QUOTE (NiteOwl @ Aug 19 2008, 11:27 AM)

Hey Armadillo - Have you been following any of the research studies they are doing with estrogen replacement and psychosis? They are finding that using an estrogen patch along with regular antipsychotic medications reduces the delusions, hallucinations, disordered thinking and cognitive deficits. They are also looking at SERMs to see if these also provide a decrease/improvement in psychotic episodes for both men and women.
This is a continuing argument between my shrink, my primary care MD and my cardiologist.
Some of the meds I'm on may cause cardiac inflammation and arrythmias.
Estrogen is also implicated as a cause of SOME heart disease.
I have an implanted pacemaker.
I also have some cardiac inflammation, in addition to a slow, irregular heartbeat.
My cardiologist thinks HRT is not indicated for me, because I am already a high risk patient from taking all the anti-psychotic and mood stabilizing meds. He says that adding exogenous estrogen in any form adds fuel to the fire, and may kill me. My primary care physician (OB/GYN) is on the fence, but advises me against it. My shrink says that there is an interaction between risperidone and estrogen, causing a significant rise in bad cholesterol levels, causing me to possibly have another heart attack.
The studies in the literature were done on women with "normal" heart function.
My heart function is not good.
So I must choose between being normal, but in danger of my heart going haywire on estrogen plus crazy meds, or slightly crazy, but my heart beating for a little while longer.
I have a bad brain AND a bad heart.
And I don't know what's worse.