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Antipsychotic meds

M

Millietopdog

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May 7, 2021
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Scotland
Hi...has anyone experienced a logia,anhedio and avolution with bipolar? I have never really suffered from these till I was put on antipsychotic,I am wondering if they have caused it due to being a dopamine blocker .
 
Passionflower

Passionflower

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I also didn't suffer from negative symptoms until I was put on an antipsychotic, so I think they are to blame. I don't have bipolar though, I have schiz.
 
HLon99

HLon99

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Yes, I have experienced residual negative symptoms as a result of a manic psychotic episode. After I was put on an antipsychotic the mania/psychosis subsided, but the alogia etc stayed. The only thing that helped was a medication called Elvanse/Vyvanse (Lisdexamfetamine). I was prescribed it for my ADHD, but it is sometimes used off-label (when balanced with an antipsychotic) for negative symptoms. It doesn't cure them, but can palliate negative symptoms by about 50%.
 
HLon99

HLon99

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Yes, I have experienced residual negative symptoms as a result of a manic psychotic episode. After I was put on an antipsychotic the mania/psychosis subsided, but the alogia etc stayed. The only thing that helped was a medication called Elvanse/Vyvanse (Lisdexamfetamine). I was prescribed it for my ADHD, but it is sometimes used off-label (when balanced with an antipsychotic) for negative symptoms. It doesn't cure them, but can palliate negative symptoms by about 50%.
P.S. Elvanse's use in comorbid ADHD and Bipolar cases used to be seen as controversial due to its potential risk of inducing mania/psychosis. However, my psychiatrist told me that when balanced with a mood stabiliser/antipsychotic, this risk drops down to a negligable level. That being said its not for everyone. Some people have better luck just by switching to a different antipsychotic (e.g. Aripiprazole). I personally have not, but it might work for you. Speak to your psychiatrist.
 
C

californiathoughts

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Not California
I sometimes get anhedonia and avolition as a component; I suppose in my depressive episodes. I don't necessarily feel depressed when I'm experiencing it, but it's very obvious to others that I'm not doing okay. I either sleep or stare at stuff all day, like I'm an empty vessel.
 
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