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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by fox87stars on October 27, 2012, at 14:11:38
I am on Geodon (amongst many other meds) as part of my Bipolar treatment plan. When I first went on it I lost some weight and had a big moodlift. That was at 40 mgs. We titrated up to 120 mgs and the paranoia that we are trying to treat in under control ....which is great because a whole host of antipsychotics weren't efficacious. I am allowed to take it however I want...as long as its 120 mg total. If I take it during the day I end up in bed...but if I take it first thing in the morning and / or before I go to bed I have lots of energy during the day. My question is..what have other peoples experience been with Geodon. Its effects are so different depending on time of day I take it and I am puzzled.
Also, I always take it with at least 500 calories, as recommended
Any input it good input. I would like to find a way of optimizing dose so I can maintain weight loss and mood, as well as best anti-psychotic effect.
Posted by fox87stars on October 27, 2012, at 14:19:43
In reply to Geodon Experience, posted by fox87stars on October 27, 2012, at 14:11:38
I apologize for the numerous grammatical errors. I'll be more careful in the future. If you have any questions, feel free to ask,
Posted by phidippus on October 28, 2012, at 22:05:21
In reply to Geodon Experience, posted by fox87stars on October 27, 2012, at 14:11:38
>When I first went on it I lost some weight and had a big moodlift. That was at 40 mgs.
Geodon's antidepressant effects are very strong and really are apparent at lower doses, say 20-80 mg. Not only is Geodon a 5ht1a partial agonist, its also an SNRI (seratonin, norepenphrine reuptake inhibitor).
>We titrated up to 120 mgs and the paranoia that we are trying to treat in under control
120-160 mgs is really the dosage range where Geodon becomes an antipsychotic. Lower doses yield a stronger AD effect.
>If I take it during the day I end up in bed
Geodon is a little bit of an antihistamine as well. It antagonizes H1 receptors which makes people sleepy. I found it was better to take it at night.
>I always take it with at least 500 calories
This is so it can be metabolized. If you don't eat when you take it, it loses about 50% of its efficacy.
>I would like to find a way of optimizing dose so I can maintain weight loss and mood, as well as best anti-psychotic effect.
Stay in that 120-160 mg range and I think you'll be happy.
Eric
Posted by herpills on October 30, 2012, at 18:20:04
In reply to Geodon Experience, posted by fox87stars on October 27, 2012, at 14:11:38
I took most of my dose at night because it made me very tired. It helped a "mixed" episode I was having at the time, but I didn't get any additional benefit from it. I wish it helped my depression. For me it had less side effects than most of the other atypicals. Good luck, herpills
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