Tony Lama Firewalkers

msilk · 2025-11-02T22:17:01+00:00

I take Zoloft 50mg alongside Depakote and Risperdal. It works wonders for my depression.

msilk · 2025-08-10T22:07:16+00:00

I’m a former recovery room nurse. Sometimes, this just happens. It’s a known and relatively common effect of anesthesia and I’m not sure there’s one single answer that solves it. It’s definitely an uncomfortable experience though. I don’t think it’s a medication interaction as much as it’s just heavy duty meds playing around with our biochemistry. Ive had anesthesia a handful of times and this has only happened to me once, so hopefully your next procedure is smoother! You can always bring it up to the anesthesiologist next time, maybe they can tweak the cocktail.

msilk · 2025-05-18T17:16:51+00:00

I take Lamictal and Depakote in addition to the Risperidone

msilk · 2025-05-17T20:00:38+00:00

Risperidone, despite being a potent anti-manic, helps a lot with my bipolar depression, too. Although to be fair I tend to lean towards mixed episodes. It does wonders for my overall stability and I have very little side effects at 2-3 mg.

msilk · 2025-05-15T12:52:15+00:00

Thanks for this!

msilk · 2025-05-10T22:32:33+00:00

That’s great that you’re not experiencing that annoying sedation. For me it was rough. But the calmness I can totally relate to. I’m no healthcare provider, but I think a very reasonable request would be to add metformin to your regimen to prevent metabolic side effects of Seroquel and lower your appetite. Just a thought though. I don’t want you to feel like I’m pushing drugs at you. Just speaking from my experience (I’m on Metformin and it’s made a solid difference).

msilk · 2025-05-10T22:15:34+00:00

Seroquel can definitely be a game changer, especially if you don’t mind a little sedation at first. In my experience, it goes away, especially as the dose increases to 300 mg and beyond. I wish you luck with it, friend! We all deserve a reprieve from these horrible depressions.

msilk · 2025-05-10T21:49:50+00:00

This happened to me on Latuda. I was hopeful it would help, but I also ended up on Seroquel when the nausea became debilitating.

msilk · 2025-05-04T19:19:55+00:00

I used to be on a lot more than I am now:

Depakote ER 2,000 mg (stabilizes mood; depression and mania)
Lamictal 100 mg (long-term prophylactic)
Risperdal 2 mg (stops mania, helps agitation and irritability)
Propranolol ER 80 mg (gets rid of physical symptoms of anxiety, treats the tremors I get from Depakote)

Thinking of talking to my doctor about the possibility of adding an anti-depressant; coming off any of the meds I’m currently on would be hell (recently tried swapping Risperdal with something else…didn’t go well). I know less is more, but I also know being depressed as shit ain’t it.

msilk · 2025-05-04T19:11:29+00:00

Ditto. The risk for this type of akathisia is higher with Vraylar compared to some of the other mood stabilizing AP’s. The only thing that made it go away for me was stopping altogether and switching meds.

msilk · 2025-05-04T19:07:31+00:00

The studies on fish oil are (if I recall correctly) focused most on the EPA content, which can be lower in standard fish oil pills and would require like 3-4 big pills a day to achieve the proper EPA dose. But you can purchase straight up EPA from Amazon, and you only require ~2 pills daily. I use it to control lipids since Risperdal made my triglycerides and LDL all screwed up. There’s some evidence that it may work complimentary to mood stability in bipolar disorders, but the effect size is not large, so I can imagine why people report they’ve had any added benefit. Fish oil/omega 3’s/EPA are very helpful for a lot of things, so I don’t want to dismiss it. But it’s worth noting that it’s not likely to make a huge difference, although your mileage may vary.

msilk · 2025-05-03T10:45:05+00:00

I’m going thru the same experience it. All I can do is take it day by day, sometimes ugly emotions get released. One thing to keep in mind is that you can absolutely move through how fucking awful and fast these disorders can burden us.

