If you get the akathisia with the Abilify then perhaps it is just not the drug for you.
I got it with Prozac 20g. the most awful thing I have ever experienced. such a shame as the Abilify seemed to help you so much, but it is not worth you putting yourself through that again.
There is no reason not to tell your psychiartist that you have read that article. Indeed, why not take it to show him/her.
I am sorry I am not more helpful, but you are doing the right thing by discussing all your concerns with a professional.
I meant 20mg Prozac. Did not suit me at all.
I was put on Propranolol during a very bad bout od deep depression, but I could not stand the side effects, and stopped that too. Can't remember the dosage. Perhaps a higher dose will help you. I think anything worth trying to get relief. However, some medications help some people, and not others.
Keep in touch and tell us how you get on. Sorry I am no help.
I take Abilify 10mg and propranolol 60mg and that combination works for me. Since I get orthostatic hypertension (dizziness when standing up) sometimes I started taking the propranolol at night and it reduced the effect. Anyway it is not a big deal. When it happens you stop and bend over until it passes.
4Maddie44. Thanks for your comments. I have tried so many medications over 15 years from all antidepressant categories. This is my first try with an atypical antipsychotic. If there's no possible way to solve the ability-initiated akathisia, I could try Zyprexa or Seroquel which supposedly have a lower incidence of akathisia.
But with Abilify the results are so amazing. I don't want to give it up if there is a standard treatment for the akathisia. Anneinside. Do you take 30mg twice a day or 60mg at once? How long did it take for Propranalol to take effect?
My pdoc returned my call this morning and she agreed for me to try abilify again. Turns out I was on 120mg Propranalol, not 20mg. She's increasing the dose to 120mg twice a day. I need to keep an eye on my blood pressure, dizziness etc. I'm cautiously optimistic and happy that she's willing to work with me. I'll post my results on here.
Just a clarification...it's orthostatic hypotension (meaning LOW blood pressure upon position changes...ie sitting to standing, lying to sitting, etc)
Just wanted to be sure the right info is here, so no one gets confused. :0)
Propanolol (Inderal) can be a good drug for anxiety as well, but like you all said, you have to be mindful of drops in your BP. I was on it once years ago for my MVP (mitral valve prolapse), and not only did it help tremendously with the palpitations and PVCs, but also helped to reduce my anxiety a little too. I was on a low dose though, only 10 mg.
Travel...that's a pretty significant dose, so please be careful with that BP. You should notice a pretty decent improvement with the increase. Also, if you're ever taken off of the Inderal, you're going to have to be vigilant about watching for rebound hypertension. It would require a very slow taper to minimize that risk.
This is a great link, it demonstrated recommended daily maximum doses of Inderal, per the condition it's being taken for:
Definitely keep the thread updated! I wish you success!