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My daughter has been treated for schizophrenia with no real success until she tried Olanzapine 8 years ago. However, the constant hunger she experiences and subsequent weight gain and blood sugar imbalances are making this a problem. Also, she still finds it hard to 'feel' and cannot concentrate on liesure activities like reading and playing the piano. She has tried all the other atypical antipsychotics including Clozapine, with no success. The only one left is Abilify. How should this be introduced? and how dose it compare with other medications. At the moment she is taking 10mg Olanzapine and is reasonably stable but not really functioning as she would like. She will turn 40 next week and is not happy about her situation. From her sad mum Rosie

Submitted: 138 days ago.
Category: Mental Health
Value: $15
Status: CLOSED
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Optional Information

Gender: Female
Age: 68

Already Tried:
Get all my info from health professional treating my daughter and from the web. Not getting enough info on Abilify and the pros and cons of switching from Olanzapine

Accepted Answer


Hello mam,

There are certain advantages of using Aripiprazole when compared to other antipsychotics such as - -

It has been useful in cases which are not responding adequately to other antipsychotics specially in patients concerned about gaining weight.

It is less sedating when compared to other antipsycotics. If she is not able to concentrate becuase of carry over sedation due to Olanzapine, in this case this drug could be very useful.

The dose range of Aripiprazole is from 15 - 30 mg per day. For stable patients, usually the starting dose is 5 -10 mg per day and is increase gradually depending on the tolerability of patient.

Patient can be switched from other antipsychotic, Olanzapine in this case either by rapid switch or by cross titration. In cross titration, one medicine which is to be stopped is to be tapered slowly, while the dose of another medicine is gradually increased. (Cross titration depends on the tolerability of patients and is to be adjusted clinically)

One more option is to add a full clinically effective dose of aripiprazole to the current maintenance dose (10 mg of Olanzapine) for fewdays prior to slow down titration of the Olanzapine.

Please note that both of the above methods are to be done by a expert such as psychiatrist only and rate and timing depends on the tolerability as well as clinical stability of patients.

To find out more about this drug you can visit the link below.

Learn about ABILIFY


Regards

Please feel free to ask if you need clarification/more information. Kindly click the GREEN ACCEPT BUTTON if you are satisfied with the answer. POSITIVE FEEDBACK and BONUS are warmly appreciated.

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Expert: Dr Vikas
Pos. Feedback: 100.0 %
Accepts: 340
Answered: 10/31/2009

Psychiatrist

MBBS ; M.D Psychiatry, MSc. Health Informatics

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