Posted by LlurpsieNoodle on July 28, 2007, at 19:01:48
In reply to Re: startup of abilify + zoloft OR geodon withdrawal, posted by med_empowered on July 28, 2007, at 18:46:52
> id do abilify AM. Abilify can cause pretty intense akathisia...so can ssris.
I've never taken an ssri before, but when I took cymbalta I got some akasthesia from time to time. I'd be dancing at the bus stop and tapping toes like crazy under my desk. I'm going to continue taking it per Dr.'s orders for another 2-3 days, and if things don't get better, I'll give him a call about switching to am dose. Maybe he's like my old pdoc and Rx's drugs at night to minimize side effects? Well, I still had to get up in the middle of the night to drink some soymilk, the acid nausea was so bad. I am also hoarse after trying to take a nap and have had wicked hiccups all day long. makes my H laugh at me :)
>Withdrawal from sedating antipsychotics can cause a similar set of symptoms; I think its not an either/or situation so much as an overlap of unfortunate events in your brain. Can you up the Klonopin, or take some propranolol?
Well, I *COULD* do this, but pdoc wouldn't know. my propanolol is bootleg from 3rd world pharmacy I went to on vacation. I probably have about 3 10mg tablets left. klonopin I can increase maybe take an extra .5mg at night to help me sleep some more. I think that would be pdoc-sanctioned.
>Also..Abilify is intensely high potency. Even at 10-15mgs, over 80% D2 occupancy is going on. I imagine at 5mgs its still intense, especially since some of your other meds may be slowing the clearance of aripiprazole (SRIs tend to). So...you may be having problems b/c of increased neuroleptic load, too.
>
> Good luck.Thanks for your kind suggestions. You know lots, and I really appreciate your advice. I envision "neuroleptic load" as me being a camel and carrying around a bundle of hay.
I *do* feel much better today. Was contemplating applying for prestigious dream job without intense anxiety/helplessness, so that's a big positive. Also visited healthclub to enquire after membership. That might be good to get my apathetic *ss out of the house. If I'm a brave Llurpsie I can even ride my bike there.
Take care med-empathetic
-Ll
poster:LlurpsieNoodle
thread:772561
URL: http://www.dr-bob.org/babble/20070719/msgs/772591.html