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Are SSRI Or Abilify Advisable For Person With Mood Swings And Memory Issues?

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Posted on Wed, 15 Jul 2015
Question: I just asked a Doctor with your services, and I didn't get an answer to my question: if I take MMTI would it help to correct myself, with taking cognitive therapy, for not being patient then becoming an irritable person with a bad mood? I would like my last Doctor to assist me with that answer. I find him very helpful. It would help me knowing if that one is agitation.
doctor
Answered by Dr. Olsi Taka (6 hours later)
Brief Answer:
Read below.

Detailed Answer:
Hello again and thank you for your confidence. Sorry if I am answering a little late, but I'm on service tonight and it has been pretty busy.

Regarding your question, I must apologize but I am not being able to figure out what you mean by "MMTI to correct yourself", could it be a misspelling or perhaps an acronym used in US and not in Europe which I don't know. So you'll have to explain that for me as I am not finding it by searching on internet either.

I can say from now though that cognitive therapy is an essential part of any psychotherapy. As for the agitation issue which I mentioned in our last conversation, of course us all can have moments of agitation. We speak of treatment with antipsychotics in the cases when it leads to uncontrolled behavior, aggressiveness towards self or others, it is in that case that their use is considered.

I will be waiting for your feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (2 hours later)
Which is the best of antipsychotics? MMRI, Risperdol, or Abilify?
Is this proper information that the best for seizure control-to worse: MMRI, Risperdol, Abilify, Memory: MMRI with vitamins and proper good food, Mood and OCD: MMRI, Risperdol, and Abilify, Weight: Abilify, MMRI, Risperdol-all using vitamins, Sex: MMRI, Abilify, then Risperdol-all using special food, liboda to be raised.
Is this the proper information?

Under weight I should have said, MMRI, then Risperdol and then Abilify. Also that Abilify is the worse for receiving an earliest death. Abilify then Risperdol, then MMRI for involuntary moments.
doctor
Answered by Dr. Olsi Taka (7 hours later)
Brief Answer:
Read below

Detailed Answer:
I am sorry but I still do not understand what do you mean with MMRI antipsychotic. There is no such antipsychotic.
Are you trying to say SSRI by any chance? If yes as I already told you it is not an antipsychotic it is a whole different class and one can not make the comparisons you try to make. I you really want to, I would say that SSRI are better than antipsychotics for everything.

For that comparison you make between Risperdal and Abilify:
seizure control: Risperdal better than Abilify (but no important difference),

memory: Abilify better than Risperdal,

mood and OCD: as I said none is approved for treatment of mood and OCD
alone, I would say are equal,

weight: Abilify better than Risperdal

sexual drive: Abilify better than Risperdal

extrapiramidal (involuntary movements): Abilify better than Risperdal

early death: both carry that risk in older individuals, not much of a difference between the two.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (29 minutes later)
I'm sorry but I'm sure that I should have said SSRI instead of MMRI!! Sorry. Anyway, is SSRI a pill that you take to cure medical things? One that comes first, before Abilify or Risperdol? Will I even need Abilify or Risperdol for anything? I'm not as smart as I used to be-we can call it memory loss, so that's why I need a little extra help. How do I get SSRI before Abilify, or do I need both of them-I still don't get it.
doctor
Answered by Dr. Olsi Taka (15 minutes later)
Brief Answer:
Read below

Detailed Answer:
Thank you for clarifying.

SSRI is a group of drugs, with similar characteristics (for example citalopram, escitalopram etc). They are called antidepressants as that was why they were first used, but they are beneficial for many other purposes such as anxiety and obsessive compulsive disorder (OCD).

For OCD that you have they are the first choice treatment. Abilify or Risperdal would be necessary only if after taking SSRI it is seen that it is not enough. That is why me and other doctors here have been recommending them.

So what we have been suggesting you to be under SSRI alone. Only if after 4-6 weeks of treatment it is seen that it is not enough to help with OCD, it might be considered to take Abilify as an addition, hopefully it won't be necessary at all.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (14 minutes later)
Oh, I just looked it up on Google, and it explained some of the side effects of SSRI include anxiety, restlaness, agitation, and hostility. It seems that I may have some of those now. Can a SSRI help not hurt them? Which one of the SSRI pills should I try of: prozac, setreline, fluvaxetin, parovetin, citalapram, or silatrapran--I'm sure I didn't spell some of these right, I just jotted them down too cramped together! I might be allergic to one or 2 of these, so that's why I will need them in order, just if I have to skip one.

Will these above listed poor side effects be cured with a cognitive therapist? Or to get together with a happy mood pill? Can you recommend one of them?
doctor
Answered by Dr. Olsi Taka (33 minutes later)
Brief Answer:
Read below

Detailed Answer:
There is no drug acting on the central nervous system which doesn't have a long list of possible side effects. Not one of them, out of any class, rest assured about that.

