![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 17 of 17. This is the beginning of the thread.
Posted by Christ_empowered on March 22, 2016, at 13:23:34
My medical coverage and pharmacy keep messing my life up by filling and covering my low dose, as needed risperidone and then rejecting the claim for the 30mgs/Abilify (now generic) that I've been taking forever. It seems that I'm going to have to get an Rx for *1* replacement neuroleptic.
I'm not opposed to risperidone, but I'm afraid of the prolactin elevation. I'm also kind of concerned that it might push me down into depression (maybe I'm being irrational there). I take 2mgs as needed, which...is rarely.
My former shrink at the clinic talked about amoxapine way back when. I was scared of a TCA+loxapine combo drug, so I declined, but...could it work as a replacement for Abilify? I dunno...I think I'm just pondering because my mood is much improved, but I could still use a bit of a lift. Or maybe I just need to let the wellbutrin keep on working...
When does risperidone turn into a problem w/ EPS and such? The official things I've read say 6mgs is the upper limit for minimal EPS, but...I'd like to hear what consumers have to say, too.
Geodon popped into my mind. Is it always, for realsies, a 2x daily medication, w/ food?
And, finally...has anyone tried zyprexa+wellbutrin? Zyprexa is supposed to be extremely effective, but I'm concerned about sedation. Intuitively, one would think/assume that the wellbutrin would help counter sedation, but...I could easily be wrong.
Thanks in advance.
Posted by SLS on March 22, 2016, at 14:10:39
In reply to replacement for Abilify?, posted by Christ_empowered on March 22, 2016, at 13:23:34
The only true 1:1 replacements for Abilify (aripiprazole) are Reluxti (brexpiprazole) and possibly Vraylar (cariprazine). It is likely that these three drugs work their magic via dopamine receptor partial agonism.
I would appeal to the insurance company that had you known, you would never have filled the prescription for Risperdal. They might allow you a one-month supply of Abilify, after which you just refill the prescription without asking for Risperdal. You will simply claim that the Risperdal didn't work.
- Scott
Posted by rjlockhart37 on March 22, 2016, at 16:45:49
In reply to Re: replacement for Abilify? » Christ_empowered, posted by SLS on March 22, 2016, at 14:10:39
geodon could be an option, i've been on geodon twice, at it's maximum dosage, it brings back to earth, kinda of .... when you feel altered and irrtible
abilify i've heard acts like a mild mood enhancer, but i never liked taking abilify, it made me feel wierrd, zyprexa always did the trick for me but weight gain is associated with olanzipine on long term treatment (sometimes)
just talk with your doctor about a similar alternative, im guessing he won't want to use the typical APs because they have more side effects with blocking dopamine......the newer onces seem to also target multiple sites not just dopamine
Posted by Phillipa on March 22, 2016, at 18:13:51
In reply to Re: replacement for Abilify? » Christ_empowered, posted by SLS on March 22, 2016, at 14:10:39
Jeroen just facebook messaged me he would like to try vraylar . Said he heard good for negative symptoms of scizophrenia? True or Not? Phillipa
Posted by J Kelly on March 22, 2016, at 20:13:54
In reply to replacement for Abilify?, posted by Christ_empowered on March 22, 2016, at 13:23:34
> My medical coverage and pharmacy keep messing my life up by filling and covering my low dose, as needed risperidone and then rejecting the claim for the 30mgs/Abilify (now generic) that I've been taking forever. It seems that I'm going to have to get an Rx for *1* replacement neuroleptic.
Is this a result of two A/P's? Ugh!
You need what you need. How frustrating.
>
> I'm not opposed to risperidone, but I'm afraid of the prolactin elevation. I'm also kind of concerned that it might push me down into depression (maybe I'm being irrational there). I take 2mgs as needed, which...is rarely.
>
> My former shrink at the clinic talked about amoxapine way back when. I was scared of a TCA+loxapine combo drug, so I declined, but...could it work as a replacement for Abilify? I dunno...I think I'm just pondering because my mood is much improved, but I could still use a bit of a lift. Or maybe I just need to let the wellbutrin keep on working...Friend, if your mood is much improved I'd try to stay the course.
>
> When does risperidone turn into a problem w/ EPS and such? The official things I've read say 6mgs is the upper limit for minimal EPS, but...I'd like to hear what consumers have to say, too.
>
> Geodon popped into my mind. Is it always, for realsies, a 2x daily medication, w/ food?Goedon caused a lot of anxiety and fatigue in me but YMMV.
