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Re: feel better friend » SLS

Posted by ed_uk2010 on March 2, 2018, at 17:36:28

In reply to Re: feel better friend » ed_uk2010, posted by SLS on March 2, 2018, at 8:28:04

Hi,

>Your memory of my treatment history is remarkable.

It's just because you always made it clear what you took, whereas most people don't.

>I found that going up in aripiprazole was helpful. However, I actually deteriorated when I tried going to 20 mg/day. I did several rechallenges to confirm this. For me, a therapeutic window exists for aripiprazole. I have not heard this from anyone else here.

I don't think that's too surprising. Looking at psychosis, there is a tendency for high doses of aripiprazole to have minimal or no additional effectiveness compared with standard doses in the long run, and to cause more adverse effects. Antipsychotics can readily become dysphoric if too much is taken, so a therapeutic window in depression does make sense. I imagine it's not been reported on here because most users don't get prescribed high doses for depression without psychosis... and those suffering from depression with psychosis may be less likely to report the dose-response relationship.

>In addition to exerting an antidepressant effect, the drug is capable of improving - and even enhancing - memory and cognition in people with and without depression.

That would be great. What is the plan with the Parnate to vortioxetine switch?

>You cannot escape this question!

I'm actually kind of OK. Not amazing, but nothing particularly remarkable to report. I suppose I'd talk more about myself if I had something interesting to say! What I need at the moment is a holiday.

ed

 

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