hi. abilify now at 15 does it for me. fun fact: for all the hoopla about abilify for depression, blah blah blah...the strongest evidence is for Schizophrenia (I'm guessing also Schizoaffective?) and anti-manic in Bipolar I. true story.
not a big fan of older ones. Haldol inpatient was hell. risperidone (atypical-ish, according to current shrinky shrink) was mind numbing, but OK...to top off Abilify when I was in the throes of...mental anguish, I guess.
trileptal, OK till I got depressed. but depression is where I live, its my usual zipcode. maybe the dosage was a bit too high? i dunno....
i wouldn't recommend depakote to my worst enemy. tegretol is a lot like trileptal...trileptal doesn't require nearly as much blood work, but some people do better on tegretol, trileptal has far less data backing it (mostly from foreign studies...scary to read...pumping manic people full of trileptal, comparing it to pumping them full of Haldol...eeek!), so trileptal is an 'off label' deal...
never taken it, but perphenazine (trilafon, also in a combo pill with elavil...triavil...) is in the phenothiazine class, like thorazine, but moderate potency. takes more mgs to get the job done than thorazine, fewer than prolixin or haldol or stelazine. in the CATIE study with people labeled as Schizophrenic, perphenazine did -almost- as well as zyprexa...
but that's hit or miss, on an individual basis. :-( on the plus side, it doesn't cause the metabolic hell that zyprexa does, its generic and widely available, and since its moderate potency, dosages can be adjusted to fit your needs, more or less (long term, i imagine doses would go up and down? i dunno).
amoxapine...a tricyclic antidepressant that partially metabolizes into loxapine. a former shrink mentioned it. psych fave for psychotic depression, apparently. if its ramped up high enough, its basically (according to small studies) an atypical, plus it has a more robust effect on mood and anxiety than risperidone.
vraylar? its...the new Abilify, my shrinky shrink wanted me on it, i got suspicious when i heard 'potent anti-manic effects.' you need anti-manic, maybe it'd be an option. for me...i hear that, i hear 'chemical strait jacket.' long story.
all i can come up with. hope this helps.
|