BP 1 diagnosis + side effects

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tinypixie
Regular Member


Date Joined Dec 2015
Total Posts : 20
   Posted 8/8/2017 3:00 PM (GMT -7)   
My psych doc said I am very sensitive to medications... case in point, I couldn't tolerate the lowest dosage of seroquel. Now I'm on 20 mg Prozac and 1 mg Rexulti, he wants to increase them gradually as I'm doing relatively well, and my swings are better under control. New diagnosis: bipolar I. But anxiety still exists. I agree with new diagnosis and am working with my therapist to map out my swings.

Speaking of anxiety... I have this... restlessness. Not leg restlessness although I do have slight bit of that... Usually in my depression I'm content to watch mindless tv all day, sitting or laying. Now all I want is to "check out" by doing that, but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness." Anyone know what I'm talking about? I try to "shut her down" for naps and I can't. I'm not ruminating like I used to, but it's just kind of like A) I need to move my body or focus on something and B) there's a buzzing inside my brain.

Anyone have experience with this? Advice? My psych doc said it should subside, especially with the low dosages of both meds I'm on. But it's really getting to me. I'd hate to have to switch up meds when I've had such success with my depression and anxiety. Is this a new form of anxiety? I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.

Or is it that I'm so used to being listless that it's uncomfortable being functional again? I only work half time, so I have a lot of down time. But work gives me anxiety (I work on a psych hospital floor... go figure!)

halp!

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 8/8/2017 4:54 PM (GMT -7)   
Halp!

You said: “New diagnosis: bipolar I” meaning you have the full manic and depressive cycles, whereas bipolar II is without the full manic cycle, the net says.

When you said you took seroquil anti-depressant and were restless, as a bipolar myself, I have taken seroquil and it made me want to clean up the house all day. I couldn’t stop moving, so, when you said you took seroquil and were restless, I thought I had it figured out.

Then you said you didn’t take seroquil anymore.

Then I went to the net search engine and typed in the first med you mentioned, and it said in drugs.com (which you should look at also, and other such sites) that “Prozac is an antidepressant for people with depression, panic, anxiety, or obsessive-compulsive symptoms.”

It said, “Report any new or worsening symptoms to your doctor, such as: …

“…if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically)….”

So there are some possible side effects that seem to match what you were saying in your post, or:

“Speaking of anxiety... I have this... restlessness. Not leg restlessness although I do have slight bit of that... Usually in my depression I'm content to watch mindless tv all day, sitting or laying. Now all I want is to "check out" by doing that, but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness."

“I try to "shut her down" for naps and I can't. I'm not ruminating like I used to, but it's just kind of like A) I need to move my body or focus on something and B) there's a buzzing inside my brain.”

“I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.”

Under the 2nd medicine you said you were taking, it noted:

“Rexulti is an antipsychotic medication used to treat the symptoms of schizophrenia.

Rexulti is also used together with other medications to treat major depressive disorder in adults.”

As for side effects, it said,

* “severe agitation, distress, or restless feeling;
• twitching or uncontrolled muscle movements;

Common Rexulti side effects may include:

• feeling restless or being unable to sit still.

I took an anti-psychotic years ago, stelazine (sp?), and it made me want to move all the time. When I sat down to eat, I had to keep my left foot taping when what I really wanted to do was walk around the room in circles.

At night, I wondered, “How am I going to go to sleep, if I have to be moving all the time?” Somehow I did, but it took a while.

I would play the radio while I tried to go to sleep, and of course, the popular song of that day was, “Standin’ on the corner of Winslow, Arizona, six women on my mind. ….. Take it easy, take it easy, don’t let the sound of your own mind drive you crazy.”

I thought that was the worse song in the world, there I was half out of my mind anyway, and they would play that song endlessly.

That was the worst drug I ever took in my life, but I suppose it helped me for I had just had a nervous breakdown about an hour earlier.

I thought the psychiatrist was trying to kill me. But now I read where anti-psychotics are given to other people, too, who are bipolar. Don’t get me started on stelazine.

I also didn’t know since I had just had a nervous breakdown an hour before taking stelazine, if this craziness of wanting to move all the time and this chaos in my mind, where I couldn't think, was the nervous breakdown continuing, or was the medicine causing this? They came right on top of one another.

