Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.
I will always do my utmost to help you. Being unable to sleep is a terrible state to be in , and is usually a consequence of depression. I agree with you about your reluctance to take an antipsychotic. In fact, I just finished writing an article for a local paper on the medical side effects dangers of antipsychotics. I have reprinted it at the end of this letter.
Seroquel has lots of side effects which you should know about. the most common are: Back pain; constipation; dizziness
; drowsiness; dry mouth; headache; increased appetite; light-headedness; nausea; runny or stuffy nose; sluggishness; sore throat; stomach pain or upset; tiredness; vomiting; weakness; weight gain.
Some physicians prescribe Seroquel for insomnia
. However, it is not approved for this use, and is not appropriate It causes drowsiness and may help with your insomnia, but it risks serious side effects.
The dosage is low (50 - 100 mg) for treating bipolar
disorder, but may not be the best for you.
Benadryl (Diphenhydramine) is an over-the-counter sleep aid that can help, but like all medications can have side effects. Not sleeping , however, is quite unhealthy for mind and body so it is a balance.
You could ask your doctor for a prescription for Klonopin (clonazepam) which is a benzodiazepine often prescribed as a nighttime sleep aid. It also reduces anxiety
. It may be best to take this drug as needed or every other night to prevent addiction.
Talk over these possibilities with your physician and try to avoid the antipsychotics if you can.
The article I wrote tonight mostly is concerned with physical damage to movement from antipsychotics and other psychoactive drugs.
If I can further assist you, please don't hesitate to call on me.
See article below:Cumberland County News ([email protected])
Medication Induced Movement Disorders
Elliott Sewell, MAE, LPCC, NCC, CCMHC
The amount of psychotropic drugs prescribed today is staggering. They all have side effects, some of them with lifelong physical consequences. I want to discuss one aspect of the side effects, all mental health disorders caused by the use of these drugs, either antipsychotics (neuroleptics), mood stabilizers, or antidepressants. This is a public service education message.
Antipsychotics (neuroleptics) are tranquilizing medications used to manages psychosis, particularly delusions, hallucinations, and disordered thoughts in schizophrenia and bipolar disorder. They are increasingly used in non-psychotic disorders and can have devastating results. Here is the official list of Medication-Induced Movement Disorders from the DSM-IV (psychiatric bible of diagnoses).
-NEUROLEPTIC-INDUCED PARKINSONSISM: This leads to a shuffling gait, a frozen face, and a "pill-rolling tremor" that resembles Parkinson's' Disease.
-NEUROLEPTIC MALIGNANT SYNDROME: This leads to rigid muscles, fever, trouble swallowing, sweating, delirium, and incontinence.
-NEUROLEPTIC-INDUCED ACUTE DYSTONIA: This leads to abruptly contracting head or neck muscles (sometimes others), which produce frightening and painful spasms, and is fairly common.
-NEUROLEPTIC-INDUCED ACUTE AKATHISIA: Shortly after beginning a drug or increasing the dosage, the patient becomes so restless that they cannot remain seated.
-NEUROLEPTIC-INDUCED TARDIVE DYSKINESIA: After taking an antipsychotic for several months, some patients begin involuntary movements of their face, tongue, jaw, or limbs, which can be quite noticeable. This condition can become PERMANENT, even if the patient stops the medication. This is commonly seen.
-MEDICATION-INDUCED POSTURAL TREMOR: This condition results from lithium, valproate or antidepressants. As a person tries to maintain their posture, they develop a fine tremor.
-MEDICATION-INDUCED MOVEMENT DISORDER NOT OTHERWISE SPECIFIED: This designation is used for any of the above conditions, particularly Tardive Dyskinesia, when induced by drugs other than neuroleptics.
-ADVERSE EFFECTS OF MEDICATION NOT OTHERWISE SPECIFIED: These are not movement disorders, but they are associated with neuroleptics and other psychotropic medications, and include very low blood pressure and other significant symptoms.
Some of the most common neuroleptics are: The older typical antipsychotics: Haldol, Droleptan, Thorazine, Mellaril, Stelazine, Phenergan, andl; the newer atypical antipsychotics Zyprexa, Risperdal, Seroquel, Geodon, and the third generation Abilify.
Bruce G. Charlton, MD, an English professor of Evolutionary Psychiatry, believes that the use of neuroleptics has gone too far. He says: "the invention of neuroleptics was one of the major therapeutic breakthroughs of the twentieth century, but I now believe that this opinion is due for revision, indeed reversal. Neuroleptics have achieved their powerful therapeutic effects at too great a cost, and a cost which is intrinsic to their effect. The cost has been many millions of formerly-psychotic patients who are [now] socially-docile but emotionally-blunted, de-motivated, chronically neuroleptic-dependent and suffering significantly increased mortality rates. Consequently, as a matter of some urgency, neuroleptic prescriptions should be curtailed to the point that they are used only as a last resort."