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Abilify causing paranoia or not high enough?


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I am on a tiny dose of abilify - went from 2 mg to 5 mg a week ago. My pdoc started me on it as an adjunct to my antidepressant and also in hopes it would help with paranoid thoughts I was having. I was also hearing sirens all the time when driving and thought a stranger was going to kill me with an axe. At first the abilify seemed to work really well, I felt great, then after a month or so I started thinking again that everyone was against me and feeling very agitated. So went up to 5 mg and last night I thought my husband was accessing some secret information about me on his computer. I feel dizzy, jumpy and agitated and I had a weird visual experience this morning where I saw my car move but it didn't.

I can't tell how much of this is the medicine and how much is just my brain. Maybe it's just not a good med for me? I have a call into my doctor. Just really confused and worried. Except for one episode a few years ago, the psychotic stuff is new to me.

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5 mg is not an effective dose for psychosis. It is a dose for depression and not that high of a dose either. In my case, low doses of Abilify caused me a lot of anxiety. Perhaps you are getting anxiety and it is feeding your psychosis? 

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2 hours ago, jt07 said:

5 mg is not an effective dose for psychosis. It is a dose for depression and not that high of a dose either. In my case, low doses of Abilify caused me a lot of anxiety. Perhaps you are getting anxiety and it is feeding your psychosis? 

That sounds probable. Are the side effects the same or different on a higher dose, do you know? Is it worth persevering through to a higher dosage?

Edited by Juniper29
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OK, it seems to be leveling out. I feel pretty normal today, no anxiety or paranoia and only a mild headache.

I have developed a very slight tremor in my left hand and some tingling but so far it doesn't interfere with anything. I'm thinking I could continue at this dose and hope it's enough, otherwise try something else as I am not too keen to go higher on this one.

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A mild tremor is a well known possible side effect of Abilify. It usually is manageable and should not get bad.

1 minute ago, Iceberg said:

As much as it sucks ...you may want to give it a chance at higher doses....it can be very different 

Yes, I have found the side effects to be fewer at doses above 10 mg.

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52 minutes ago, jt07 said:

A mild tremor is a well known possible side effect of Abilify. It usually is manageable and should not get bad.

Yes, I have found the side effects to be fewer at doses above 10 mg.

Interesting... So the tremor won't automatically be worse on a higher dose?

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