Posted by Christ_empowered on October 28, 2012, at 10:30:30
In reply to Re: Depression supplements Updated, posted by Lao Tzu on October 26, 2012, at 15:11:19
I would imnagine the TD risk for Abilify would be lower. Also, there's less D2 upregulation than other drugs, so its supposedly "cleaner"--I would imagine there's less tardive psychosis.I recommend you switch. Risperdal can be so dulling, and once you hit a certain dosage (I think its around 6mgs), you might as well be taking Haldol in terms of EPS. Plus, Risperdal causes more weight gain than Abilify and tends to raise prolactin levels. Abilify is less fatty-making (still happens, though) and does not raise prolactin.
I'd recommend that you just try to start at 20-30. Just tell your doc you're scared of over-activation, blah blah blah, he should start higher. Higher can be better, anyway; works faster, less activation, and sometimes, more benefits. You can gradually lower later, if you want.
I would **not** recommend adding Abilify to Risperdal. Just based on the data I've read, you should try to pick 1 antipsychotic and stick with it, unless you're incredibly, unbelievably psychotic. Even then, there are other drugs that could help.
To me, Risperdal+Zoloft seems like it'd be mind-numbing. SRI drugs are numbing; so are all AAPs, especially Risperdal. If you switch to Abilify, you'll have a little more dopamine action going, so you'll be more motivated, more interested in life, etc. Supposedly, it boosts AD drugs, particularly SRI drugs (I read somewhere that it doesn't boost Welbutrin, but that was an animal study), so you might resolve your depression, too.
Just my thoughts. Remember that I hate Risperdal, anyway.
poster:Christ_empowered
thread:1028356
URL: http://www.dr-bob.org/babble/alter/20120530/msgs/1030058.html