Amethyst674 Posted August 11, 2017 Share Posted August 11, 2017 After almost a year of weight gain on Vraylar and feeling generally anxious and depressed my NP switched me to Abilify. She told me to take 5mg for a week and then go up to 10. Today is my 2nd day on 5mg and I am starting to feel a bit hyponmanic. I have read that abilify is activating in lower doses but more mood stabilizing in higher doses. I really want this med to work for me as I have been on so many. I was thinking perhaps i should go ahead and go up to 10 tonight to see if this will help with the hyponmania. I am also wondering since I have been depressed for so long....if it is really hypomania or I am just actually energized and happy for once . I kind of forgot what that felt like. Any advice would be appreciated. Link to comment Share on other sites More sharing options...
Alien Navel Cord Posted August 11, 2017 Share Posted August 11, 2017 I would first ask your pdoc, if you are able to call or send an e-mail to ask and see if it is ok to do that. Maybe the fact you're feeling hypo could influence the decision one way or the other. Good luck! Link to comment Share on other sites More sharing options...
Amethyst674 Posted August 11, 2017 Author Share Posted August 11, 2017 thank you Link to comment Share on other sites More sharing options...
notloki Posted August 11, 2017 Share Posted August 11, 2017 I would not go up tonight, your doc said a week. Abilify has a long half life so you need to give it time between dose changes to work. Too fast a titration is asking for akathisia. Link to comment Share on other sites More sharing options...
mcjimjam Posted August 11, 2017 Share Posted August 11, 2017 I would call and ask for an assessment of your current mood state. If you are really hypo they may suggest that you discontinue the med, or raise it. I find it gives me a lot of energy and function and I wake up earlier than usual. I would also look at the criteria for mania and compare to how you are feeling. Are you having racing thoughts? Feeling disinhibited? Link to comment Share on other sites More sharing options...
Iceberg Posted August 12, 2017 Share Posted August 12, 2017 I'd call and just give all your symptoms with an open mind that the doc might not do what you expect...I wanted to jack up abilify fast and I got burned by the side effects Link to comment Share on other sites More sharing options...
mikl_pls Posted August 12, 2017 Share Posted August 12, 2017 10 hours ago, notloki said: Too fast a titration is asking for akathisia. Been there done that! I too suggest you wait at least a week. 1 Link to comment Share on other sites More sharing options...
Amethyst674 Posted August 12, 2017 Author Share Posted August 12, 2017 Thanks I am just going to follow my NP instructions. I am feeling better now. Not really hypo anymore. I think it may also be that I am got off the vraylar suddenly and got on the abilify the next day. So I am experiencing a little irritability. And a bit of increased energy but by the time I get out of work believe me I am beat and sleeping well. I just felt a bit agitated earlier today but I am better now. I know once the med gets into my system I will be ok. It is too soon to make any decisions on discontinuing it especially since it seems to be helping my depression. And a bit of increased energy is actually a good thing. I will keep u all posted. Thanks again. Link to comment Share on other sites More sharing options...
Recommended Posts