Doctor insights on:
I can't take trichotillomania medication orap (pimozide) in combination with my other meds. Any ideas for a substitution? It was the only 1 that worked for me.
Try nutrition: Psychological disorders often are made worse by poor nutrition. There are a couple of things worth trying. First eat a diet high in coconut oil and low in carbs to reach a ketototic state. Next try a supplement called nac at a dose of 2 grams per day. The nac reduces glutamate in your brain, and remember that your brain is 60% fat so if you eat a low fat diet you starve it. ...Read more
Is why you have insomnia. That needs a good assessment. Can be caused by depression, anxiety, situational stress, all which should be addressed first.
In general, pimozide in low doses is a pretty safe medication. Once you've discussed and eliminated underlying causes of insomnia, sleep hygiene is the next step. If you're ultimately diagnosed with a primary insomnia, there are a number of tacks. ...Read more
Varies: Depends on the individual and what condition it is 'working' on. It is not as commonly used as the newer neuroleptic drugs, but, in general, such medications may take several weeks to adequately titrate dose and assess response in an outpatient setting. In the controlled, 24-hour nursing environment of a hospital, titration can be faster. ...Read more
Yes: Orap (pimozide) can cause side effects including sexual dysfunction such as anorgasmia. Usually the problem goes away when you stop the orap. Do not stop your medication without checking with your doctor! ...Read more
Yes.: When prescribed properly, it is safe and well-tolerated. You are wise to understand that all the warnings may be important in that you should be informed, but they can be off-putting in distorting the overall picture. ...Read more
No: A breastfeeding woman usually should not take Pimozide unless her doctors have looked at her medical and psychiatric situation, and they have decided that the benefits of her taking the Pimozide outweigh the risks of her living without Pimozide and trying to care for the baby. So, the usual answer is "no" to taking Pimozide while breastfeeding, but there cases where the answer would be "yes". ...Read more
Akathesia can be caused by many drugs likehaldol, ssris, effexor, (venlafaxine) Dopamine blockers, antihistamines, opoids, coccaine, and barbiturate withdrawl, amphetamines and caffiene&tobacco, benzodiazepine and alcohol withdawl, and serotonin syndrome.
But I do not know what you mean by orap. ...Read more
Talk to your Dr.: No medication is completely without risk of side effects, unfortunately. However, if your side effects are intolerable, please talk to your doctor. It's possible that you may need a different dose or even a different medication. ...Read more
Maybe: You have not said what side effects you are having. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more