I take Abilify (and propranolol to help with the accompanying shakes and Lamictal) and it has evened me out. since starting it over 5 years ago, I've had one relatively minor hypomanic episode and the beginnings of a manic episode with hallucinations, that increasing the dose did away with.
I hate Seroquel. I need a ridiculous amount of sleep on it, it gives me a hangover, and makes me crave all food and especially sweets, all the time. BUT, I think it's a great med for pulling one out of a full-blown manic episode. It did that for me, years ago, successfully. But then my pdoc at the time, kept me on it and it was just awful. Personally, I think it's best to take Seroquel on an as-needed basis (titrate off it, once the manic episode has subsided, and then replace it with another AP that doesn't have such awful side effects).
As far as Abilify side effects, when I first starting taking it, actually, for the first year or so, it made me very dizzy when getting up. What didn't go away was the shaking hands (I forget what it's called). But taking propranolol twice a day has largely done away with that. At first I took it once a day and it helped somewhat, but then when I started taking it twice a day, it's almost gotten rid of it entirely.
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