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Dr. Bob is Robert Hsiung, MD,
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Posted by herpills on November 27, 2010, at 13:13:56
Hi, I've been taking Abilify for a little over 3 weeks now. Started at 2mg for two weeks, then went to 5. Started getting some akathisia a few days ago and it's really bothering me, otherwise I am feeling better on this medication. Pdoc wants me to go up to 10mg as target dose. Will the restlessness go away at the higher dose? herpills
Posted by Christ_empowered on November 27, 2010, at 13:34:23
In reply to Abilify and akathisia- 5mg vs 10mg, posted by herpills on November 27, 2010, at 13:13:56
I personally found higher doses of Abilify somewhat calming, while lower doses were more "activating." This lines up with what my shrink says, which is that higher doses are better for anti-manic action, while lower doses are more for depression.
I never had akathisia from abilify, though, so I can't really tell you if upping the dose will make it go away. I did some reading online, and apparently some doctors think there's an Abilify start-up syndrome that is somehow distinct from akathisia that pops up in a lot of people. Waiting it out or adjusting the dose seems to help. Since `10mgs/day is the lowest dose studied for anti-psychotic effects, my wild guess would be that it would calm you down more than 2-5mgs/day...but that's just a guess.
Have you tried propranolol or tranquilizers to helps with the akathisia? Even if it goes away on its own, it'd be a good idea to treat it for the time being.
Posted by Phillipa on November 27, 2010, at 17:49:15
In reply to Re: Abilify and akathisia- 5mg vs 10mg, posted by Christ_empowered on November 27, 2010, at 13:34:23
Interesting as I would think that before raising should adjust to lower dose. But never took it. Does the doc know about the akathesia? Phillipa
This is the end of the thread.
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