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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Christ_empowered on January 23, 2015, at 18:27:43
I have a diagnosis of bipolar I w/ psychotic features. I have some psychosis despite ongoing Abilify treatment, but its getting much, much better. I also take 1200/trileptal and 100/lamictal. When needed--which isn't often--I take 200-300mgs neurontin and 2-4mgs Risperidone.
In this situation, is there a point at which the AAP can be lowered a bit? Or is 30 Abilify pretty much gonna be it for the long haul?
Also...is there anything I can do to make the lingering, relatively mild psychosis go away faster? I mean, besides throwing more neuroleptic at it?
Posted by Phillipa on January 23, 2015, at 18:37:57
In reply to bipolar I and lingering psychosis, posted by Christ_empowered on January 23, 2015, at 18:27:43
CE 30mg seems to be your magic number for success. Have you been taking it as prescribed? Phillipa
Posted by Tomatheus on January 23, 2015, at 20:28:37
In reply to bipolar I and lingering psychosis, posted by Christ_empowered on January 23, 2015, at 18:27:43
Christ_empowered,
Sarcosine and N-acetylcysteine might be options for the lingering psychosis. A meta-analysis published in 2011 found that both supplements have therapeutic benefits in the treatment of "negative and total symptoms of chronic schizophrenia" when taken alongside antipsychotics other than clozapine. D-serine might also be of benefit, but I'm not sure if it's available as a supplement. Here's a link to the meta-analysis that I mentioned:
http://www.ncbi.nlm.nih.gov/pubmed/21936588
Tomatheus
Posted by rjlockhart37 on January 24, 2015, at 1:24:01
In reply to bipolar I and lingering psychosis, posted by Christ_empowered on January 23, 2015, at 18:27:43
there are herbs that help you can get at the store, ginko, glyicne which helo with nuerotransmitter operations, glycine is good for regulation
there are alot of herbal supplements that are not known well that are good for psychosis, especially Chinese medicines that are not known vary well
Posted by Zyprexa on January 24, 2015, at 4:15:48
In reply to bipolar I and lingering psychosis, posted by Christ_empowered on January 23, 2015, at 18:27:43
I'm with phillipa, you should stick with 30mg abilify.
Sounds like you are doing pretty well. Maybe with time it will all even out!
Posted by ed_uk2010 on January 25, 2015, at 6:36:31
In reply to bipolar I and lingering psychosis, posted by Christ_empowered on January 23, 2015, at 18:27:43
>is 30 Abilify pretty much gonna be it for the long haul?
Probably yes. The fact you have some lingering psychotic symptoms is also a strong contraindication to dose reduction.
This is the end of the thread.
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