Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: TD rates for the atypicals » Christ_empowered

Posted by ed_uk2010 on January 27, 2015, at 10:06:35

In reply to TD rates for the atypicals, posted by Christ_empowered on January 27, 2015, at 9:01:16

>I take 30/Abilify. My former shrink (she moved) told me she's never seen TD w/ Abilify, but she had seen it w/ Zyprexa and sometimes w/ Seroquel.

TD isn't especially common with any of the above in young people such as yourself. It's much more common in the elderly. Or in anyone, with haloperidol...

Since you've established that you need Abilify, and there isn't currently any alternative which is likely to be safer or more effective, I think you do the right thing to keep taking it.

>I thought that lower potency= less TD, but then it appears that Zyprexa is less TD-making than some other atypicals, and its moderate potency I think.

TD with atypicals isn't related to the potency; each atypical is pharmacologically distinct. The concept of potency compares the number of milligrams required for antipsychotic efficacy. It's a very crude measure really - and isn't particularly useful now that more is understood about the receptor profiles of the various drugs.

>Antidepressants=more akathisia, more TD. Ugh.

I think the risk of adding ADs to Abilify is minimal, and probably has little or no effect on the risk of TD.

I don't think that Depakote or therapeutic levels of lithium are related to TD. Movement issues can occur at toxic levels of lithium, or if it's combined with high doses of haloperidol.

If you were to develop TD, it's extremely unlikely to just appear as a severe condition.... suddenly, one day, out of the blue. Most likely, it would initially be very mild. In the beginning, it often consists of small involuntary movements around the mouth or of the tongue. Due to your insight and understanding, you wouldn't miss this stage. During this phase, if you were to stop Abilify, the TD would probably go away in time. That's where your age comes in again. TD is much more likely to be permanent in the elderly.

The thing is, even if were unfortunate enough to develop TD on Abilify, you would still presumably need an antipsychotic. Switching to quetiapine or clozapine would be an option.

 

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:ed_uk2010 thread:1075620
URL: http://www.dr-bob.org/babble/20150102/msgs/1075623.html