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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by Christ_empowered on January 18, 2014, at 17:20:09
I think I need a low dose of an additional antipsychotic. I dropped the Prozac, so now I'm on 30/Abilify, 1200/Trileptal, and up to 300/Neurontin (PRN).
Apparently, Trilpetal reduces Abilify blood levels. That would explain a lot. Ideally, I could just take 5mgs/Abilify and be done with it, but that's not gonna happen. My insurance won't cover an additional Abilfy Rx and the mental health place I go to won't give samples if you're on disability or have insurance. The samples are for the uninsured (makes a lot of sense, I know).
I could try to get my Neurontin ramped up to 600-900+, but I don't know if they'd do that or if it would work. This is Public Mental Health, and they frown on anything that makes you feel good. At all. Neurontin can be used, but its not exactly their favorite, go-to medication.
So, an additional, low dose, AP. What plays nice with Abilify? I thought maybe low-dose, PRN zyprexa zydis at night. Seems like a winner (to me, the patient, lol).
I don't think they'll increase the trileptal. Again: this is public mental health. APs are the go-to drugs.
What about low-dose, old school (IR) Seroquel? Like, 100mgs 3x daily? Or is that over kill? Would it take a long time to work up to that dose? Geodon scares me (cardio stuff). Risperdal...could work...but dosing is an issue. Everyday, or as-needed? How much? I have an old RX for 6mgs/day, and that's what too much. When I start freaking out, I'll take 3mgs. That's OK, at least for the short term.
Even if Abilify blood levels are lower because of Trileptal, Abilify is so strange...let's say I get the equivalent of 20mgs/day out of my 30mgs/day tablet. OK. Based on what I've read, that still means that 80-90ish% of my D2 receptors have been taken over by aripiprazole. Maybe I just need a little more sedation?
Or...add in lamictal?
Ugh. Help!
Posted by SLS on January 18, 2014, at 17:29:12
In reply to Abili-Quel? Abili-Don?, posted by Christ_empowered on January 18, 2014, at 17:20:09
What are the symptoms or features of your condition that you wish to focus on?
What about Navane (thiothixene)? I have a friend doing very well on it in combination with Saphris. Just don't go too high with it so as to avoid hyperprolactinemia. I am not familiar enough with the dosing of Navane to offer any suggestions.
- Scott
This is the end of the thread.
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