>
> And, finally...has anyone tried zyprexa+wellbutrin? Zyprexa is supposed to be extremely effective, but I'm concerned about sedation. Intuitively, one would think/assume that the wellbutrin would help counter sedation, but...I could easily be wrong.I added wellbutrin to my Zyprexa and had poor results. It increased my anxiety.
>
Jade
Posted by SLS on March 22, 2016, at 21:57:40
In reply to Re: replacement for Abilify? » SLS, posted by Phillipa on March 22, 2016, at 18:13:51
> Jeroen just facebook messaged me he would like to try vraylar . Said he heard good for negative symptoms of scizophrenia? True or Not? Phillipa
It is supposed to be good. We'll see how it does in real life.
- Scott
Posted by Phillipa on March 22, 2016, at 22:24:53
In reply to Re: replacement for Abilify? » Phillipa, posted by SLS on March 22, 2016, at 21:57:40
Scott thanks. Phillipa
Posted by jane d on March 22, 2016, at 23:10:43
In reply to replacement for Abilify?, posted by Christ_empowered on March 22, 2016, at 13:23:34
Do they totally refuse to cover both prescriptions or do they just flag it (perhaps as duplicates) and force you to appeal it each time. If the combination is working for you I'd try to stick with it rather than risk something less effective even if it means monthly hassles with insurance. If they absolutely won't cover both can you pay for one out of pocket?
Jane
Posted by Christ_empowered on March 23, 2016, at 7:11:39
In reply to Re: replacement for Abilify? » Christ_empowered, posted by jane d on March 22, 2016, at 23:10:43
What happened is...
...my doc INSISTS on writing Rx for both low dose neurontin and low dose risperidone every month, even though I rarely take either. The neurontin isn't a big deal, but the two AP thing messes w/ the insurance, and the pharmacy people have 2x now filled the (cheap) risperidone and not the abilify, which I've been on forever. One month, I asked them to fill Abilify and not risperidone, which they did. Last month, I got a text saying my order was ready, I picked it up, got home, and they'd filled the risperidone. UGH!
I didn't think about offering to pay cash for the risperidone. That's a good idea. Thanks.
Posted by jane d on March 23, 2016, at 23:09:31
In reply to jane_d, posted by Christ_empowered on March 23, 2016, at 7:11:39
When I tried to buy a small quantity of risperidone I found that the per tablet cost was much higher for smaller amounts. That's probably true for all medicines but I hadn't encountered it before. Just something to keep in mind.
And probably the simplest way to make sure that the right prescription is the one that goes thru insurance is to move the cash prescription to another pharmacy chain entirely and don't give them the insurance info.
Posted by Zyprexa on March 24, 2016, at 5:40:55
In reply to replacement for Abilify?, posted by Christ_empowered on March 22, 2016, at 13:23:34
I take zyprexa and wellbutrin sr. It does reduce the sedation and adds energy. Very good combo. Taken it for decades.
But, if you don't like sedation. You probably won't like zyprexa.
I took abilify as a replacement for zyprexa. Went very wrong. I ended up much worse. And lost a job of 4 years and ended up on disability. Every thing would have been fine if I had just stayed on zyprexa.
I say stick with what works! Abilify, for you.
Are you still able to get it? Does insurance always eventualy come through?
I made the mistake of trying to replace a drug that was helping me so well. For many years. I tried geodon, which gave me diabities and blurry vision. And did not do much for hearing voices. Then the abilify which robbed me of sleep and energy. The oposite of what you would expect for abilify.. oh, and then the lamictal. Which didn't help much. The only good drug that came out of the whole ordeal, was, perphenazine. But it didn't replace the zyprexa and now I take both.
Why are you always wanting to replace your wonderful drug combo. That has proved to work so well? Stick with it!
Posted by Christ_empowered on March 24, 2016, at 8:31:32
In reply to Re: replacement for Abilify?, posted by Zyprexa on March 24, 2016, at 5:40:55
OK. I see the doc late next month. I have a refill coming up before then. I'll call before they fill the Rx and see about getting the Abilify, not the Risperidone. If that doesn't work...
...well, the clinic is running out of Abilify bottles (good ole Abilify went generic). I might have to do a temporary switch to 4-6mgs/day risperidone until I see the doctor. Then...
...I'm thinking I'll ask him to please stop writing the Risperidone Rx. They either call in or fax my Rx to the pharmacy, so I can't even take a written one to another pharmacy. I think I'm gonna see about keeping the Abilify (hopefully...) and dropping the Risperidone for celexa or lexapro (I think they're both generic). My real problem is some agitation remaining from bad depression. Extra neuroleptic is probably a bad idea over the long haul, anyway. I'm thinking celexa or lexapro will calm me down and reduce some of the obsessive stuff and be a better a long term solution than PRN risperidone...and it also won't mess with the insurance.
