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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Jeroen on February 4, 2012, at 14:42:43
PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK
I want to talk to my shrink and ask him to switch to zyprexa, quit Seroquel XR 150 mg wich is controlling my psychosis but still stay on abilify 15 mg
the damn fool doesnt wanna prescribe saphris to me
because i feel retarded and like sh*t. Then go into Johnson & Johnson Glutamate anti psychotic
my shrink sais i have to wait 2 years for the glutamate to come to market like 2014
f*** that (sorry Bob i am very emotional right now)
Posted by bipolar11 on February 4, 2012, at 16:05:54
In reply to PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK, posted by Jeroen on February 4, 2012, at 14:42:43
Hey J,
Zyprexa is a great drug, very effective... I think thats a good idea to switch from seroquel if its not working well for you... people often respond better to one antipsychotic than another one..bps
> PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK
>
> I want to talk to my shrink and ask him to switch to zyprexa, quit Seroquel XR 150 mg wich is controlling my psychosis but still stay on abilify 15 mg
>
> the damn fool doesnt wanna prescribe saphris to me
>
> because i feel retarded and like sh*t. Then go into Johnson & Johnson Glutamate anti psychotic
>
> my shrink sais i have to wait 2 years for the glutamate to come to market like 2014
>
> f*** that (sorry Bob i am very emotional right now)
Posted by Christ_empowered on February 4, 2012, at 17:28:50
In reply to Re: PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK, posted by bipolar11 on February 4, 2012, at 16:05:54
could you just up the abilify to 30, maybe add a benzo if you need additional calming?
Posted by SLS on February 4, 2012, at 17:58:39
In reply to PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK, posted by Jeroen on February 4, 2012, at 14:42:43
My theory:
I believe that Abilify can reduce the effectiveness of coadministered neuroleptic antipsychotics that have significantly lower binding affinities for the D2 receptor. Seroquel has the lowest affinity. Zyprexa is also comparatively low. Abilify might block both of these drugs from exerting robust antipsychotic effects. Either bring the Abilify up to 30 mg or discontinue it in order to give other drugs the best chances of working.
Question:When you were responding well to Seroquel, how much Abilify were you taking?
- Scott
Posted by Phillipa on February 4, 2012, at 18:15:25
In reply to PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK, posted by Jeroen on February 4, 2012, at 14:42:43
Jeroen could you answer Scott? Please? Phillipa
Posted by Jeroen on February 5, 2012, at 4:59:16
In reply to Re: PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK » Jeroen, posted by SLS on February 4, 2012, at 17:58:39
i was only taking low dose seroquel 100 mg when i was cured!!!!!!!!!!!!!!!!!!!! no abilify or other medications!!!!!!!! in summer of 2004
Posted by SLS on February 5, 2012, at 6:08:23
In reply to TO SLS, posted by Jeroen on February 5, 2012, at 4:59:16
> i was only taking low dose seroquel 100 mg when i was cured!!!!!!!!!!!!!!!!!!!! no abilify or other medications!!!!!!!! in summer of 2004
My theory has substance, I believe. I would discontinue the Abilify now and retry Seroquel. Remember to taper the Abilify.
I have witnessed the phenomenon of Abilify rendering Seroquel ineffective in a friend of mine. My doctor has seen it several times, too, and thinks my theory has merit.
Fr*g my theories for now. Instead, just use empirical observation of your treatment history:
1. Seroquel monotherapy worked.
2. Seroquel + Abilify did not.I would not waste time with other unproven treatments until you first attempt to reproduce the conditions that you responded to the first time. You could start Seroquel now and discontinue the Abilify once there is enough Seroquel on board to prevent any rebound psychosis.
Good luck.
- Scott
Posted by SLS on February 5, 2012, at 6:12:55
In reply to TO SLS, posted by Jeroen on February 5, 2012, at 4:59:16
Oh. I forgot to mention that there are no guarantees. Of course, I hope that my suggestions to you result in your achieving remission, but they may not. I really don't care whose suggestions you follow, as long as you get better.
- Scott
Posted by phidippus on February 8, 2012, at 16:40:18
In reply to PLEASE PLEASE PLEASE DO YOU THINK THIS IS OK, posted by Jeroen on February 4, 2012, at 14:42:43
I doubt Seroquel is controlling your psychosis - I'd give credits to the Abilify.
W
Why do you want to change to Zyprexa?Eric
This is the end of the thread.
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