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Posts Tagged ‘Abilify’

When you think like a designer, when you are willing to ask the questions, when you realize that life is always about designing something that has never existed before, then your life can sparkle in a way that you could never have imagined.

designing-your-life

It’s been six years since I last posted something here. Inertia is a BITCH!

Life has taken a lot of twists and turns since then. I finally moved away from Northern California (and that damned mechanical turkey) (see my Nov. 24, 2009 post “Giving Thanks for an Epiphany“) and relocated to the East Coast. I’ve also begun to experiment with pharmaceuticals again, which I am not happy about. But with all of the stress that comes along with moving, and aging, etc., I felt that it was time to reach out to some new doctors and see if there were any new pills worth popping in an effort to stop a downward spiral. Yes. And no.

For a few months I was on and off some medications I had tried before. Since I couldn’t remember what I had taken, how many milligrams, and in what combination with what, I let the doctor convince me to try things I had already tried, like Abilify and Wellbutrin. When there was no luck with those, he was convinced that I would see some relief with Latuda, a drug I had never tried before but which I was aware of thanks to Sunovion‘s unrelenting TV advertisements. Since it seemed to be working for everyone else, why not me? Well, I don’t think I took it long enough to find out. I had to stop it cold turkey because it was making me want to crawl out of my skin. There’s an actual term for that side-effect. It’s Akathisia, which is also something I was quite familiar with.

On to a new doctor. And here I am, starting my second week with Rexulti, and upping the dosage from 1mg to 2mg.

I’ve also been seeing a counselor/therapist of sorts who has been trying to get me to try things like DBT (Dialectical Behavior Therapy). (He confessed last week that he didn’t think DBT would necessarily do me any good, but that having to adhere to the schedule might.) He also wondered, out loud, if perhaps my expectations were too high. “No,” I replied immediately. It wasn’t something I had to think about. “I’m trying to get from black to grey,” I said, “so, no, I don’t think my expectations are too high.”

Anyway, I’m at my desk writing again, so that’s something. And I feel it’s the only thing that keeps me sane, keeps me committed. The unexamined life is not worth living. But then neither is the over-examined life. But just by sitting at my computer THINKING about what works and what doesn’t, encourages me to keep trying. To re-establish all of those daily activities that have some impact, however small, on my mood-swings or depression; like eating right and exercising. And writing. So even if this new drug doesn’t work, I’m fairly certain it will be the last one I try, so I’m going to need something else to fall back on.

Be well, Marco

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Does Abilify Cause Weight Gain?: Weight gain is a common side effect of Abilify® (aripiprazole). In studies, the exact percentage of people that gained a significant amount of weight varied from study to study, but most studies consistently showed that people taking Abilify were more likely to gain weight than people taking a placebo (a “sugar pill” with no active ingredient).

For two and a half weeks I’ve been following the advice of Timothy Ferriss. He has after all practically guaranteed (money back?) that if I follow his plan I’ll be down to 8 percent body fat in just a few days. Okay, so maybe I’m exaggerating, a little, but dammit, if I’m going to survive on a diet of lentils, kidney beans, tuna and eggs, I want results. And I want them NOW.

And doesn’t a plan for only four-hours a week of anything seem like the perfect fit for someone who’s bipolar and has ADD? In fact, it feels like it’s taken me four-hours just to write this much of the blog. Why are we so impatient? Honestly, I can handle all of the mood swings, the delirious highs and the bone crushing lows, but the boredom, the impatience, and the irritability makes me, well…crazy. Or is it the other way round?

The main reason for my frustration with Mr. Ferriss’ claims is that, not only have I not lost any weight or dropped any percentage points in body fat, I’ve actually GAINED weight and girth.

And then I had a realization. About the same time that I started the “diet” (eating plan, life style, or whatever he wants to call it,) I also started taking ABILIFY® (aripiprazole).

Now, anyone who’s read this blog before, knows full well that I don’t do drugs. Been there, done that. That was the whole purpose of this blog when it began: exploring living a bipolar life without pharmaceuticals.

But here’s the thing: I reached a low point where I just needed something, anything. And vodka, while I’ve used it judiciously in the past, wasn’t going to cut it. At least not for the long term. Of all of the hundreds of medications I’ve tried over the years, Abilify was the only one that worked, albeit for a short period of time. So, while I was hesitant to begin ingesting toxic chemicals into my bloodstream once again, when you’re on the Titanic, and the water is rushing up to your chest, you grasp at anything that resembles a floatation device.

