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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by tensor on November 16, 2009, at 9:16:33
I have become absolutely terrified about side effects from medication. When I was younger I would take about any pill (prescripted), but now I don't know how I would get started with Concerta or Abilify as augmentors. I seem to focus on s/e and not on potential benefits.
This is a major drawback of knowing too much about pharmacology. With Abilify I'm certain that I would end up with either TD or NMS or both. Are my fears justified? I have combining conventional ADs back and forth for years but they don't carry the same risks./tensor
Posted by maxime on November 16, 2009, at 10:08:05
In reply to Side Effects - Help, posted by tensor on November 16, 2009, at 9:16:33
I think you need to get beyond your fears even though I know how terribly difficult it is. If you start a new med and have a bad reaction you can just stop the med. If you don't try the med you will never know what you were missing.
Go for it!
Posted by Phillipa on November 16, 2009, at 10:48:28
In reply to Re: Side Effects - Help » tensor, posted by maxime on November 16, 2009, at 10:08:05
Sounds familiar as been like that for years so I do know how you feel. What Maxime says is true I hope you can do it. Love Phillipa
Posted by floatingbridge on November 16, 2009, at 20:11:24
In reply to Side Effects - Help, posted by tensor on November 16, 2009, at 9:16:33
Tensor--drug trials are the worst. They can be very anxiety provoking. Having tried Abilify (and failed), I'd just say, start low and be vigilant. (I developed no lasting side effects.) Stay in touch with your doctor. Do you keep a med journal of your trial lengths and doses (and SE's)?
And Concerta--I don't know much about possible side effects. Are they serious?
best luck and courage to you,
fb
> I have become absolutely terrified about side effects from medication. When I was younger I would take about any pill (prescripted), but now I don't know how I would get started with Concerta or Abilify as augmentors. I seem to focus on s/e and not on potential benefits.
> This is a major drawback of knowing too much about pharmacology. With Abilify I'm certain that I would end up with either TD or NMS or both. Are my fears justified? I have combining conventional ADs back and forth for years but they don't carry the same risks.
>
> /tensor
Posted by tensor on November 17, 2009, at 2:04:49
In reply to Re: Side Effects - Help » tensor, posted by floatingbridge on November 16, 2009, at 20:11:24
No I don't keep a med journal, I wish I did. Anyway, it's not the common side effects that scares me, it's those rare potential fatal reactions that scares me. NMS is actually listed for Concerta, but that has to be so rare that even I can chill about it.
/tensor
> Tensor--drug trials are the worst. They can be very anxiety provoking. Having tried Abilify (and failed), I'd just say, start low and be vigilant. (I developed no lasting side effects.) Stay in touch with your doctor. Do you keep a med journal of your trial lengths and doses (and SE's)?
>
> And Concerta--I don't know much about possible side effects. Are they serious?
>
>
>
> best luck and courage to you,
>
> fb
Posted by manic666 on November 17, 2009, at 13:51:11
In reply to Re: Side Effects - Help » floatingbridge, posted by tensor on November 17, 2009, at 2:04:49
you have a phobia,an the only way to nuke it is to face it full on an try a ad, you arnt going to feel any worse than you do now, only better, sorry to be straight with you , but its the only way to say what you already no.
Posted by Phillipa on November 17, 2009, at 18:59:43
In reply to Re: Side Effects - Help, posted by manic666 on November 17, 2009, at 13:51:11
Manic they just don't work for some folks. Love Phillipa
Posted by mtdewcmu on November 24, 2009, at 23:07:21
In reply to Re: Side Effects - Help » floatingbridge, posted by tensor on November 17, 2009, at 2:04:49
> No I don't keep a med journal, I wish I did. Anyway, it's not the common side effects that scares me, it's those rare potential fatal reactions that scares me. NMS is actually listed for Concerta, but that has to be so rare that even I can chill about it.
>
> /tensor
>Being obsessed with the worst-case scenario is a symptom of depression. Try to put it out of your mind long enough for the med to work, and then the fear will go away.
I, too, was afraid of Abilify before I took it. But I am taking a tiny amount (2mg) compared to what schizophrenics take. The largest pill is 30mg! Your chances of getting Neuroleptic Malignant Syndrome are virtually nil.
Posted by tensor on November 25, 2009, at 0:42:37
In reply to Re: Side Effects - Help, posted by mtdewcmu on November 24, 2009, at 23:07:21
Posted by mtdewcmu on November 25, 2009, at 12:35:40
In reply to Thanks! (nm) » mtdewcmu, posted by tensor on November 25, 2009, at 0:42:37
"The risk of aripiprazole to induce extrapyramidal motor side effects appears comparable to that of placebo and much lower than that of haloperidol, although akathisia may increase during aripiprazole treatment (Marder et al. 2003). Apart from the occasional induction of akathisia, aripiprazole has a markedly good safety and tolerability profile, especially with regard to weight, prolactin, QTc interval changes, glucose and lipid metabolism (Fleischhacker 2005)."
From: Schule, et al. World Journal of Biological Psychiatry, Volume 8, Issue 2 2007 , pages 112 - 122
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