nomal person take Geodon or Risperidal then what is effect???

[dollyRX]

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thank you !

 

[whopper]

I really can't tell you. I can tell you that when non manic or psychotic people take Haldol, they claim they feel dysphoric, and as if "I'm trapped in a box". I've had 5 people get Haldol who were not manic or psychotic describe it that way, and none of those 5 ever met each other.

Here's what one person described their Geodon experience (who likely did not need the medication)

I broke one capsule open and ate it then swallowed the other. I didn't feel anything at all so I went to bed after 1 hour. I woke up about 6-7 hours later feeling weird as hell. I felt boxed in my mind like I was being crushed. My vision was restricted to eye level meaning I couldn't see above myself very well unless I concentrated. I walked around telling myself it would be ok because I have been made mistakes like this before.

Here's what one person mentioned of Risperdal who also did not have a disorder that needed it...

T+1:45 At some point a sudden rush of despair came to me out of nowhere with strong fear which very soon lead to a panic state of mind seeking rescue and a safe place to hide. I cannot really describe the feeling and the mind set, nothing similar felt before. It is like the breath of death itself not trying to kill me but revealing its power. The key word is imbalance. I had to walk in confusion. No way is right. Up and down. It all happened so fast, this is just a fraction that I can describe to you. I looked around trying to evaluate my situation, there were like 4 everyday people waiting for the tram with a long face. They definitely could not represent any source of hope or safety in regard to an emergency situation. My heartbeat became very fast, I had to decide what to do. Either go back to my apartment, there I'd be alone, waiting for the effects to calm down, or trying to get to my mother, undertaking the situation and trying to tell her what was happening to me. Uhh. With this and that option in my mind I decided that I would take the tram and try to go to her place. Being alone didn't seem to be a reasonable option at all in this state.

I still have to say I cannot describe the feeling. I felt that I must take a helico or something a supersonic plane or otherwise I break down with the fear and panic. The tram arrived. It seemed all so slow. The doors opened, I got inside, it was spacious, all people with the usual faces, but so strange. I felt it is an evil planet, and I am another sort of being in the wrong place. god, get me out of here, please. Could not look at people's faces, they all frightened me, I couldn't realize anything nice, attractive or just fine in my surroundings. When the tram doors closed and the vehicle started off, I felt more panic, each stop took an eternity for I had no way to escape the closed compartment. Ahh. I had to calm myself down very much, looking at my own face in the glass - it was dark already- - but it frightened me too, as I was scary and frightened. My heart pumped but my system was calm at one level. This duality was with me all the way throughout.

In general, people who take antipsychotic medications who do not need them from my own experience have had similar results, with the only exception I can think of being Seroquel, where they claim it just made them go to sleep.

Which reminds me of a malingerer I had on my unit. He failed all the tests that show if the person is faking their symptoms--failing meaing they all pointed to him as faking his symptoms. His court date was coming up and he was getting desperate. So he started claiming to hear audio hallucinations, and claiming a desire to kill someone. (Over age 40 and no previous psychotic history, and he was on the unit for months--he couldn't have gotten a psychoactive substance that caused psychosis). I told him if he was feeling that way, he needed an antipsychotic, and I didn't really believe him, but given his indirect threat, I felt it had to be done. One dose of Haldol later, and the guy mentioned "doc you got to get me off this medication, I feel like I'm trapped in a box". He never faked psychotic symptoms again.

 

[Thorazine]

hey whopper, just curious as to where you found those descriptions of people taking the meds. thanks

 

[Messerschmitts]

Wow...Trapped in a box, eh? Ha ha now I am super curious :-D (Resists temptation to procure and pop a risperidone pill)

 

[PsyDGrrrl]

I can tell you about the time I went to the ER for severe dehydration and was given something for nausea (even though I was not nauseous) and because they were apparently out of compazine (the standard), they gave me droperidol (which is pretty much Haldol). I'm not sure if they gave me too much (I think they did), or if it was the standard dose, but I had an acute dystonic reaction and it was HELL. I can't even describe how uncomfortable it was - akasthesia, seizure-like muscle spasms, the feeling like I was going to burst out of my skin, the writhing and screaming in frustration all night trying to get to sleep. Ugh.

 

[michaelrack]

I participated in a research study in which one night I got placebo and the other night I got 1 mg risperidone; each night I had a sleep study.

Didn't notice any difference between the 2 nights.

 

[strangeglove]

I participated in a research study in which one night I got placebo and the other night I got 1 mg risperidone; each night I had a sleep study.

Didn't notice any difference between the 2 nights.

Obviously, the fact that you didn't feel "trapped in a box" on at least one night must mean that you are psychotic!😉

 

[OldPsychDoc]

Wow...Trapped in a box, eh? Ha ha now I am super curious :-D (Resists temptation to procure and pop a risperidone pill)

If you give a placebo antipsychotic to a mime, will he pretend to be trapped in a box?

 

[billypilgrim37]

If you give a placebo antipsychotic to a mime, will he pretend to be trapped in a box?

You've been waiting through thousands of threads just waiting to spring that joke on us, HAVEN'T YOU!?!?

👍

 

[Regnvejr]

If you give a placebo antipsychotic to a mime, will he pretend to be trapped in a box?

<Holds nose>

 

[whopper]

The source of those testimonials is Erowid. I occasionally reference that site for the following 2 reasons.
1) several patients have learned to mix prescription medications to get high. Occurs a heck of a lot in inner city communities and prison populations. For example Benztropine in certain communities is abused. There is data indicating that Seroquel can be used for abuse purposes if insufflated or if mixed with an opioid or cocaine.

2) Several patients are misdiagnosed and given a medication that does not meet their true diagnosis. When a patient for example gets an antipsychotic & doesn't need it, we as doctors should see what's happening, and factor that into the diagnosis.

I used to have Haldol PRN on all my patients, regardless of the diagnosis because sometimes non-psychotic or manic patients act out in a dangerous manner, and calling the doctor on duty might not get a response for the staff for 15 minutes (longer if the doctor is not a responsible one). I saw several cases where the doctor on duty did not respond to a beep in time and it resulted in staff getting punched in the face. They couldn't give a PRN.

Unfortunately I learned the flip side of the problem of allowing PRNs too liberally. I learned later on that one of the night staff nurses tried to PRN everyone on haldol, even if they didn't need it because she wanted to have a quiet night where no one bothered her. That's when I learned about the "trapped in a box" feeling.

You really got to be careful with PRNs and certain staff, especially with Ativan. I noticed some staff giving Ativan simply to make the day go quieter. When enough staff do it, you get cases of patients getting 8mg of it a day for several days.

 

[whopper]

Forgot to mention a story an attending told me during residency. He said he had a resident in the past who was curious as to what haldol would do to him. The guy took a 2mg tablet of Haldol, and after he ingested it, experienced a strong sense of dysphoria and yes, feeling as if he was trapped in a box---for 3 days.

The guy had to take 3 days off for sick leave, where he stayed in bed feeling terrible. He stated it was one of the worst experiences he ever went through.

You ought to read the erowid entries on Haldol. Pretty entertaining reading.

 

[kugel]

You really got to be careful with PRNs and certain staff, especially with Ativan. I noticed some staff giving Ativan simply to make the day go quieter. When enough staff do it, you get cases of patients getting 8mg of it a day for several days.

This is why I found it so helpful on inpt wards (psych, med, neuro, etc) to review the PRNs given in the last 24 hrs on each pt q Day. Often clued me into pain I didn't know about, daily patterns of agitation, etc. Or that a pt constantly c/o anxiety or pain hasn't taken a single PRN.