I now take Lithium for bipolar (stabilizer) for the manic side, which lowers the mania and lessens the depression. How it does that, I don't know.

While the Lithium is for the mania, I also take Mirtazapine anti-depressant for my depressed side.

Of Lithium I take about 675 mg. a day, and Mirtazapine about 7.5 mg. at night, for I was taking 15 mg of that but it made my toes twitch when I laid down to go to sleep.

The Lithium, when I took the first pill, I felt like the air had been let out of an overtight balloon. I didn't know I was that uptight, but it really calmed me down, and it's not a tranquilizer.

Glad you wrote in.

UserANONYMOUS
Forum Moderator


Date Joined May 2011
Total Posts : 4428
   Posted 8/9/2017 11:26 AM (GMT -7)   
Hi tinypixie,

Welcome to the forum smile!

Everyone experiences the side effects of meds differently. I am sorry they are affecting you so much. With some people, sometimes our bodies take a little time to get use to the meds, before we start to feel better.
I would suggest you work closely with your doctor and remember to use your coping skills as well. It can help with the anxiety.

UA
Moderator - Bipolar

tinypixie
Regular Member


Date Joined Dec 2015
Total Posts : 20
   Posted 8/13/2017 4:53 PM (GMT -7)   
Tim Tam said...
Halp!

You said: “New diagnosis: bipolar I” meaning you have the full manic and depressive cycles, whereas bipolar II is without the full manic cycle, the net says.

When you said you took seroquil anti-depressant and were restless, as a bipolar myself, I have taken seroquil and it made me want to clean up the house all day. I couldn’t stop moving, so, when you said you took seroquil and were restless, I thought I had it figured out.

Then you said you didn’t take seroquil anymore.

Then I went to the net search engine and typed in the first med you mentioned, and it said in drugs.com (which you should look at also, and other such sites) that “Prozac is an antidepressant for people with depression, panic, anxiety, or obsessive-compulsive symptoms.”

It said, “Report any new or worsening symptoms to your doctor, such as: …

“…if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically)….”

So there are some possible side effects that seem to match what you were saying in your post, or:

“Speaking of anxiety... I have this... restlessness. Not leg restlessness although I do have slight bit of that... Usually in my depression I'm content to watch mindless tv all day, sitting or laying. Now all I want is to "check out" by doing that, but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness."

“I try to "shut her down" for naps and I can't. I'm not ruminating like I used to, but it's just kind of like A) I need to move my body or focus on something and B) there's a buzzing inside my brain.”

“I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.”

Under the 2nd medicine you said you were taking, it noted:

“Rexulti is an antipsychotic medication used to treat the symptoms of schizophrenia.

Rexulti is also used together with other medications to treat major depressive disorder in adults.”

As for side effects, it said,

* “severe agitation, distress, or restless feeling;
• twitching or uncontrolled muscle movements;

Common Rexulti side effects may include:

• feeling restless or being unable to sit still.

I took an anti-psychotic years ago, stelazine (sp?), and it made me want to move all the time. When I sat down to eat, I had to keep my left foot taping when what I really wanted to do was walk around the room in circles.

At night, I wondered, “How am I going to go to sleep, if I have to be moving all the time?” Somehow I did, but it took a while.

I would play the radio while I tried to go to sleep, and of course, the popular song of that day was, “Standin’ on the corner of Winslow, Arizona, six women on my mind. ….. Take it easy, take it easy, don’t let the sound of your own mind drive you crazy.”

I thought that was the worse song in the world, there I was half out of my mind anyway, and they would play that song endlessly.

That was the worst drug I ever took in my life, but I suppose it helped me for I had just had a nervous breakdown about an hour earlier.

I thought the psychiatrist was trying to kill me. But now I read where anti-psychotics are given to other people, too, who are bipolar. Don’t get me started on stelazine.

I also didn’t know since I had just had a nervous breakdown an hour before taking stelazine, if this craziness of wanting to move all the time and this chaos in my mind, where I couldn't think, was the nervous breakdown continuing, or was the medicine causing this? They came right on top of one another.

I now take Lithium for bipolar (stabilizer) for the manic side, which lowers the mania and lessens the depression. How it does that, I don't know.

