Psycho-Babble Medication Thread 1107201

Shown: posts 1 to 10 of 10. This is the beginning of the thread.

 

is rexulti a viable option?

Posted by Christ_empowered on December 11, 2019, at 18:57:13

I take 15mgs/Abilify. I -now- suspect that its making low moods...lower. on the plus side, low mood-agitation=easier to handle low mood. ugh.

rexulti? my current psych says rexulti is better for depression, vraylar is better for the manic among us. she wanted me on...vraylar, which is strange, because I'm King of Psychotic Depression, but mania has been far, far less of a problem.

I'm not generally gung ho about brand new drugs going into my body, but...Prozac was kind of a bust. it was good for a while, but I was so placid, so...lazy, really. had to drop it.

DL-phenylalanine (DLPA) has helped perk up my mood and motivation a good bit. I'm thankful. Its just...

I don't think I need a super-strong-clamp down on those D2 receptors antipsychotic. Just...something to smooth things out, without causing dysphoria, etc.

suggestions? rexulti, maybe? right now, I'm just on 15/Abilify. I got scared that lamictal would somehow kill me, so I dropped it. Prozac was OK till it wasn't, so I dropped it. so...Abilify+Orthomolecular, basically.

thoughts? suggestions? thanks, in advance. :-)

 

Re: is rexulti a viable option?

Posted by Lamdage22 on December 12, 2019, at 8:59:15

In reply to is rexulti a viable option?, posted by Christ_empowered on December 11, 2019, at 18:57:13

Gabapentin an option? A herb? I just now started a Melissa officinalis trial.

 

Re: is rexulti a viable option?

Posted by Lamdage22 on December 12, 2019, at 9:06:44

In reply to is rexulti a viable option?, posted by Christ_empowered on December 11, 2019, at 18:57:13

Would you be psychotic without the Neuroleptic? I would try to go as natural as possible. Meds only for severe problems.

 

Re: is rexulti a viable option? » Lamdage22

Posted by phidippus on December 13, 2019, at 19:55:04

In reply to Re: is rexulti a viable option?, posted by Lamdage22 on December 12, 2019, at 9:06:44

I had the same problem with Abilify. It would put me in these dysphoric agitated states that were hard to endure. A search of the literature doesn't support Abilify as a sound treatment for bipolar depression. The only FDA approved options for bipolar depression are Seroquel, Latuda, Vraylar and something else...Have you tried the Vraylar? I was on it for a short while and it picked me up.

 

Re: is rexulti a viable option? » Christ_empowered

Posted by undopaminergic on December 17, 2019, at 11:18:20

In reply to is rexulti a viable option?, posted by Christ_empowered on December 11, 2019, at 18:57:13

From what I've read, cariprazine (Reagila here; what you call Vraylar) is the most activating of the dopamine partial agonist-antipsychotics. I'm currently taking it, and I like it better than aripiprazole (Abilify), but to be fair, I took a high dose of Abilify and I'm only on 3 mg of cariprazine.

The unique feature of cariprazine, is that it has a preference for dopamine D3-receptors. Whether that is good or bad, I'm not sure. However, pramipexole (Sifrol), a dopamine D3/D2 receptor direct agonist, was the only drug that was anti-anhedonic for me. I can at least say cariprazine is nothing of the sort. At higher doses, it acts more as an antagonist, which would be a bad thing in the case of D3.

-undopaminergic

 

Re: is rexulti a viable option?

Posted by Lamdage22 on December 17, 2019, at 12:36:33

In reply to Re: is rexulti a viable option? » Christ_empowered, posted by undopaminergic on December 17, 2019, at 11:18:20

Are you german? Me, too.

 

Re: is rexulti a viable option? » Lamdage22

Posted by undopaminergic on December 18, 2019, at 7:06:55

In reply to Re: is rexulti a viable option?, posted by Lamdage22 on December 17, 2019, at 12:36:33

> Are you german? Me, too.

Swedish, but I live in another Nordic country.

-undopaminergic

 

Re: is rexulti a viable option?

Posted by Lamdage22 on December 18, 2019, at 8:03:02

In reply to Re: is rexulti a viable option? » Lamdage22, posted by undopaminergic on December 18, 2019, at 7:06:55

Cool. I want to travel up north someday. I have never been there. Lofoten maybe.

We have a shortage of Venlafaxine over here. Other meds are also sometimes affected. I guess it is the same in other European countries?

 

Re: is rexulti a viable option? » Lamdage22

Posted by undopaminergic on December 18, 2019, at 9:59:01

In reply to Re: is rexulti a viable option?, posted by Lamdage22 on December 18, 2019, at 8:03:02

> Cool. I want to travel up north someday. I have never been there. Lofoten maybe.
>
> We have a shortage of Venlafaxine over here. Other meds are also sometimes affected. I guess it is the same in other European countries?
>

It appears I'm currently getting trimipramine from Germany, so maybe there is a shortage here.

-undopaminergic

 

Re: is rexulti a viable option?

Posted by creepy on January 16, 2020, at 23:37:05

In reply to is rexulti a viable option?, posted by Christ_empowered on December 11, 2019, at 18:57:13

Do your psychotic symptoms only present when you are depressed? I have talked to people on other forums that were in that boat.. they concentrated on keeping the depression at bay and that was enough.
Some doctors may not like that approach. so much emphasis on liability nowadays.
I wouldnt touch venlafaxine, but thats just me. Very bad experience with that.
What about trying MAOI?


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