And so it occurred to me today that it was probably the medication that was keeping the weight on in spite of my dedication to the 4-Hour Body plan, right down to the blueberry pancakes smothered in maple syrup and the half-pint of Ben & Jerry’s New York Super Fudge Chunk on those glorious cheat days.

So here is the sad truth about being bipolar: You can’t win.

But don’t you think that with all of that running and running just to stay in place that I’d have lost at least one of those extra pounds?

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Many people today are infatuated with the biological determinants of things. They find compelling the idea that moods, tastes, preferences, and behaviors can be explained by genes, or by natural selection, or by brain amines (even though these explanations are almost always circular: if we do x, it must be because we have been selected to do x). People like to be able to say, I’m just an organism, and my depression is just a chemical thing, so, of the three ways of considering my condition, I choose the biological. People do say this. The question to ask them is, Who is the “I” that is making this choice? Is that your biology talking, too?” The New Yorker, March 1, 2010: HEAD CASE: Can psychiatry be a science? by Louis Menand

I seem to have been in a downward spiral for the past few months. Thus the lack of postings. Miss me?

I can blame it on a lot of things. The weather. The news. The economy. Dick Cheney. The fact that I am forced to deal with bad brain chemistry without the aid of medication.

But whatever the cause, my depression, and the cause du jour, is not a CHOICE.

Yes, the pharmaceutical companies have gone astray and led their Mercedes Benz—home in the Hamptons—trips to Paris aspiring doctors along with them.

I don’t have a problem with people taking Paxil for shyness, Xanax for anxiety, or Wellbutrin for weight loss. But I do have a problem with people assuming that whatever it is that I take (used to take, actually) is a cop-out.

The decision to handle mental conditions biologically is as moral a decision as any other. It is a time-honored one, too. Human beings have always tried to cure psychological disorders through the body. In the Hippocratic tradition, melancholics were advised to drink white wine, in order to counteract the black bile. (This remains an option.) Some people feel an instinctive aversion to treating psychological states with pills, but no one would think it inappropriate to advise a depressed or anxious person to try exercise or meditation.”

For the record, there are those of us who are treatment resistant. But even if you’re not, why would anyone assume that you would choose to take a prescription medication if you didn’t have to?

Yes, we have entered the age of pharmaceutical advertising (TV, magazines, billboards) in which even the most obscure diseases and disorders are woven into our subconscious minds. Come to think of it, my legs do tingle from time to time—maybe I should be taking something for restless leg syndrome. I’ve also noticed I’ve been a little gassy lately—I’ll just bet I’ve got me a mild case of GERD. And even though I’ve no idea what Fibromyalgia or COPD are, according to recent commercials I have a number of symptoms for both, so…yeah, I’m going to self-diagnose (since that’s what those advertisements seem to be about anyway, and it doesn’t seem all that risky when you consider that “…psychiatrists reached the same diagnosis only twenty per cent of the time…”) and demand my doctor prescribe an assortment of pills and caplets for me to ingest that may or may not work, but that will certainly cause dizziness, nausea, constipation, tremors, dry mouth, blurred vision, weight gain, diminished libido (which in all fairness, may be attributable to the weight gain) and suicidal thoughts. Yeah, give me some of that.

Exercise? Diet? Meditation? All good options. IF you can drag your sorry ass out of bed.

We seem to be living in a very strange time (but then, when haven’t we?). Scientists discovered (in many cases, accidentally) that some drugs had a positive effect, on certain psychological disorders, in a few people, under certain circumstances. And, this being America, land of opportunity and quick fixes, we of course decided to take it one step further. Why feel good when you can feel great? My girlfriend just dumped me—give me a pill. My stock portfolio is in the toilet—better take a capsule. My favorite sitcom just got canceled—better up my dosage.

You know what, that’s what cocaine is for, not Prozac. And quite frankly, cocaine (the few times I consumed it years ago) did more for me than Abilify, Prozac, Zoloft and all of the others combined. WITHOUT impinging on my libido.

For those of you who are suffering from symptoms that are far more profound and harder to treat, and find any kind of relief at all in pharmaceuticals, I am truly happy for you. Whatever relieves you from some of the horrible effects and consequences of depression or bipolar disorder, ADHD or OCD, go for it. And I promise you, even though it’s not for me, I won’t be one of those people standing on the side-lines accusing you of copping out.

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