While the Lithium is for the mania, I also take Mirtazapine anti-depressant for my depressed side.

Of Lithium I take about 675 mg. a day, and Mirtazapine about 7.5 mg. at night, for I was taking 15 mg of that but it made my toes twitch when I laid down to go to sleep.

The Lithium, when I took the first pill, I felt like the air had been let out of an overtight balloon. I didn't know I was that uptight, but it really calmed me down, and it's not a tranquilizer.

Glad you wrote in.


I'm sorry, I wasn't able to follow where you were going with your reply.

tinypixie
Regular Member


Date Joined Dec 2015
Total Posts : 20
   Posted 8/13/2017 4:56 PM (GMT -7)   
UserANONYMOUS said...
Hi tinypixie,

Welcome to the forum smile!

Everyone experiences the side effects of meds differently. I am sorry they are affecting you so much. With some people, sometimes our bodies take a little time to get use to the meds, before we start to feel better.
I would suggest you work closely with your doctor and remember to use your coping skills as well. It can help with the anxiety.

UA


Thank you. A few days seems it's all it took to calm me down a bit on the side effects. I like the combo I'm on ... it quiets my mind and keeps me from falling into deep depression. The restless, buzzing has certainly subsided, now that I take it mid afternoon versus morning. It's funny how adjusting something as simple as the timing of a medication can help.

kellyinCali
Regular Member


Date Joined Apr 2009
Total Posts : 292
   Posted 8/13/2017 5:18 PM (GMT -7)   
I have experienced that "restless and tired" at the same time feeling. I call it "T'wired." A low dose of the antipsychotic (Rexulti) is probably managing your BPII swings and is also used as an add on for major depression.

So glad to hear you are feeling better.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 8/13/2017 6:51 PM (GMT -7)   
Well, what I was trying to say was

1. You said you were newly diagnosed as bipolar 1 (which has full blown mania) and on Prozac (antidepressant for the depression)

and Rexulti (anti-psychotic, used “when your healthcare provider determines that an antidepressant alone is not enough to treat your depression, the drug company said. There is no mention here that it treats mania).

(First, It seems to me, as a bi-polar person myself, that you’re getting two antidepressants, but nothing for your mania. So, the question is, have you ever had a full-blown manic episode, or, are you just depressed?)

2. Then you said you had some issues like: “restlessness” and wanting to relax and wat5ch TV all day, sitting or laying, but “Now all I want is to "check out" by doing that, but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness."

And, “I need to move my body or focus on something and B) there's a buzzing inside my brain.”

And, “I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.”

“Or is it that I'm so used to being listless that it's uncomfortable being functional again?”

So you wanted to know why you feel restless. I was saying, by looking up the side effects of your medicines, that it might be the side effects of one or both of your medicines. You said you were taking:

A. PROZAC: Prozac: “restless, hyperactive (mentally or physically)….” are some of the side effects of the Prozax antidepressant that you are taking, according to drugs.com.

B. REXULTI: is an antipsychotic medication used to treat the symptoms of schizophrenia and is also used together with other medications to treat major depressive disorder in adults.”

As for side effects, drugs.com said:

* “severe agitation, distress, or restless feeling;
• twitching or uncontrolled muscle movements;

“Common Rexulti side effects may include:

• “feeling restless or being unable to sit still.”

These above side effects seem to match your actions such as: ““restlessness” and your wanting to relax “but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness."

And, “I need to move my body or focus on something.”

And, “I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.”

----------------------------
So, what I’m saying it, maybe it’s the side effects of one or both of the medicines you are taking, that is making you restless.

Why am I alerting to the Rexulti? The “antipsychotic that is used to treat the symptoms of schizophrenia and is also used together with other medications to treat major depressive disorder in adults”?

Because I’m a bipolar who was once given an antipsychotic, Stelazine, and it drove me up the wall, making me want to move all the time. This matches your:

“restlessness” and your wanting to relax “but my body needs to move, needs a task, needs drama. All I can equate it to is "inner restlessness."

And, “I need to move my body or focus on something.”

And, “I just can't sit still! Or be without drama! I am in a depressive phase, btw, not a manic.”
--------------------

As I said in my first post, “When I sat down to eat, I had to keep my left foot taping when what I really wanted to do was walk around the room in circles.

So, what do you think?
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