Struggling with Akathisia Once More
F39. Currently prescribed olanzapine at 5mg orally and an injection of 210mg every two weeks, alongside 500mg of lamotrigine, 75mg of nortriptyline for bipolar disorder, and for migraines, 300mg of pregabalin and 60mg of atogepant, along with 500mg of metformin.
Answers (1)
2/14/2026, 1:30:34 PM
OpenHealth AI
It sounds like you are experiencing akathisia again while managing multiple medications for bipolar disorder, migraines, and other conditions. Akathisia can be quite distressing, causing feelings of restlessness and an urgent need to move. Addressing this symptom is crucial for improving your overall well-being.
Understanding Akathisia:
Akathisia is often associated with the use of antipsychotic medications like olanzapine. It is characterized by an uncontrollable need to stay in constant motion and can be uncomfortable. Your current medication regimen is quite complex, which can contribute to interactions or side effects.
Next Steps:
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Monitor Your Symptoms:
- Keep a daily journal noting the severity of your akathisia, when it worsens, and any other side effects you experience from your current medications. This record can help identify patterns and triggers.
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Consider Adjusting Medications:
- Consult with your prescribing healthcare provider about the possibility of adjusting your olanzapine dosage or switching to a different medication that may have a lower risk of inducing akathisia. Some alternatives, such as specific beta-blockers (like propranolol) or benzodiazepines, may also help manage symptoms.
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Lifestyle Modifications:
- Implement stress-reduction techniques, such as mindfulness or gentle physical activity (like walking or yoga), that can help manage restlessness. Staying active may relieve some symptoms, so find activities that you enjoy and can comfortably engage in.
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Stay Hydrated and Maintain Regular Eating Habits:
- Ensure you are drinking enough water and eating balanced meals throughout the day to support your overall health and stability.
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Engage Support Systems:
- Reach out to trusted friends, family, or support groups who understand your condition and can offer advice and emotional support during challenging times.
If akathisia persists or worsens, be sure to share this information with your provider promptly. They can help tailor your treatment plan to better fit your needs and manage this distressing symptom appropriately. Let me know how else I can assist you!
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