Wonderful.Cheese Posted April 24, 2015 Share Posted April 24, 2015 Do typical AP's help with mania? I asked my pdoc's nurse for a shot in the butt of haldol. Maybe it's high time I tried a typical AP. I've literally tried all of the AAP's. They help my mood most of the time but the psychosis is not in check mostly either. I would be willing to give up one AAP for a switch to an typical AP. I'm not sure if I should trade off the latuda or the abilify? I like them both. Hmmm...? I think I would keep the latuda and trade abilify for a typical. I've been on abilify for a decade though. Weird! But latuda has cleared my head a bit. That helps a lot! Plus it's good for mood too right and SZ symptoms too right? Link to comment Share on other sites More sharing options...
surreal Posted April 24, 2015 Share Posted April 24, 2015 Hey Cheese! I don't know if typical AP's are good for mania or not but I've taken quite a few different ones for schizophrenia. They had a strong sedative effect on me. But again, I'm not diagnosed with bipolar disorder, only schizophrenia! I would ask my pdoc though for sure. Oh, and my previous pdoc said that sometimes when a person doesn't respond to atypical AP's, they will have a great response with typical AP's for some reason (and also some people respond better to shots than pills for some reason)! So I would definately ask your pdoc! Have you ever had the shots before? My previous pdoc kept suggesting that to me instead of pills but I was like no way! I hate shots! Lol Link to comment Share on other sites More sharing options...
Velvet Elvis Posted April 24, 2015 Share Posted April 24, 2015 Your risk of EPS is much higher with all the typicals. I haven't really looked at latituda's mechanism of action well enough to guess if it would compound that, but it is a risk. Link to comment Share on other sites More sharing options...
jt07 Posted April 24, 2015 Share Posted April 24, 2015 As VE said, the risk of EPS in greater with the typicals. However, a lot of people do well on typicals. Which sucks less: greater risk of movement disorders on the typicals or greater metabolic risks on the atypicals? You really need to have this talk with your pdoc because we can't really tell you to go ahead and try a typical. Your doctor would be more equipped to look at your history and make the decision that is in your best interests. I am aware that you have had problems with your pdoc in the past though. Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted April 24, 2015 Author Share Posted April 24, 2015 You are right. I always don't think ahead about EPS. I guess I don't know what to do. I still have not gotten a call back from anyone. It's been 2 hours. Maybe Invega instead of abilify? Link to comment Share on other sites More sharing options...
San Posted April 24, 2015 Share Posted April 24, 2015 A typical AP injection (not the depot injection, the fast acting ones) will bring you down fast. I never had much EPS with the typical depot I was on, or with Haldol (oral) I'm on Invega Sustenna and liking it so far. It is a bit activating. Link to comment Share on other sites More sharing options...
rowan77 Posted April 24, 2015 Share Posted April 24, 2015 I was on haloperidal (oral) and chlorpromazine (at different times) for mania and they both helped bring me down from mania. I was on other meds at the timee as well such as AAPs and Lithium Link to comment Share on other sites More sharing options...
jarn Posted April 24, 2015 Share Posted April 24, 2015 I'm on Loxapine, not a high dose, in addition to Saphris - and it is like amazing for me. It keeps me calmer, even if I have symptoms. I had some start up acute dyskinesia but it resolved quickly. I don't have any side effects from it. I THINK Loxapine is a sort of intermediary between typicals and AAPs, though it's technically a typical. I wish I had gone to typicals sooner, to be honest. Link to comment Share on other sites More sharing options...
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