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Re: Abilify - What prevents you from taking 10-20mg?

Posted by bleauberry on November 24, 2008, at 17:55:51

In reply to Abilify - What prevents you from taking 10-20mg?, posted by SLS on November 23, 2008, at 17:33:51

Looking at websites where people rate and review their medication experiences, most of the people who rated abilify badly complained of one or more of...akathisia, fatigue, cognitive fog, or worsened depression.

Only about half the people noted their dose size though, so that isn't much help. But I think it is safe to assume most were in the 5mg to 10mg range, as that is where most doctors start at. My doctor said he starts people at 30mg from day 1. Holy cow.

What prevents me from taking 10mg-20mg? Well let's see. I have to get up at 3:45am tomorrow to be at work at 5:00, which is unusual because I usually start work at 7:00. Band rehearsal on Wednesday night, can't afford any intolerable frieky reaction that night. It is hard enough just to drag myself out of the house and try to put a totally fake decent attitude on for a few hours. Have to get up the next day early again. Then back to a normal routine.

I have to pick and choose my moments of diving into a new med, because job, outside activities, children, wife, grocery shopping, woodstove, bills, cooking, dishes, laundry, car gas, and well, ya know, I have to remain functional enough to be able to do all these things. I've fought my way through some horrible moments where I knew most of the people at the nearby psychiatric hospital were in better condition than I was, even though I was at work and they were locked up. I have to pick and choose my moments of trying a new med. Abilify is on the list. I just need that safe window of 3 or 4 days where if I become suicidal or totally frieked out with akathisia, I can ride it out.

Another problem is sensitivity. While most people could for example handle 5mg lexapro without much trouble, just maybe some annoying side effects, 5mg is like a sledge hammer and a dump truck to me. As is 5mg prozac, or 75mg wellbutrin, or 12.5mg zoloft. I mean, I would have to be hospitalized in handcuffs to be able to somehow withstand the massive undescribable toxic poisoning feeling of those doses. So obviously, yeah, a bit of hesitation at talk of 10mg-20mg abilify.

I like the sound of Parnate a lot better. Abilify or Zyprexa later maybe. I haven't seen any pubmed abstracts that showed abilify good for depression as monotherapy. I have seen a few scattered reports of it being good, and I'm sure that in those pubmed studies where abilify did not beat placebo, there had to be a few people that responded very well.

Based on anecdotal observations, I think abilify and lexapro have some kind of magic together. Not sure about its combination with other antidepressants.


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