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Keep 35mgs Abilify or go back to 30?

Posted by Christ_empowered on January 5, 2011, at 12:00:18

Hey everyone. I was taking 30mgs Abilify as monotherapy. Then I started having low-level paranoia and hearing voices. My doctor diagnosed some sort of Bipolar Depression and upped the Abilify to 35mgs and added in 20mgs Celexa.

The 5mgs increase in Abilify was initially going to be temporary, but my doctor said that I've responded so well I might want to consider making it permanent. Since I get my pills in generic form from India, I have bunches of 30mgs tablets and I could easily take an extra 1/4 tablet, for about 37.5mgs Abilify per day.

On the one hand, keeping the higher dose makes sense. The higher dose keeps the paranoia at bay and I haven't had any side-effects. On the other hand, I don't want to be on a super-high dose neuroleptic; I'd feel more comfortable at 30mgs or less, since the FDA-approved max is 30. I also don't want to create a situation in which I'm on the higher dose for so long that I have problems when I try to go back down to 30 (or lower).

Also, shouldn't the celexa help keep the abilify dose lower over the long-haul?

Any input would be greatly appreciated.


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