Psycho-Babble Medication Thread 1113674

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

how much neuroleptic is enough?

Posted by Christ_empowered on February 8, 2021, at 19:12:31

personally, I take Abilify. usually, its OK, as neuroleptics go. lol. in all seriousness, though, at 20mgs/day I'm at I think a high(ish) dosage, and wondering...

could I possibly jump down to 15? 10, even?

I might be able to get in with a new to me psychiatrist. maybe. if it happens, I want to have some talking points, ready to go.

thing is...severe low dips are more of a problem than upswings and/or paranoia, psychosis. the low dips are frequent, but its the very, very bad ones that bring out the full on distress...

but if any neuroleptic is up too high, don't low dips become more frequent? or no?

and if I am a good candidate for a bit of a reduction, should there be...something...there to cushion the blow? i am prescribed a low dose of gabapentin. not my favorite thing, gabapentin, but if I reduce the neuroleptic, would increasing the gabapentin a tad be useful?

no eps, no td or anything, btw. after over 10 years on aripiprazole, that is something to be thankful for, of course. :-)

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 11, 2021, at 13:37:20

In reply to how much neuroleptic is enough?, posted by Christ_empowered on February 8, 2021, at 19:12:31

I wouldn't cut it in half in one step. To me that is asking for trouble. Maybe 17.5 first and then after two months 15, if you are stable? Maybe your past attempts to reduce failed because you went too quickly.

What do you think?

 

Re: how much neuroleptic is enough?

Posted by Christ_empowered on February 11, 2021, at 16:29:22

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 11, 2021, at 13:37:20

going from 30 to 20 in one step led to a delayed reaction. 1, 2 months down the line...i was glad I'd been prescribed a lower dosage, but...wow. I had to adjust, let's put it that way.

I think a very, very slow approach is wise. I still haven't heard about a referral to the new to me psychiatrist, so...??? maybe I'm stuck at the clinic? could be worse.

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 11, 2021, at 21:19:25

In reply to Re: how much neuroleptic is enough?, posted by Christ_empowered on February 11, 2021, at 16:29:22

Your chances of success improve if you go slower. And it doesn't sound like you have to rush it.

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 12, 2021, at 11:36:29

In reply to Re: how much neuroleptic is enough?, posted by Christ_empowered on February 11, 2021, at 16:29:22

Absolutely. Most of the time when I reduce, the reaction is very delayed. But usually, as I don't do huge reductions, I can handle it and it gets better. But if I had already done the next reduction, I wouldn't have been able to handle it.

 

Re: how much neuroleptic is enough?

Posted by Christ_empowered on February 12, 2021, at 18:35:09

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 12, 2021, at 11:36:29

i actually thought about a switch, to seroquel, and then a slow and steady dosage reduction from that drug.

thing is...my psych said i'd need 600-800mgs/seroquel?!?! i think that's more than a bit...not correct...but I just dropped it.

as neuroleptics go, aripiprazole seems less noxious, more humane...but the difficulty lies in reducing, when each mgs packs so much punch.

slow and steady... :-)

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 13, 2021, at 2:42:07

In reply to Re: how much neuroleptic is enough?, posted by Christ_empowered on February 12, 2021, at 18:35:09

Have you ever been on it? Of course it is an option if you can afford to be doing not as well for a few weeks in case the Seroquel doesn't agree with you. I don't know how high dose Abilify feels. I got akathisia from low dose so I had to quit. It was horrendous. But ontop of the antipsychotic effect it was a bit of an antidepressant. If it hadn't been for the Akathisia, I think I would have really liked it.

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 13, 2021, at 2:44:30

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 13, 2021, at 2:42:07

Personally, I don't experiment with meds anymore. Especially not with me too meds. I am always looking for helpful supplements though.

 

Re: how much neuroleptic is enough?

Posted by undopaminergic on February 13, 2021, at 7:11:41

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 13, 2021, at 2:44:30

> Personally, I don't experiment with meds anymore. Especially not with me too meds. I am always looking for helpful supplements though.
>

In my view, supplements that have noticeable effects are equivalent to drugs.

Take mucuna pruriens for example; it is considered a supplement, but it contains L-dopa, much like Sinemet, which is considered a medication and also contains L-dopa.

The differences between supplements and drugs are arbitrary, and have no basis in biochemistry.

-undopaminergic

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 13, 2021, at 12:04:29

In reply to Re: how much neuroleptic is enough?, posted by undopaminergic on February 13, 2021, at 7:11:41

Yeah, Penicillin, Metformin. The list is long. A natural substance is not always considered a supplement. But manmade chemicals are always meds and never supplements.

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 13, 2021, at 12:06:47

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 13, 2021, at 12:04:29

And Vitamins: Some are man-made (and some have to be, because plants do not contain them) but often there is a plant based version and a man made version. I would argue that there often are structural differences.

 

Re: how much neuroleptic is enough?

Posted by Lamdage22 on February 13, 2021, at 12:10:38

In reply to Re: how much neuroleptic is enough?, posted by Lamdage22 on February 13, 2021, at 12:04:29

Nature is a genius in that way. We would be well advised not to distance ourselves too much from it.


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] 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.