Posted by temoigneur on December 5, 2005, at 1:57:57
In reply to Re: One more thing..., posted by med_empowered on December 3, 2005, at 3:16:18
> Its kind of common to combine the atypicals with stimulants..its kind of an "off-label" application when the atypicals are used for behavior problems, ADHD, bipolar, depressive states, etc. I honestly dont know how often stimulants are used in schizophrenia or schizoaffective these days.
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> I think you should consider the following: 1) add an antidepressant(s) + reduce the AP dose 2) reduce AP dose, add in trileptal, depakote, etc. 3) add in BuSpar and/or benzo 4) switch to Abilify, then adjust dosage......
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> any of these would be easier to do than adding a stimulant. If you add an antidepressant, be sure to reduce the AP dosage since SSRIs tend to increase AP blood levels. GOod luck!Thanks MedEmp. I live in canda Abilify's not available here, but I may be able to get it, I've dedicated a good portion of my life to get treatments that aren't avail. domestically. Kidding, but do you think Aripiprazole may help. It's very expensive, about $400/month, but I wonder about it, because it's said to *modify* dopamine levels, increasing them if too low and decreasing them if their too high. That would seem to be the ticket if indeed dopamine disregulation is at the root of my problem. I wonder why I haven't heard more about this drug.
Also, I do have an obsessive anxious component to my schizo affective, you don't think adding a 'smoother' stimulant at a low dose, like concerta might be alright. I'm already taking prozac and valproate 325, along with the the 10mg zyprexa and 30mg metho...... thanks so much
poster:temoigneur
thread:583994
URL: http://www.dr-bob.org/babble/20051203/msgs/585653.html