Last night was the first night of the medication change from Latuda to Geodon and it went better than I could have hoped for. I felt that exact same, wonderful calming sensation with Geodon that I experienced with Latuda. It was at that moment that I knew it would work every bit as well. Medication changes are always a little bit dicey but my psychiatrist was 100% correct when she said that Geodon is chemically and functionally similar to Latuda. One of the neat things with the second generation of anti-psychotic medications is that they either work or they don’t and you know it almost right away.
Furthermore, when I woke up this morning I felt the same way I did when I was taking Latuda. These medications have relatively short half lives so the net effect is that my psychiatrist found a viable alternative in Geodon and I am relieved because the cash outlay for Latuda is really a lot right now to stomach. Already the cost of my bariatric vitamins which are life and death necessary cannot be further reduced so Geodon or bust. I like the generic price of $1.33 for a 30 day supply of the medication.
Assuming all continues to go well for the next several days, I will titrate up to 40-60mg which is a more therapeutic dose under the guidance of my psychiatrist.. I may even be able to take the medication only once a day since I am using it to augment Cymbalta and Remeron for treating Major Depressive Disorder and Generalized Anxiety Disorder. These medications make mental illness so much more manageable. While I would have liked not to have to change medications and run the risk of a backslide, it turns out rolling that set of dice came out in my favor.
Finally, I have to await an answer from my psychiatrist and her attending physician about Electroconvulsive Therapy (ECT.) There’s no doubt that ECT worked tremendously well to get me out of the worst of the depression that I was in. It was just a miserable procedure to have to go through because of the anesthesia. After ECT, I was pretty much useless for the rest of the day and sometimes even into early the next day. I am hoping that I will not need maintenance ECT and it looks like I won’t. However, I know the early warning signs of depression onset and will reach out to my care team if and/or when this should happen.