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Default Mar 21, 2019 at 08:09 AM
  #1
So idk if I have bipolar, BUT you guys I trust...

Ever since my pdoc upped my lexapro dose, I haven’t been able to stop pacing around. I literally can’t sit still in one spot for more than a few minutes. For example, I squirm in my chair at work—often changing positions—and have to constantly be walking around. My heart is racing as well. I feel like I need to be on the move, and I even fidget while walking. Figuratively speaking, I feel like I have some sort of “energy” emanating from my legs, if that makes sense. And that “energy” is why I keep pacing. I want to burn it off so that I can relax. But of course I can never seem to burn it off...

I got to work at 5:30 this morning and paced around the building for a solid 20 mins (because no one was here).

Is this Akathisia or something else?
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Default Mar 21, 2019 at 08:14 AM
  #2
Could possibly be akathisia, could possibly be growing hypomania, could also be anxiety, or something else. You would be best to ask a psychiatrist, bluebicycle. Anyone here can only speculate. Your doctor can get to the bottom of it and hopefully help you accordingly. Are you only on the Lexapro? If so, does your psychiatrist know that? Your psychiatrist needs to know the exact situation to help you best.

I know the feeling (or similar to what you describe). It can be very miserable and grow worse, depending on what it is. I'm sorry you're experiencing this.
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Default Mar 21, 2019 at 08:53 AM
  #3
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Originally Posted by BirdDancer View Post
Could possibly be akathisia, could possibly be growing hypomania, could also be anxiety, or something else. You would be best to ask a psychiatrist, bluebicycle. Anyone here can only speculate. Your doctor can get to the bottom of it and hopefully help you accordingly. Are you only on the Lexapro? If so, does your psychiatrist know that? Your psychiatrist needs to know the exact situation to help you best.

I know the feeling (or similar to what you describe). It can be very miserable and grow worse, depending on what it is. I'm sorry you're experiencing this.
Hmmm, definitely not anxiety. There is nothing I am anxious about.

I don’t meet with my psychiatrist until next Thursday. He knows about my med changes since he was the one who made them. But I’m tapering off lamictal and increasing my lexapro. And I don’t want to take my rexulti.
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Default Mar 21, 2019 at 09:23 AM
  #4
When you say "I don't want to take my rexulti", does that mean you haven't been taking it at all for some days? Or that you take it, but just don't like to? If you haven't been taking rexulti, I hope your psychiatrist knows that.
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Default Mar 21, 2019 at 09:36 AM
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I had the same thing happen when I was on lexapro. I could not sit still, kept getting up, was hyper and couldn't stop talking, I just went on and on (pressured speech). I ended up having to get off it

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Default Mar 21, 2019 at 10:21 AM
  #6
Did your pdoc up your Lexapro dose knowing that you had stopped taking Rexulti? Are you still taking Ritalin?

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Default Mar 21, 2019 at 12:08 PM
  #7
When I was on Latuda, I was like that but I was also anxious for no reason.
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Default Mar 21, 2019 at 05:15 PM
  #8
I also had a very similar thing happen on Lexapro. It was almost painful to sit still and I was very agitated. At first I thought it was akathisia, but it was a mixed episode according to my doctor. Whichever it was, definitely was caused by the Lexapro and got worse with an increased dose. It stopped after I tapered off of it. Also, I had a much milder version of it happen on Adderall awhile back.
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Default Mar 22, 2019 at 07:35 AM
  #9
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When you say "I don't want to take my rexulti", does that mean you haven't been taking it at all for some days? Or that you take it, but just don't like to? If you haven't been taking rexulti, I hope your psychiatrist knows that.
Yes, I mean that I haven't been taking Rexulti.

My pdoc knew during our last appt that I stopped taking the Rexulti. He told me to take it and simultaneously increased my lexapro and reduced my lamcital. I never agreed to taking the Rexulti again. He just said, "Take it. Meanwhile, I'll change up your existing meds."
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Default Mar 22, 2019 at 07:36 AM
  #10
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Did your pdoc up your Lexapro dose knowing that you had stopped taking Rexulti? Are you still taking Ritalin?
yeah, I still take ritalin. 40mg LA.
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Default Mar 22, 2019 at 08:08 AM
  #11
bluebicycle, it sounds like you're aiming to seek treatment for unipolar depression and maybe also ADHD? And not bipolar disorder? I'm not sure your psychiatrist knows that, or do they?

Be very careful! If you have bipolar disorder, taking only an antidepressant and stimulant could be very dangerous. I really wish you were more honest with your psychiatrist.

I won't write anymore about this. I don't quite see how I can support you more.
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Default Mar 22, 2019 at 09:22 AM
  #12
This is a bipolar forum so most people, if they have any experience, are going to have had a bad experience not taking their prescribed antipsychotic while at the same time upping an antidepressant and a stimulant to boot.

