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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by cadburyhesychasm on December 27, 2018, at 23:06:52
Mainly compulsive hypersexual behavior? And what might be the pharmacology involved? non-ssri options any?
Posted by Christ_empowered on December 30, 2018, at 14:01:04
In reply to Any effective way to counteract abilify impulse dc, posted by cadburyhesychasm on December 27, 2018, at 23:06:52
maybe a different neuroleptic, if you need a neuroleptic? my new prescribing person is talking about reducing my abilify dosage and then doing a switch-a-roo over to a different 'atypical' (latuda, of course, LOL), because I had obsessive traits/tendencies, anyway...and the abilify is effective on the BIG STUFF, but the oc Disease is once again rearing its ugly head, so...yeah.
one thing...when I was a lot worse off than now and bad, bad agitation and looping thoughts hit, I'd take a very low dose of gabapentin+a low dose of risperidone (just as needed...cannot tolerate it daily) at night, go to sleep, and then wake up...with a dry mouth, stuffy nose, and a surprisingly calm, clear mind. isn't psychiatry fun? :-)
hope things get better for you.
Posted by cadburyhesychasm on January 1, 2019, at 2:40:05
In reply to Re: Any effective way to counteract abilify impulse dc, posted by Christ_empowered on December 30, 2018, at 14:01:04
I've tried most atypicals and the ones like Latuda give me shocks of rage and triggers with a tendency to impulsive screaming at minor provocation.
I've stopped Abilify, and right now only taking Amisulpride 100 and valproate er 1g. i'm clueless what to do if rage comes back, ive seen 20 doctors, all they do is olanzapine doesn't work. risperdal worked at low doseyears bac monotherapy but now just increases irritability. any high dose neuroleptic increases brain sensitivity to stimuli and irritates agitates.SLS recommended trileptal or tegretol but they make me pseudopsychotic in the sense of making my thoughts grouchy, and become like a psychopath and they dont work for my symptoms.
increasing amisulpride would only serve to give me weeping depression and extreme catatonic like behaviour with sentimental withdrawal from the world.
so those are all the problems.
gabapentin skyrockets bp, so does escitalopram which incidentally helps irritability but dangerous because of bp rise for some reason.
lamotrigine permanent drug-resistant insomnia though does stabilize a little if added. lithium no go.
i might just wait out the solian 100 and valproate who knows it might work but i feel a little weird, depressed headache and no irritability atm but if it comes no idea where to go. i want a doctor who can help but their idea is destructive rage is inherently psychotic even in absence of psychotic sx so you need antipsychotic maybe they are right except if antipsychotic would help, abilify helped socially though still had bouts of anger sometimes but i can't sacrifice my moral integrity when it gives me compulsive problems.
Posted by SLS on January 1, 2019, at 9:00:59
In reply to Re: Any effective way to counteract abilify impulse dc, posted by cadburyhesychasm on January 1, 2019, at 2:40:05
> SLS recommended trileptal or tegretol but they make me pseudopsychotic in the sense of making my thoughts grouchy, and become like a psychopath and they dont work for my symptoms.
I'm sorry to hear that.
It occurred to me that clomipramine might be worth looking into for you.
- Scott
Posted by Christ_empowered on January 1, 2019, at 11:55:42
In reply to Re: Any effective way to counteract abilify impulse dc » cadburyhesychasm, posted by SLS on January 1, 2019, at 9:00:59
high doses of Prozac (I would think other SSRIS?) can be used to counter rage. With Abilify and some other tranquilizers, the dose of the tranquilizer would need to be reduced a bit (I think by as much as 1/2).
sorry about your situation.
Posted by SLS on January 1, 2019, at 12:35:04
In reply to Re: Any effective way to counteract abilify impulse dc, posted by Christ_empowered on January 1, 2019, at 11:55:42
> high doses of Prozac (I would think other SSRIS?) can be used to counter rage.
I didn't know that. I know that much higher dosages of Prozac are necessary to treat OCD. Perhaps there is an association between OCD and rage. I wonder if Prozac would be helpful in impulse control?
- Scott
Posted by cadburyhesychasm on January 1, 2019, at 12:38:35
In reply to Re: Any effective way to counteract abilify impulse dc, posted by Christ_empowered on January 1, 2019, at 11:55:42
I've read before that SSRIs like Prozac are used not for rages that also result in property destruction fits of fury of significant nature, it is like fits of epileptoid like mania where the predominant mood is darkness and depression. One book I read sort of relates with me, it's always a weeping grieving withdrawing depression that when someone tries to touch that in anyway, it reacts, in the end all feelings which are usually amplified in a depressed manner are lost, I'm left without any feelings, and it ends wih acute unending outbursts of rage and hostility.
One thing that a book mentioned is that when the aggression turns on itself, like the patient ends up scratching his own face and tearing his clothes, it happens most likely in schizophrenia. I don't tear my clothes exactly but itreflects my feelings because I would often refuse food in anger and became so anger frustrated that the food given to me I would crush it and throw it on the plate in anger.
I remember all this from before, I don't have the usual psychotic sx. and all this seems a bit strange to me because withschizoprenia what people usually describe is a hallucination or say something that indicates a change in 'belief' about something or other, but yes it is is some sort of maniacal loss of contact with reality when I think about how I feel provoked with everything minor and scream at people in a very evil anger if they so much as talk or laugh louder than i would like.
maybe some episodic dyscontrol of an organic nature because this depression is not episodic but an unending source of something wrong that makes me weep and it is not relapse when i get irritability but it is ever present except when with proper medication. or probably schizophrenia. sorry for the lengthy line of thoughts but i feel so depressed.
Posted by Christ_empowered on January 5, 2019, at 0:03:34
In reply to Re: Any effective way to counteract abilify impulse dc » Christ_empowered, posted by cadburyhesychasm on January 1, 2019, at 12:38:35
thanks for this. i mean that. see...
shrinks have colonized our minds! when we talk, we're supposed to talk in terms of symptoms and diagnoses and "meds," etc...
I'd much rather an open discussion about pain, anguish, loneliness, social class, status, etc.
I don't have a good response to your (well-written) post, unfortunately. I just admire your honesty, as much as I hate the pain you go thru.
in terms of psych drugs...? I"m personally going to see about lowering my Abilify a bit. The current prescriber is providing neurontin, so I'm thinking that with occasional increases in the low dose neurontin, I could get down to 10ish mgs/Abilify per day, see if I can breeze thru on that. The Orthomolecular is ongoing...I mean, why not?
Posted by porkpiehat on January 18, 2019, at 12:02:12
In reply to Any effective way to counteract abilify impulse dc, posted by cadburyhesychasm on December 27, 2018, at 23:06:52
> Mainly compulsive hypersexual behavior? And what might be the pharmacology involved? non-ssri options any?
I had the same thing on Abilify AND currently on Nardil.
Doctor suggested/prescribed NAC, naltrexone for compulsive behavior.
This is the end of the thread.
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