Posted by med_empowered on August 26, 2008, at 11:51:29
In reply to Re: Concern about boyfriends med mix, posted by desolationrower on August 26, 2008, at 11:42:29
100mgs of Seroquel is probably sedating him. 30mgs of Abilify is actually the *maximum* dosage; you can use as little as 10mgs/day for schizophrenia/schizoaffective/bipolar/whatever.
SSRI antidepressants can make people flatten out, so it probably doesn't help that he's on the citalopram.
If were you, I'd recommend: 1) cutting the seroquel; 2) reducing the abilify--although 10mgs is the usual minimum for mental illness, some people actually respond to less than that. 30mgs is overkill. 3) See if he can do without the antidepressant at some point, b/c it sounds like his "depression" is actually some sort of drug-induced problem....maybe "neuroleptic-induced dysphoria," or perhaps the "neuroleptic-induced deficit syndrome."
Basically, the antispychotics are f*cking him up and flattening him out; at the very least, you should try to get him on the *minimum effective dose* of only *1* antipsychotic. An even better option would be to find a doc who will taper the antipsychotics and find some other way (lithium, depakote, trilpetal, benzos) to stabilize his moods.
poster:med_empowered
thread:848344
URL: http://www.dr-bob.org/babble/20080822/msgs/848395.html