If you don't have bipolar then the advise here is likely not going to be of much value.

Maybe you can also post in a forum for people with depression or with adhd?

Are you still sensing the supernatural force, and believing your therapist and pdoc hid cameras to spy on you. How are the popping noises?

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Default Mar 22, 2019 at 09:32 AM
  #13
I'm so sorry you're hurting so much, bluebycicle I completely agree with what all the others have already wisely said better than I ever could. You've been given some great advice on this thread. I'd suggest to follow it if you can. I completely agree with BirdDancer. Be careful when you're managing your meds. It could be really dangerous for your own health. I'm sure you'll be able to manage it, but please listen to what your Pdoc has to say. He's there to help you after all. I understand it's hard. Please try to listen to him if you can. It's your own health we're talking about it. As for how you're feeling right now, the only way to know for sure is to talk to your Pdoc about this and see how it goes from there, like all the other people in this thread have already wisely suggested. It may be caused by some side effects from the meds you're taking. Hopefully you'll be able to find the right meds combination for yourself. I'm so sorry you're going through all of this. I hope things will get better soon for you. Please don't give up. Remember that we're here for you if you need it. Feel free to PM me anytime. Let me know if I can do something to help you. Wish you good luck! Let us know how it goes. I'm so sorry you have to deal with all of this, bluebycicle. You're a strong, wonderful person. I'm sure you'll be able to get through all of this. Keep fighting! You're awesome! You're strong! You're a warrior! You can do this! I believe in you! We all believe in you! We're all rooting for you! Please don't give up! Try to hang on! I'm so sorry you're going through all of this
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Default Mar 22, 2019 at 10:26 AM
  #14
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Originally Posted by bluebicycle View Post
So idk if I have bipolar, BUT you guys I trust...

Ever since my pdoc upped my lexapro dose, I haven’t been able to stop pacing around. I literally can’t sit still in one spot for more than a few minutes. For example, I squirm in my chair at work—often changing positions—and have to constantly be walking around. My heart is racing as well. I feel like I need to be on the move, and I even fidget while walking. Figuratively speaking, I feel like I have some sort of “energy” emanating from my legs, if that makes sense. And that “energy” is why I keep pacing. I want to burn it off so that I can relax. But of course I can never seem to burn it off...

I got to work at 5:30 this morning and paced around the building for a solid 20 mins (because no one was here).

Is this Akathisia or something else?
Sigh. Well, it could be akathisia, rising hypomania, or a mixed episode, but whatever it is, this is what comes of playing doctor, denying symptoms and picking and choosing meds based on that denial. Sorry to be so blunt.

When I was on lexapro, it was because I was misdiagnosed MDD (by a GP). Not grasping that my overly-high energy reaction to it was due to BP, she increased it, which of course only made things worse. It was a hellish time, till I got properly dx'd, off the lexapro and got on a mood stabilizer.

It pains me to think where this is headed (and in fact has already shown itself through paranoia etc.). I wouldn't wish that road on anyone, least of all you. Please be 100% honest with your pdoc. He cannot help you if you are going to play games.

I wish only the best for you. Please take care.

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Default Mar 23, 2019 at 10:53 AM
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Please be 100% honest with your pdoc. He cannot help you if you are going to play games.
Unfortunately this is part of the illness sometimes.

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Default Mar 23, 2019 at 11:47 AM
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Originally Posted by Fharraige View Post
When I was on Latuda, I was like that but I was also anxious for no reason.
—-ME TOO

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Default Mar 26, 2019 at 10:40 AM
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So just an update...

I had my pdoc appt today and I told him about the pacing and restlessness. We're going to reduce the lexapro. Also, he thinks that I need something for my anxiety (he didn't say if the restlessness/pacing was from the lexapro, but apparently my therapist had told him about the anxiety), so he prescribed BuSpar, 15mg... I said nothing about anxiety to him. So for now, going down from 10mg to 5mg of lexapro and I guess I'm going to try BuSpar.

Anyone try BuSpar? Is it more effective for anxiety than other things?
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Default Mar 26, 2019 at 11:09 AM
  #18
Did you tell your pdoc you have not been taking the Rexulti he prescribed?

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Default Mar 26, 2019 at 02:54 PM
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Yeah, I admitted to not taking it. He told me again to take it. He said that I am not asymptomatic and that I am "prescribed it for a reason." He said it should help with my anxiety/paranoia of people watching me.

I'm just afraid my depression will return when I start taking the lower Lexapro dose. I need to lower the dose, though, because I can't stand the restless feeling. I was pacing all day at work yesterday and ended up leaving early because I was going nuts.
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Heart Mar 31, 2019 at 09:49 AM
  #20
Buspar is a good med for agitation. I hope you like it.
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