what you've seen with people you know.
She sees her psychiatrist once a month, but those visits are mostly just to get her prescriptions refilled. There isn't any actual psychotherapy involved, and she insists she doesn't need it. What have your experiences been with this kind of setup? Thanks in advance.

I haven't worked directly with patients on Risperdal or Rispolept myself since they're newer options. I can say, though, that those tremors could definitely be leftovers from her previous treatment—maybe something like Moditen. On the flip side, she probably was taking Aketon to try and dampen those movements.
It takes some time for Rispolept to really kick in. Usually, doctors prescribe Rispolept for chronic schizophrenia cases where other treatments just haven't cut it.
It sounds like she's just in that transition phase toward a new medication, which will likely start working better for her soon.
Since it's Rispolept Consta, it's administered via an injection. The patient visits their doctor every three weeks to get the shot.
Basically, what used to be Moditen Depo is now Rispolept Consta. It's a much better version with fewer side effects.
I've seen one of my patients improve immensely on this kind of therapy; they even went back to work. Another patient is seeing similar progress too.👍

Linda Taylor11 said:Hey Zeus, I've been taking Citadel myself (I can't really afford much since I'm just a student still living off my parents), but I used to take Lexapro and it worked perfectly for me. I only stopped taking it because I was being stubborn—back when things were a little more comfortable financially, I guess. I started the Citadel three days ago and I've felt sick from the very first dose. It completely kills my appetite and I can barely keep anything down in my stomach.

I'm wondering if anyone else has had these kinds of issues with Citadel?

Nausea is a side effect for both Cipralex and Citalon. So, if you haven't taken these meds in a while, you really should start with tiny doses. Try starting with just a quarter of a pill, then slowly work your way up to the full dose.

Unfortunately, one of the side effects of antidepressants is a lower libido.😢
That’s why I make sure to talk about sex with my partner. I try to bring a little bit of stress-relief therapy into our relationship. 😉

wiredharbor18 said:I never actually claimed they were identical or had equal efficacy; my point was simply that the difference in effectiveness doesn't justify such a massive price gap.
And I'm only bringing this up because I happen to be on that specific therapy myself.
My intention is solely to offer helpful advice to others, not to get into a heated argument with anyone here.

Furthermore, I am very well aware of how pharmaceutical companies operate and the politics within the FDA, which I personally find quite distasteful.

That’s exactly my point, though. I’ve cycled through Lexapro and then Zoloft, and now I'm back on Lexapro.
To you, those two might feel identical, but for me, they aren't.
We can't just hand out blanket advice. One antidepressant might work wonders for one person and do absolutely nothing for someone else. If everyone reacted the same way, we wouldn't need such a huge variety of options in the first place. 😉
I'm not arguing, I'm just trying to clear things up for people. Like I said, medicine isn't math.
Otherwise, everyone would just be popping Xanax and we wouldn't need anything else.🙂😉

wiredharbor18 said:I'm certainly not making this up; I know this area quite well due to my profession.
Not to mention that I am personally going through a rough patch myself. I just want to share my own experiences and knowledge with people (though I should clarify that I'm not claiming to be some ultimate authority or saying everything I say is gospel, since my primary focus is on influencers and cancer).
Rebound occurs when you stop taking antidepressants before the underlying condition is actually resolved—meaning, without a psychiatrist's approval. After a certain amount of time, much more severe depressive episodes (depression, anxiety, and panic) kick in. I’ve experienced this firsthand, a few months after I stopped taking them on my own.
However, I think the question was specifically about physical symptoms during a sudden stoppage, and those would be the ones I mentioned, which aren't nearly as devastating as actual depression itself. They typically last about seven days.

Regarding citalon-cipralex, studies have been conducted on several thousand individuals, both healthy and ill, including placebo groups. This makes the data highly relevant, as I pulled it directly from a prestigious scientific journal.
I wouldn't have even brought up this data if it weren't true that I transitioned from cipralex to citalon and haven't felt any changes or side effects—which aligns with almost 90% of the people in that study.
Because if I wasn't doing okay, I'd definitely still be on cipralex.

What I really want to know is: what does coming off cipralex actually look like? I’m nowhere near that stage yet, but I'm curious if anyone here has been through it. Do the old symptoms come crawling back? And how long are you supposed to stay on it? A year?
Firestarter 17. 16.07. at 23.08.

If you look closely, the question was specifically about whether the mental symptoms return. Nobody was talking about physical ones.😉

wiredharbor18 said:I'm certainly not making this up; I know this area quite well due to my profession.
Not to mention that I am personally going through a rough patch myself. I just want to share my own experiences and knowledge with people (though I should clarify that I'm not claiming to be some ultimate authority or saying everything I say is gospel, since my primary focus is on influencers and cancer).
Rebound occurs when you stop taking antidepressants before the underlying condition is actually resolved—meaning, without a psychiatrist's approval. After a certain amount of time, much more severe depressive episodes (depression, anxiety, and panic) kick in. I’ve experienced this firsthand, a few months after I stopped taking them on my own.
However, I think the question was specifically about physical symptoms during a sudden stoppage, and those would be the ones I mentioned, which aren't nearly as devastating as actual depression itself. They typically last about seven days.

