***Take Care.....Sheryl***
Post Edited (jk) : 8/4/2005 4:50:37 AM (GMT-6)
Post Edited (jk) : 8/4/2005 4:50:37 AM (GMT-6)
Abilify is being pushed, tho not approved, for monotherapy in bipolar disorder. Monotherapy means no mood stabilizer, nothing for depression. It is still in the experimental phase; it is not proven to be effective as an all around stabilizer. It can worsen anxiety, relieve it for others, cause depression, and help calm mania, but not eradicate it for everyone. It seems to be very person-specific. I do recommend you take the samples for a good month (if he can tolerate it that long) before you cough up the high co pay.
I am concerned that no one has put your son on a mood stabilizer. Abilify and Risperdal and Seroquel are a class of drugs called atypical antipsychotics. They typically do not work on stabilization, only the psychotic episodes (throwing things, freaking out, hallucinations, etc). He is big enough physically to be taking meds that are approved for adults. He could have been tried on any of the mood stabilizers there are, anyway. His doc should have known that Geodon does not work on bipolar disorder, nor does Neurontin. The recommended meds are lithium, depakote, tegretol, trileptal, lamictal and topomax. The last 5 are anticonvulsants, used in epilepsy, so are Geodon and Neurontin, but these 2 are ineffective.
I would watch him very carefully; although getting good sleep is important, it doesn't take care of mania or psychosis.
Most patients are on a stabilizer, antipsychotic, antianxiety, and lamictal or welbutrin for depression (no SSRIs, as these cause mania). The brands are varied from patient to patient; all work differently in each person, it's a trial and error basis.
I highly recommend to every patient and every family member that they study, study, study about bipolar illness. It is perhaps the most complicated along with schitzophrenia. There are new studies that show a link between the two, that's why they mimic each other and are often misdiagnosed. Read about what each class of meds does and what you can expect. It is also important that your doc know which ones NOT to prescribe (SSRI antidepressants namely).
You have to work with your doctor; there is no one med or combo that will treat every person; the more you know, the more effective the treatment plan. There are tons of websites done in layman's terms just for the sufferers and their families to learn from.
Since he is that bad to where you can't even physically control him, and he has drawn blood on your daughter, you really have no choice but to get him into the hospital. Your insurance will cover that. It really is an emergency. Just taking him to the ER won't change anything.
Otherwise, you have no choice but to call the police, and they will take him to juvie. You just can't put yourself and your daughter at risk, there is no telling what he will do next. Even if he calms down, it will more than likely happen again, probably later today. He desperately needs to be stabilized ASAP. They will do that in the hospital, that is the whole reason he needs to go. You don't have 2.5 weeks, and your pdoc should have known that if he listened to your complaint.
Please follow my advice, I wouldn't recommend it if it wasn't an emergency.