I was thinking about asking my pdoc to reduce my Abilify from 30 to 20 mgs. It would be a reasonable request, as 20 is the maximum dose for schizophrenia, while 30 is the max dose for Bipolar. I am SZA so I don’t know what maximum dose of Abilify is for me.
But, in the past, way back in 2010, 20 was a reasonably effective dose for me on monotherapy. Currently, I am also taking Amisulpride 600 mgs daily.
If anyone knows this, can Amisulpride be taken once a day, at night? I am taking 300+300 at morning and night, and I am drowsy all day long.
Target dose: 10 to 15 mg per day; effective dose range 10 to 30 mg per day; however, clinical trials have not found doses exceeding 10 or 15 mg per day to be more effective.
Target dose: 15 mg orally once a day; may increase dose based on clinical response. Dose increases, if needed, should be at 2-week intervals to allow time to achieve steady state.
Maximum dose: 30 mg/day
Note that for Bipolar it doesn’t say that doses exceeding 15 mgs were found not more effective than doses at 15 mg, but it says that for schizophrenia.
My pdoc is very conservative, and he probably doesn’t know the fact that clinical trials haven’t found doses more than 15 mgs to be more effective, so I will have a hard time convincing him to reduce the medication.
But, I will insist hard as I am taking 30 mgs for 3-4-5 years, and I feel like a clown because that dose is not justified, you know, by clinical trials. My pdoc is never really confident in any move he makes, and I have to put up with him because there is no-one more capable where I live.
If it were my pdoc in the US, he would certainly very fast bring me down to 15. Because, he was a research scientist, and aware of research. But, the one I have here, is probably not aware of these things. So, I have to do my own research, you know, and then recommend him things one by one.