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Old 06-29-2009, 09:09 AM   #1
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soleil63 HB User
Risperdal vs. Geodon

Hi,
I am new to this board I am glad it exists. I have been diagnosed with Bipolar and Insomnia(which is very severe). I have been put on Xyprexa for mania and sleep, Ambien, Sonata, Klonopin. I was placed on Seroquel a high dose of 600 mg. when I was recently hospitlized at a psychiatric institution for severe depression. I had been on it since early April which is about 8-10 weeks and started developing severe burning, numbing, tingling sensation on my head, face and arms. After doing extensive research and going to the neurologist I have developed head parastheisa which is a form of neuropathy caused by the seroquel. I am now off the seroquel.

My doctor wants to put me on risperdal. I have also read the side effects which are weight gain and loss of sexual desire. But it can help me sleep, however those are not symptoms I can accept.

I have read about Geodon but it has the symptom of numbness and tingling.
I have tried antidepressants such as Cymbalta, Pristiq, and Lexapro they also cause it as well.

Does anyone have this experience that they can share about risperdal vs Geodon.

Thanks for reading.

 
Old 06-29-2009, 12:05 PM   #2
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light the world HB User
Re: Risperdal vs. Geodon

Risperadol can cause weight gain but not as much as zyprexa or seroquel would. Geoden is weight neutral. I've never been on geoden so I can't tell you much about that med.

I have been on risperadol though. The only side effects that I received from risperadol were akathesia and muscle stiffness which is common on risperadol.

Geoden on high doses can actually induce psychosis based on what I've read. The rate of this happening though I'm not sure of. That would be a good question for your pdoc.

 
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Old 06-29-2009, 01:45 PM   #3
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dreams in neon HB Userdreams in neon HB User
Re: Risperdal vs. Geodon

I've been on Geodon and Risperdal. In my case, Risperdal was a better med for me although when I started taking it, it caused sleepiness which disappeared within 2 weeks of my initial dose. I haven't gained any weight on Risperdal (I make sure to eat a healthy diet and exercise regularly), so just because one person gains weight on an antipsychotic doesn't mean another person will. As far as Geodon is concerned, it can be very effective in treating psychosis in doses as low as 80mg, but this is something to discuss with your pdoc. In terms of my own psychosis, I take 6mg/day of Risperdal. Anything less than that does not treat my symptoms.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

Last edited by dreams in neon; 06-29-2009 at 01:47 PM.

 
Old 06-29-2009, 03:39 PM   #4
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Re: Risperdal vs. Geodon

I have taken Geodon in the past and am currently on it as well. I take 160mg of it. I really like Geodon because it has never caused weight issues for me. I was taking Seroquel and it did make me gain weight, plus I didn't feel like it was helping me at all. Geodon makes me less hungry and gives me more energy.

 
Old 06-29-2009, 06:28 PM   #5
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Re: Risperdal vs. Geodon

I was on geodon for quite some time and it just wasn't the right med for me. But it may work wonders for you, who knows? They only way to find out is to ask your pdoc if it may be a good option for you.
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Ativan 0.5mg, then 1mg at bedtime

 
Old 06-30-2009, 07:26 AM   #6
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soleil63 HB User
Re: Risperdal vs. Geodon

Hi There,
Thanks for the reply. I am leaning towards the Geodon but I am concerned about the tingling. I am on neurontin to help with it. I have to take it 4x's per day total of 2000 mg per day to ease the pain. I appreciate your imput. does it help you sleep part of the reason my dr. wants me on it is for sleep.

 
Old 06-30-2009, 07:29 AM   #7
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soleil63 HB User
Re: Risperdal vs. Geodon

Hi,
Thanks so much for sharing your experience with me. I do agree about the diet and exercise because that is what I do to counteract the weight gain. My dr. wants me on risperdal also to help me sleep as I have severe insomnia. Have you had problems with our libidio because of it. It does cause lack of sexual desire which is a huge concern for me.

 
Old 06-30-2009, 11:50 AM   #8
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Re: Risperdal vs. Geodon

Quote:
Originally Posted by soleil63 View Post
Hi There,
Thanks for the reply. I am leaning towards the Geodon but I am concerned about the tingling. I am on neurontin to help with it. I have to take it 4x's per day total of 2000 mg per day to ease the pain. I appreciate your imput. does it help you sleep part of the reason my dr. wants me on it is for sleep.
Hi there Soleil

The Geodon does not help me sleep, but I know that it is supposed to. I have really bad insomnia too and feel like I have tried every drug in the world and nothing makes me tired. However, Zyprexa relaxes me enough so that I can fall asleep, although it does not make me tired. I would be interested in hearing what your doctor says about insomnia and how to help it. I feel like I frustrate my doctor with my sleeping, she just doesn't know how to help me I guess. I have been to a sleep specialist and he pretty much told me that I am a lost cause when it comes to sleep, that's how I think my doctor feels about me too. I hope that you have better luck with getting to sleep!

 
Old 06-30-2009, 04:52 PM   #9
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Re: Risperdal vs. Geodon

I wonder if those of you who are having difficulty sleeping have tried Trazodone? This is what I take for sleep and it works well. When I feel level, I take a lower dose and when I feel manic, I take a higher dose. I used to take Ambien which also worked well for me until my insurance carriers no longer covered it, so I was switched to Trazodone. That is one option you may want to consider with your pdocs.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
Old 06-30-2009, 04:53 PM   #10
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dreams in neon HB Userdreams in neon HB User
Re: Risperdal vs. Geodon

I wanted to add that each of us is different, but when I take my low dose of Trazodone (100mg), it starts working in 15 minutes. When I take my higher dose (200mg), it helps me fall asleep in 5.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
Old 06-30-2009, 07:03 PM   #11
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strawberrysc HB User
Re: Risperdal vs. Geodon

Quote:
Originally Posted by dreams in neon View Post
I wonder if those of you who are having difficulty sleeping have tried Trazodone? This is what I take for sleep and it works well. When I feel level, I take a lower dose and when I feel manic, I take a higher dose. I used to take Ambien which also worked well for me until my insurance carriers no longer covered it, so I was switched to Trazodone. That is one option you may want to consider with your pdocs.
Hi dreams. I have taken Trazodone, and it worked okay for awhile, but it stopped working after I had taken it for a long time. I was taking 500mg of it, which I think is the highest dose you can take, and I was still wide awake. The other thing is I have really low blood pressure, and Trazodone makes it worse, so I was fainting all of the time. That, coupled with the fact that it wasn't working, helped me decide to quit taking it. I really do appreciate the suggestion though. Do you know of anything else that is good for sleep?

 
Old 06-30-2009, 10:04 PM   #12
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dreams in neon HB Userdreams in neon HB User
Re: Risperdal vs. Geodon

Quote:
Originally Posted by strawberrysc View Post
Hi dreams. I have taken Trazodone, and it worked okay for awhile, but it stopped working after I had taken it for a long time. I was taking 500mg of it, which I think is the highest dose you can take, and I was still wide awake. The other thing is I have really low blood pressure, and Trazodone makes it worse, so I was fainting all of the time. That, coupled with the fact that it wasn't working, helped me decide to quit taking it. I really do appreciate the suggestion though. Do you know of anything else that is good for sleep?
I didn't know about the warning of taking Trazodone if you have low blood pressure. I have low blood pressure too. I'll have to talk to my pdoc about that further.

You could try taking Sonata, Lunesta or Remeron. There are other choices as well, but those are the ones that immediately come to mind.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
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