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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by addinbc on July 8, 2016, at 13:06:14
Hi there,
I'm sure this question has been asked and answered many times here, but I'll ask it anyway.
Abilify has me feeling very restless (akathisia?), and I'm wondering if this passes or not for most people? I was taking 2 mg for about a month, and it wasn't to bad, but it's been pretty terrible since I was bumped up to 50mg about 1.5 weeks ago. Any input would be so much appreciated!
Thanks
Posted by addinbc on July 8, 2016, at 13:07:53
In reply to abilify restlessness, posted by addinbc on July 8, 2016, at 13:06:14
Posted by Christ_empowered on July 8, 2016, at 13:52:28
In reply to abilify restlessness, posted by addinbc on July 8, 2016, at 13:06:14
Sometimes, its best to discontinue. Akathisia can be extremely upsetting. Suppressing it is an option, if your doc thinks that's the way to go. A benzodiazepine and/or propranolol can do the trick, usually.
I seem to recall reading about Remeron being useful in Abilify-induced akathisia. Gabapentin has also been used. Massive doses of B6 have also been used in akathisia, to good effect.
There --is-- tardive akathisia, so do be aware of that. I think (hope) its rare. I seem to recall reading that its usually associated with tardive dyskinesia, though I may be wrong about that.
Good luck, and please keep us all posted, whatever you and your doctor decide to do.
Posted by jonhed on July 10, 2016, at 13:18:16
In reply to abilify restlessness, posted by addinbc on July 8, 2016, at 13:06:14
If you get it from just 5mg, stop it now before it gets worse!
You will thank yourself in the long run.
I don't wanna bring up my abilify story again, but it's not at nice story.
restlessness at 5mg = stop.
There are a lot of alternatives :-)
Posted by addinbc on July 19, 2016, at 8:56:43
In reply to Re: abilify restlessness, posted by Christ_empowered on July 8, 2016, at 13:52:28
Eeek. ...what is tardive akathisia? Is it permanent?
Posted by Christ_empowered on July 19, 2016, at 21:38:44
In reply to Re: abilify restlessness, posted by Christ_empowered on July 8, 2016, at 13:52:28
hi. "tardive" means late developing, like being tardy for class in elementary school.
Tardive dyskinesia=often (but not always) permanent involuntary movements, usually in the face. Sometimes involves tics.
Tardive dementia--late developing reduction in mental abilities. Often related to tardive dyskinesia.
Tardive akathisia--also often related to tardive dyskinesia, but not always. Long standing, often permanent, sense of restlessness and unease. Can drive some people to suicidal behavior.
Tardive psychosis-- this one is controversial. Its the idea that brain changes from neuroleptics/tranquilizers/antipsychotics can a)worsen psychotic conditions and b) create a psychotic condition where before the person/patient did not experience psychosis.
The "atypical" antipsychotics have a different side effect profile than the older, "conventional" drugs. The rate of tardive syndromes may or may not be much lower...there's conflicting data out there, and a lot of it was industry-sponsored.A lot of the tardive syndromes were/are more common with higher doses of the "conventional" drugs. back in the day, docs (especially in the US, for some reason) were really heavy-handed with the old drugs...and the results were often disastrous.
Hope this helps!
Posted by addinbc on July 19, 2016, at 23:15:58
In reply to Re: abilify restlessness, posted by Christ_empowered on July 8, 2016, at 13:52:28
Eeek. ...what is tardive akathisia? Is it permanent?
This is the end of the thread.
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