Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Now . . . don’t get me wrong . . . I am a big fan of Abilify. Even if their over the top marketing binge is so financially disgusting to me that I want to reflexively run screaming into the night. I mean, really, how many prime time advertisements for this product do . . . → Read More: Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Dealing with the unsupportive partner . . .

I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . .

Physically sick from the meds . . . what to do . . . what to do

Leslie writes in with a question . . .

I have been taking Lamictal for a short period of time. My doctor added Abilify 10 days ago and I have had a low grade fever ever since. She says it’s flu but I now am certain it is the medication. The fever has also made . . . → Read More: Physically sick from the meds . . . what to do . . . what to do

Lamictal and acne

Red writes in with a common complaint about Lamictal . . .

I’m a 29 y/o female. I started Lamictal July of 07 (150mgs) and since then I have developed horrible acne along my jawline that takes weeks to clear up and new pimples develop every other day. They are painful. I also have pimples . . . → Read More: Lamictal and acne

Zombie children . . . what is the goal when stabilizing mood?

I can’t begin to tell you how often this issue has walked into my office. A kid and family who have struggled with symptoms goes to her doctor to discuss the pro’s and con’s of the current regimen and nothing is changed. Are her symptoms gone . . . no. Are there concerning side effects . . . → Read More: Zombie children . . . what is the goal when stabilizing mood?

Rapid-cycling Bipolar II–what to do . . . what to do

Jeff writes in with a common problem . . . feeling kind of crappy on the medicine:

Hey doctordan, I was in counseling for 11 months. Blah. The same questions over and over. Point being, I dont need to talk . Honestly. I’m a smart cookie. Now, ONTO the LAMICTAL I have been diagnosed with . . . → Read More: Rapid-cycling Bipolar II–what to do . . . what to do

EKG monitoring for patients on antipsychotics

One of the controversies in pharmacologic management has been the need to monitor EKGs in patients who are on antipsychotic medication. This was not much of an issue until Geodon was approved for treatment of schizophrenia a number of years ago. During the initial studies, it was noticed that there was an increased risk of . . . → Read More: EKG monitoring for patients on antipsychotics

Who holds the pills???

I still have a few connections at one of the local psych hospitals in my area, so I hear from time to time complaints and concerns from “the inside”. One of the big questions that comes up is why kids have access to their medicine and, oftentimes, are given complete control of their medicine. This . . . → Read More: Who holds the pills???

Doped Up On Too Many Medications???

I put the following comments in back to back for a reason. Read on . . .

K writes in to say . . . I find being on so many medications made everything worse- not all- but most. The side effects where at times unbearable. But when I was on so many…it made . . . → Read More: Doped Up On Too Many Medications???

Seroquel . . .XR . . . SR . . .CR . . .whatever . . .

All right, here I am, first day back from vacation . . . and one of the first messages handed to me by my secretary is . . . “a drug rep wants to set up a lunch to discuss Fizzilrexcrap XR . . . a new version of Fizzilrexcrap”. . . OK, OK it . . . → Read More: Seroquel . . .XR . . . SR . . .CR . . .whatever . . .