Posted by iforgotmypassword on October 10, 2009, at 16:45:23
In reply to Re: what pharmacies are likely to have it in stock » iforgotmypassword, posted by floatingbridge on October 10, 2009, at 10:47:14
just thought i would pass this along. one pharmacy, while not actually having it in stock yet, confirmed availability of aripiprazole. for 30 2mg pills the cost was approx. 115$ (canadian) at one of the pharmacies where the service charge or whatever tends to be higher. this appears to be a lot cheaper than the 13$+ i hear of people paying per pill in the US. thought i would share this info, in case it is useful to anyone.
thank you both for the advice, i think i will try aripiprazole on its own first. i want to get to the dose of aripiprazole that offers maximum benefit, which for me i think will still be low, but maybe not as low as the 1mg i intend to start at. if say 5mg or even 10mg is the dosage where i get the maximum benefit and where higher dosages aren't helpful, but i am dealing with severe worsening of akathisia or movement symptoms, i think i will then try adding the pramipexole (which thankfully is covered for me.) given that i experienced awful acute akathisia from ziprasidone with only a single dose of 20mg, i am particularly worried i will end up with some problems, perhaps even with the 1mg.
since the pharmacy can only get it in by tuesday (canadian thanksgiving is on monday) i may call my doctor on the same day and ask for a pramipexole rx ahead of time, or at least have the lorazepam handy, but lorazepam tends to be very distorting for me in the long run, also worsening movement issues, so i want to get off of it.
>I'm only intruding to add that I did begin to get
>mild akathisia at the 5-10 mg dose. My thumbs and
>hand would twitch, and at ten, I felt like I
>wasn't able to smile correctly--my mouth would
>grimace. Is that akathisia? It completely
>resolved once removed from abilify.i think all movement symptoms are potentially serious and should be made note of. the problem is, many doctors (at least from my experience in canada) tend to play them down, or not even notice them entirely, especially akathisia, and even more especially when it is SSRI-induced, which i consider to be a tragedy. no one deserves to suffer severe akathisia. in your case, many of the sx you had seem akathitic, and along the lines where akathisia seems more related to dystonia, parkinsonism, and tardive sensory syndrome, and less so to tardive dyskinesia and tardive dysphrenia. the last two seem specifically due to dopaminergic hypersensitivity, though any mix of all of these sx seem capable of occuring together.
the feeling of not being able to smile properly instead feeling like you are grimacing (which i have occurances when i am idle, not even smiling) seems related to dystonia, and if you are experiencing strange pulling sensations (this is what i get in my face all the time) i think that is related to akathisia and dystonia, and what can become tardive sensory syndrome.
i tend not to improve much at all with anticholinergics, only sometimes, whereas lorazepam does help, but with the costs many people seem to experience when taking benzos. i don't think there is any way i can go back to school while taking benzos regularly.
i think the right dose of aripiprazole may actually even help my sx, strangely, but i think it is more likely to happen with a dopamine agonist balancing it. of course tho, i truly have no idea until i try.
poster:iforgotmypassword
thread:920190
URL: http://www.dr-bob.org/babble/20091001/msgs/920411.html