Thanks again for the input, everyone.
Posted by SLS on March 24, 2016, at 8:46:52
In reply to thanks, everyone, posted by Christ_empowered on March 24, 2016, at 8:31:32
If OCD is an issue, what about using Luvox instead of Celexa or Lexapro? Luvox might not be the best choice if severe depression is an issue, though. Luvox can be somewhat sedating. This might be good for you.
- Scott
Posted by Christ_empowered on March 24, 2016, at 9:08:43
In reply to thanks, everyone, posted by Christ_empowered on March 24, 2016, at 8:31:32
hey, scott.
My diagnosis is Bipolar I w/psychotic features (mainly recurrent psychotic depression) plus obsessive traits. I don't know anything about "obsessive traits" vs OCD, so...would Luvox be a good idea?
Sedation...I dunno. Its strange. My psychotic stuff is well-controlled (its still fading, but...this is about as much benefit as I'll get from any tranquilizer, I think). My concentration has improved (I think Wellbutrin+Orhtomolecular). My anxiety is much better. My mood swings are less frequent and much less severe. And yet...
...man, psychotic depression don't play. I was out of it in a big way for a while, and I feel as if I'm just now becoming genuinely lucid and truly recovering. I don't wanna load up on even more Rx drugs, but I do have some lingering probs from the depression from the pits of hell, so maybe an SSRI would be a good idea? But sedation...I mean, the combo is sedating; I think its the 400mgs Wellbutrin SR that mitigates the sedation. I'd be concerned that adding in sedating stuff would bring back pronounced concentration problems. But I'm not an expert.
Thanks.
Posted by SLS on March 24, 2016, at 14:14:09
In reply to Re: thanks, everyone, posted by Christ_empowered on March 24, 2016, at 9:08:43
Hi.
> My diagnosis is Bipolar I w/psychotic features (mainly recurrent psychotic depression) plus obsessive traits. I don't know anything about "obsessive traits" vs OCD, so...would Luvox be a good idea?I misunderstood your description of your obsessive "traits". I don't think it makes sense to try Luvox at this juncture for the reasons you describe. You might have:
1. Obsessive-comulsive personality disorder. (OCPD). You should research.
2. Intrusive thoughts attendant to depression and/or psychological issues.
3. Ruminations attendant to depression and/or psychological issues
4. Residual symptoms of psychosis.
5. Other. :-)
I would read up on these things. In particular, the differences between OCD and OCPD.
Wellbutrin is a good choice. It tends not to trigger a manic switch. Abilify might help to prevent mania. Taking it might allow you to experiment with antidepressants. However, trying Lamictal first is probably indicated if you haven't done so already.
- Scott
Posted by Zyprexa on March 24, 2016, at 20:58:52
In reply to thanks, everyone, posted by Christ_empowered on March 24, 2016, at 8:31:32
You might be able to get the doc call your insurance for prior aproval on the abilify. Can't see why they would only allow you to get one AP at a time.
Posted by Samuel Morgan on April 7, 2016, at 23:41:32
In reply to replacement for Abilify?, posted by Christ_empowered on March 22, 2016, at 13:23:34
Buy anti-anxiety and pain Killer meds (Xanies,Dillies,Addies) online...
Benzodiazepines are the most common class of anti-anxiety drugs. They include:
*Xanax (alprazolam)
*Klonopin (clonazepam)
*Valium (diazepam)
*Ativan (lorazepam)But Antidepressant are also good , we have these available;
*sertraline (Zoloft)
*fluoxetine (Prozac)
*citalopram (Celexa)
*escitalopram (Lexapro)
*paroxetine (Paxil, Pexeva)
*fluvoxamine (Luvox)
*trazodone (Oleptro)Below are meds for Chronic Pain , Breakthrough Pain , Pain & Anesthesia;
*Fentanyl
*Adderall
*Dilaudid
*Percocet
*Vicodin
*Norco
*Lortab
*Oxycodone
*NembutalWe operate 24/7 and offer nothing but discreet , fast and legit services.
Note you're ordering from a qualified and trained pharmacist , but you won't need a script to do that.
CONTACT US NOW !
Email:- anonymshopus@gmail.com
Check Blog:- http://orderopiatesbenzos.over-blog.com/
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.