Regarding citalon-cipralex, studies have been conducted on several thousand individuals, both healthy and ill, including placebo groups. This makes the data highly relevant, as I pulled it directly from a prestigious scientific journal.
I wouldn't have even brought up this data if it weren't true that I transitioned from cipralex to citalon and haven't felt any changes or side effects—which aligns with almost 90% of the people in that study.
Because if I wasn't doing okay, I'd definitely still be on cipralex.

Look, you know as well as I do that big pharma companies run studies to suit their own interests.
There was a time when the New England Journal of Medicine published a study claiming that unknown (a diabetes med) was risky for people with cardiovascular issues.
Honestly, that sounds like total nonsense to me. Most diabetic patients already have damaged blood vessels, so a huge chunk of them are heart patients anyway. Even the FDA, which is incredibly strict, didn't ban the drug.
In my actual experience, I've never seen a single death caused by using that medication.
Studies are one thing, but real-world practice is something else entirely.
Medicine isn't math. Just because citalon works just as well as cipralex for you doesn't mean it'll be the same for me.

Jerry Martinez5 said:granitefalcon26, maybe stop telling everyone else that sex is some kind of cure for depression or mental health issues? I just had to delete another one of your posts about it.

It's pretty obvious that even sex hasn't helped you get off those pills entirely.

People who actually know me, like unknown, know I’m just messing around.🙂😉
I talk about sex to break the tension.🙂 Which, by the way, is always there. 😉
As for the sex itself, my girl just headed off to New York City. She stayed with me for three weeks. It was great.😉🙂

unknown

Peter Lee6 said:Well, mine gave me Fevarin because I was feeling suicidal, and I still felt that way even after five months on it. I then spent another month on Lexapro and still had suicidal thoughts. It didn't really clear up until a year later when I started exercising, lost 45 pounds, found a job, and got a girlfriend... basically, my psychiatrist didn't actually help me with anything, even though I was paying him by the $100 hour. All he told me was to get a job and exercise, which is advice anyone could have given me. I even have a friend who was forcibly committed to a psychiatric ward for 30 days just because he got into an argument with his parents and got into a fight with his old man. I don't see the logic there; they should have just taken him to the police instead of a mental hospital.

That’s exactly what I’ve been saying all along. It's all about getting some downtime and recharging.unknownHere’s a recipe for fighting off depression that actually works.

unknown

wiredharbor18 said:Tapering off Cipralex (or most antidepressants) usually involves gradually reducing the dosage over several weeks. If you stop cold turkey, you'll likely run into milder withdrawal symptoms like dizziness, anxiety, or nausea...
The duration of treatment really depends on the individual's specific situation; that’s something your psychiatrist will determine. Unfortunately, for some people, it can be a lifelong journey (which I suspect is my case 😢).
Please, don't try to stop the medication on your own. I'm telling you this from personal experience: if you do, those episodes tend to return even more intensely.
In my case, I decided to quit on my own once I started feeling better, thinking I could just power through it with sheer willpower 😂. About two months later, everything came rushing back, and it was honestly unbearable.
I've been on antidepressants for about six years now—specifically Cipralex, which is just Citalon now.
And honestly, I feel fine. I'm functioning perfectly well.

Those aren't exactly mild symptoms. Stopping antidepressants cold turkey usually triggers a massive rebound effect. It basically means those feelings of depression, anxiety, and panic can come back ten times harder than before.👍

wiredharbor18 said:To look at the chemical difference: Escitalopram is the active isomer of citalopram.
The manufacturer claims that escitalopram is more effective than citalopram, and clinically speaking, that's actually been proven. However, the boost in efficacy isn't quite significant enough to justify those high price tags.
Because of that, many people just opt for a slightly higher dose of citalopram instead.
It’s a lot like when you go to a pharmacy and grab Advil instead of something like Bayer Aspirin, which shares the same generic name. In principle, you're mostly paying for the "brand name."

Generally speaking, my professional😁 opinion is that the most effective antidepressants belong to the Dual class of serotonin and norepinephrine reuptake inhibitors. The prime representative here is VENLAFAKSIN, as it has demonstrated numerous advantages over SIPPS.
My wonderful psychiatrist has me on Citalon (previously I was on Cipralex)—and hey, she probably knows best 🤷—so if anyone here has experience with DIPPSN, please do reach out. ☕

I actually disagree with that. I'm no pharmacologist or psychiatrist, but there is a real difference. I'd love to save money by taking citalopram too, but when I was on 40 mg a day, I felt super anxious and had more panic attacks. 😲Since switching back to Lexapro, I've been feeling way better.👍And I only need one 10 mg dose of Lexapro a day.🙂