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IDK if you guys know but there is now abilify as a long acting injection! It's news to me! I saw it while browsing the pbs online!

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Maintena has been around for a year or more.  Convenient, yes.  But wildly expensive.  Docs should start with oral Abilify first.  The oral form lasts quite a long time.  And lots of folks experience start up akathisia.  If you are not susceptible to this Maintena may be a wonderful option...if your insurance covers it.

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Still exciting though, because there are folks who for whatever reason need or are required to be on an injection - and the more options there are in that way, the better, I'd think.  The recommendation with most of the injections is, if possible, to establish tolerability with an oral trial first.

 

The insurance thing probably remains a snag for lots of folks though.  Fucking money.

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Abilify doesn't cause akathasia in everyone. For some, it's a life saving drug. Having a depot injection is a great idea. Everyone reacts differently. There are more long acting injections coming out. I find I get less side effects from injections over oral. I'm now on Invega Sustenna. I only had my first shot 3 days ago, but no side effects so far except for a sore arm. My insurance covers it.  I find they help me more than oral medication, and have less side effects. (I am not on a treatment order, but my pdoc and I think I'm best on injections)

 

Unfortunately, not everyones insurance covers depot injections and they are expensive. It's a good option to have. Hopefully it can be made more affordable. I've spoken to one CB member on the Abilify depot and they really like it.

 

More options is better. I think its great they're coming out with more depot injections to choose from. I prefer them to oral AP's. (I do take a low dose of Seroquel for sleep/mood stabilizer, but I may be coming off it after a couple months on the Invega Sus.)

 

And yes, most of the time the patient is started on the oral med (for Piportil depot, a typical AP injection I used to take, there was no oral med, but it was similar to Haldol) to make sure they can take it, and to have the oral med working because the injection takes time to start, sometimes up to 2-3 weeks, so they can gradually stop the oral med, but have something there to keep them stable until the injection kicks in, then they can discontinue the oral med.

 

They need to make these things more affordable. And come up with better names.. c'mon. Risperdal Consta. Invega Sustenna. Abilify Maintainna. Just ridiculous names. 

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San, you forget Zyprexa relprevv! LOL What the heck does that even mean?

 

Sorry off topic.

OP, Abilfy is a good option for lots of people. Many take it without issue or without much issue at all.

 

I'm sorry you found you didn't like it. But it's saved my life from long term, maybe life term hospitalization. I shudder to think of that even!

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Relprevv is a strange outlier.  Here in the US there has to be a doc/nurse on site for a number of hours when administered.  It can induce a sleep that borders on coma.  Our system employs it very sparingly.

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