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Abilified, and other semantic cruelties

Posted by dragonblack on July 26, 2011, at 11:21:02

In reply to Re: Giving up on Parnate: what's next before ECT? » dragonblack, posted by floatingbridge on July 26, 2011, at 10:01:48

> DB, I misread your post. I am truly sorry about that. (my excuse was being up almost all night. But still...:-/)
>
> So you are on abilify. 2mg. For how long? And will you take it to 5mg? Or 10mg? Do you feel anything from it yet for better or worse?
>
> It could help if you are finding your thoughts moving toward ECT. But I still think an alerting agent still sounds indicated. Is you chief worst symptom of the depression your fatigue?
> I thought provigil/nuvigil was easier to come by than aderall or amphetamine stimulant..
>
> I know someone who did reasonably well on parnate, provigil, and let me think what tea it was. Didn't take much tca. Let me see if I can find out. (But those tca's seems so idyosyncratic and particular person to person.)
>
> Still wishing you the best.
>
>

Hey,

No worries. Not to bore you with my Abilify tale, but it sorta happened in backwards fashion. It was on my list of possible Parnate augments, particularly if I couldn't get a stimulant prescribed, which I can't (they told me it was illegal to prescribe a schedule II stimulant in OH. Pretty sure untrue). I had to go off of lithium, and just assumed that I was to switch to another mood stabilizer, but once Abilify was in the picture my NP said I could just do that since it's indicated for Bipolar. I only wanted to try Abilify at a low dose, as an augment, and didn't want to use it as an AP per se, but it was attractive to me to just start one med instead of two, and see how Abilify does first. I was surprised they were fine with me just going off lithium without replacing it, frankly. So, I've been on 2 mg for about 3 weeks, and it's been helpful, overall, I seem a little more active and the sexual sides of Parnate diminished, libido started to return. I do plan on going up on Abilify, just because I don't have a mood stabilizer in place, but I'll be pretty cautious in doing so. I'm going to ask to go to 5 mg for the time being. It's particularly enervating for me, and it certainly hasn't touched the Parnate fatigue, so I'm not big on the idea of sitting tight on Parnate while I titrate up on Abilify. I like to go slow, and these med trials take so long anyway, if I have to leave everything else untouched while I adjust each med I really will lose it. Without being able to go up on Parnate, if I can't augment it with a stim or tca I want to just move on.


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poster:dragonblack thread:991723
URL: http://www.dr-bob.org/babble/20110714/msgs/991902.html