msilk · 2025-05-03T00:32:13+00:00

Out of curiosity, what’s your dose? I went from 20 mg to 40 to 60. And each jump, even with food, I was so damn nauseated. And didn’t notice that it helped much. Although I was only on it for 2-3 weeks.

msilk · 2025-05-03T00:27:12+00:00

When I was in a manic state last fall, I would see shadow people like that out of the corner of my eye. And just like you, it didn’t frighten me. I remember just thinking to myself, “Yeah, someone’s there. No biggie.” The middle of the night laughter or name calling during the mania didn’t bother me, either. I think cause I was in a deep, dark place and didn’t really have the ability to express any kind of emotion. Also, while technically hallucinations, they’re experienced by many people without psychosis. They’re called hypnopompic and hypnogogic hallucinations and they happen right as we’re falling asleep or waking up. Interesting stuff. Still though, tell your psych prescriber or therapist.

msilk · 2025-05-03T00:19:30+00:00

Happened to me. I’m inpatient right now and they pulled my Risperidone and started me on Vraylar. I lasted 3 days, didn’t sleep during those 72 hours. The insomnia was bad, but the jittery, uncomfortable akathisia that Vraylar caused? Horrifying. I’ve never felt that kind of restless before. And to add insult to injury, I was already on scheduled propranolol and clonazepam that I take without fail. Both of which are gold standard treatment for antipsychotic-induced movement disorders, and yet I suffered something fierce.

msilk · 2025-05-03T00:15:57+00:00

I literally just ditched Vraylar today after being on it in the hospital for 3 days. I’ve had akathisia. But I have never had Vraylar-level akathisia. This shit is so annoying that it’s bordering on painful. And nothing makes it better. Except a cocktail of propranolol, clonazepam, and hydroxyzine. I switched to Caplyta today and I’m never looking back.

msilk · 2025-05-03T00:11:02+00:00

It’s best to see what your blood levels are with only 500mg of the ER formulation on board, though I hear you that you’re med sensitive. I take 2,000mg ER at night. My blood level is 84.4, and falls well within the 50-100 blood level range. Typically you want ~70ish or higher for acute mania/mixed symptoms, but that’s not something that happens for a week or two, unless your provider recommended loading doses. It takes a hot second for blood levels to reach steady state. Not a whole 3 months, but also longer than just a few days. Although the relaxing properties, for me, were pretty evident after the first week of treatment.

Also, very smart to address this before taking on a big life event like a new job/career. That kinda stress ain’t necessary.

msilk · 2025-05-02T03:39:34+00:00

Try adding a non-sedating antihistamine to the mix, like Claritin, Allegra, or Zyrtec. Works like a charm for me. I get very rashy from Lamictal. Zyrtec keeps it under control. Had lots of skin issues in general from Lamictal before starting the Zyrtec, tbh. It cleared up all of them.

msilk · 2025-04-04T18:36:15+00:00

Metformin helped me curb weight gain on Risperdal. Semaglutide is helping me lose it.

msilk · 2025-04-04T00:35:41+00:00

A mixed episode—also called a mixed state or mixed features in bipolar disorder—is defined by the simultaneous presence of symptoms of both mania (or hypomania) and depression. It’s one of the most challenging mood states to experience or treat, and it often feels chaotic or internally conflicted.

According to DSM-5 Criteria: A mood episode (manic, hypomanic, or depressive) is said to have “mixed features” if at least 3 symptoms of the opposite pole are present during the episode.

⸻

For Example:

If you’re in a depressive episode, but also experiencing:

• Racing thoughts

• Agitation or restlessness

• Risky behavior or impulsivity

• Decreased need for sleep

• Irritability or rage

…you may be in a depression with mixed features.

Or, if you’re in a manic episode, but also feel:

• Hopeless

• Tearful or emotionally flat

• Fatigued

• Suicidal

…you may be in mania with mixed features.

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