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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by novelagent on May 15, 2012, at 3:55:58
Posted by Phillipa on May 15, 2012, at 10:05:19
In reply to Once-monthly Abilify Phase III results, posted by novelagent on May 15, 2012, at 3:55:58
I think at one point about a week ago I posted this also. I do hope others read it as for those who are non compliant with meds it's a good way to ensure medication. I wonder if they will proceed with the patch and nasal admistration also? Phillipa
Posted by novelagent on May 15, 2012, at 18:33:56
In reply to Re: Once-monthly Abilify Phase III results » novelagent, posted by Phillipa on May 15, 2012, at 10:05:19
I'm compliant, but prefer the convenience of not having to worry about losing a steady state of meds in my bloodstream because I might forget a dose.
I'm on Invega Sustenna-- Abilify probably wouldn't make much of a difference, seeing as how I take Dexedrine to offset the side effects... I've been on Latuda, but I just didn't like having to remember to take it. If I was off by an hour with my dose, I couldn't function while my body built up a tolerance to the blunting effects by making a steady state over the next 4 days.
What I'm looking forward to is Latuda depot, but that appears to be a long ways away. The IQ would benefit from Latuda's more selective nature, blunting wise...
> I think at one point about a week ago I posted this also. I do hope others read it as for those who are non compliant with meds it's a good way to ensure medication. I wonder if they will proceed with the patch and nasal admistration also? Phillipa
Posted by Christ_empowered on May 17, 2012, at 14:03:21
In reply to Re: Once-monthly Abilify Phase III results, posted by novelagent on May 15, 2012, at 18:33:56
I don't think I could do depot shots. I have power issues.
Posted by Novelagent on May 18, 2012, at 15:29:04
In reply to Re: Once-monthly Abilify Phase III results, posted by Christ_empowered on May 17, 2012, at 14:03:21
> I don't think I could do depot shots. I have power issues.
Not to offend you in a mean way, but could you be any more of a cliche? : P
How is it not empowering to have the control over your condition that comes with a depot shot? I found being at the whim of my remembering to take my med anything but control-- you either control your condition, or you let it control you.
I prefer control, so I take Invega Sustenna monthly.
Posted by Christ_empowered on May 18, 2012, at 22:19:36
In reply to Re: Once-monthly Abilify Phase III results » Christ_empowered, posted by Novelagent on May 18, 2012, at 15:29:04
How am I being cliche? I don't want people pumping drugs into my body. I've been in mental hospitals where that happened, and I found it traumatizing. Also, the last thing I want is for some shrink I'll probably only see every 8 weeks setting a (probably high) dose that I'll be stuck with for a long time.
Posted by Novelagent on May 19, 2012, at 1:29:37
In reply to Re: Once-monthly Abilify Phase III results, posted by Christ_empowered on May 18, 2012, at 22:19:36
> How am I being cliche? I don't want people pumping drugs into my body. I've been in mental hospitals where that happened, and I found it traumatizing. Also, the last thing I want is for some shrink I'll probably only see every 8 weeks setting a (probably high) dose that I'll be stuck with for a long time.
>
>Most schizophrenics, according to Medscape, cite things like fear of needles for reasons why they aren't on a depot medication. Keep in mind you may be fine for now, but for most people with schizophrenia, they would 't have many problems if it weren't for their stubborn insistence about resisting a depot med option. I'd be more afraid of psychosis than a needle, or concerns about "control."
I don't know about you, but I value my sanity too much to take risks. I don't mess around. I had all of one 24 hour episode where I was psychotic, and that's it. Since then, I've been on a depot injection. I don't have negative symptoms because I intervened so quickly. And I don't plan on having any anytime soon. I'm not like most psychotics, who apparently seem to take psychosis lightly.
Also, after having bad experiences with high doses of antipsychotics from the 60's and 70's, docs are very careful to give the lowest effective dose these days to avoid the side effects high doses brought on.
Posted by papillon2 on May 19, 2012, at 7:48:57
In reply to Re: Once-monthly Abilify Phase III results » Christ_empowered, posted by Novelagent on May 19, 2012, at 1:29:37
Novel Agent: perhaps CE doesn't have the problems remembering to take medication that you have? So his illness isn't in control of him.
Posted by Phillipa on May 19, 2012, at 19:21:39
In reply to Re: Once-monthly Abilify Phase III results, posted by papillon2 on May 19, 2012, at 7:48:57
I can't speak for CE but I'm sure he does remember. He just wants some control. I don't blame him as what if he had an adverse effect to the injection? It would be there for the month? Phillipa
Posted by novelagent on May 20, 2012, at 2:13:46
In reply to Re: Once-monthly Abilify Phase III results, posted by Phillipa on May 19, 2012, at 19:21:39
i'm probsbly being too hard on CE, but I never had a problem with compliance. I take depot shots for convenience,
> I can't speak for CE but I'm sure he does remember. He just wants some control. I don't blame him as what if he had an adverse effect to the injection? It would be there for the month? Phillipa
Posted by Phillipa on May 20, 2012, at 19:05:20
In reply to Re: Once-monthly Abilify Phase III results, posted by novelagent on May 20, 2012, at 2:13:46
I guess we are all different. Hence some like one way others another. Nothing wrong with this I don't feel. Phillipa
Posted by Christ_empowered on May 20, 2012, at 22:15:00
In reply to Re: Once-monthly Abilify Phase III results » novelagent, posted by Phillipa on May 20, 2012, at 19:05:20
yeah...I think it depends. I'm not gung-ho to have somebody shoot me full of a long-acting medication, since it strikes me as controlling and potentially oppressive. But I'm glad its kept you relapse-free.
For me, I had to learn the hard way to stay on my medication :-(
But, lesson learned. More days than not, I take Abilify @ 30mgs. Even when I forget, the high dose+the long half-life=anti-crazy coverage. I'm hoping to get it lowered to 20 and add in a BZD, either PRN or low-dose, daily use. We'll see how that goes (or if I can even see my doc @ her private practice).
Posted by Novelagent on May 22, 2012, at 20:41:33
In reply to Re: Once-monthly Abilify Phase III results, posted by Christ_empowered on May 20, 2012, at 22:15:00
30mg isn't much... As my nurse, the lady who injects me once a month says, "when you're stable, you don't make changes."
Maybe you could get away with lowering it to 20mg, but if you are within 2 years since your last psychotic episode, I'd stick to what's working, and add the benzo. Keep in mind benzo withdrawal can induce psychosis, so stick to prn. Or take it religiously, but don't withdraw.
I mean, if abilify non-injection is working for you, more power to you, but you should probably diminish the validity you hold for the control thing, because I think that's unfair for the nice people who are trying to help you. The nurse practioner I see to get my shot is underpaid, because she's a state employee. I don't think she goes to work hoping to reduce the control I have in my life. Psychosis takes away my ability to control my thoughts, not Invega.
> yeah...I think it depends. I'm not gung-ho to have somebody shoot me full of a long-acting medication, since it strikes me as controlling and potentially oppressive. But I'm glad its kept you relapse-free.
>
> For me, I had to learn the hard way to stay on my medication :-(
>
> But, lesson learned. More days than not, I take Abilify @ 30mgs. Even when I forget, the high dose+the long half-life=anti-crazy coverage. I'm hoping to get it lowered to 20 and add in a BZD, either PRN or low-dose, daily use. We'll see how that goes (or if I can even see my doc @ her private practice).
>
>
This is the end of the thread.
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