So when we take decisions it's based on the frequency and intensity of those side effects. From that point of view, SSRIs are the ones with the fewest and less serious side. Also the effects of anxiety you mention are during the first few weeks, after that they subside and they have actually anti anxiety, restlessness etc effect, they are actually among the most used medication for anxiety worldwide. That is why I said before 4-6 weeks of treatment, because their beneficial effect on anxiety takes a few weeks.

Again, there is no drug without possible side effects, I can't predict whether you'll experience any, but SSRIs are among the safest ones and the effects you mentioned are usually transitory.

If you want a recommendation on which one I would go with citalopram. Because side effects are transitory you wouldn't need cognitive therapy. As for happy mood pill, there is no such pill available, the closest one would be precisely SSRI.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (36 minutes later)
For a good mood, I assume I'll have to find my own interests in situations I can find for my own desires. It's too bad that there are no dance spots around this town! As I've tried, I took dance class-but my memory wouldn't click in and is needed for this special country dance in this area! That's too bad. I just bought a pool table, but I don't know of where I can find good interactions with other people shooting pool. I take piano lessons, but I'm not excellent at it-which frustrates me. The only thing I like, about an hour away, that only gives 1 lesson per week for half an hour is horse-back riding. I guess I'll have to find one thing that makes me happy, in order to stay in a happy mood! Wish me luck!! Thanks again for helping me!!!
doctor
Answered by Dr. Olsi Taka (8 minutes later)
Brief Answer:
You're welcome

Detailed Answer:
That's perfectly correct, finding things you like and keeping yourself busy is better than any drug.

Good luck, you deserve it for being an active and motivated person who doesn't give up.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (4 hours later)
Hi! Besides taking Citalopram, and Lamictol, I've heard-from different areas that I could use: Weight-gingko bilbge extrects, ginsing and camiture Sex: asparagus, avacadoes, hot-chili, oysters, salmon, chocolate, and walnuts. OCD and Mood Stability: have fun (cognitive therapy) But, this is the hardest one-memory, please let me know if I should get prescriptions for each one: vitamin C, E, Omega 3, B-s-1.2.3.6,12, phosphorus, coniture, XXXXXXX beth? retinal folic acid, linolanic, calcium, levithin, piracetam, melform. Should I use all of them to regain short and long-term memories? Thanks--AGAIN!
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below

Detailed Answer:
Since we live in different countries, regulations on whether you need prescription or it's over the counter may differ. I don't think you will need any prescription for most of what you mention, but you should need a prescription for piracetam and metformin.

You can use the over the counter ones together, actually many companies sell ready made combinations of several vitamins and supplement which you can find in local stores, so you can find them included in one or two pills, just read the list of ingredients.
Piracetam as I said is prescribed separately, you can take it along with the vitamins.
Metformin which you mention, does not provide any benefit for memory, might have been recommended to you for weight, I wouldn't advise it anyway, can have serious side effects and since. I doubt the doctor would prescribe it to you anyway as it's not approved by regulation for the purpose of weight, only for diabetes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (18 minutes later)
Are their any pills that I could take that'll make me sleep through the night and one to keep me awake during the day? A nap would be OK-especially for the meds. I need. But not up and down for a few hours each. Only sleeping for 1.5 hrs. during the day and 7 hours straight at night. Is there anything that I could take to obtain proper sleep?
doctor
Answered by Dr. Olsi Taka (11 minutes later)
Brief Answer:
Read below.

Detailed Answer:
Well there are no pills which help sleep only for a nap of 1-2 hours, they have a longer action than that.

For the night sleep there is medication, but the issue is that most have the potential for side effects, some similar to antipsychotics and SSRIs, as well as develop tolerance (same dose is not enough anymore) and dependence with the passing of time.

Another issue is that you are already taking a drug like Risperdal which influences sleep. You are also considering switching to SSRI which can also have some beneficial effect on sleep by influencing anxiety. Given those facts I wouldn't run into making some other addition to therapy if you are at a time of change, it might make evaluation of side effects and efficacy more difficult as one can not assess which is due to which drug. I hope I am making sense here.
If you switch to SSRI since in the long run it reduces anxiety it might be beneficial for your sleep. So you can wait a while to see how that works out and if still having sleep issues consider to take something for sleep at a later time.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Are SSRI Or Abilify Advisable For Person With Mood Swings And Memory Issues?

Brief Answer: Read below. Detailed Answer: Hello again and thank you for your confidence. Sorry if I am answering a little late, but I'm on service tonight and it has been pretty busy. Regarding your question, I must apologize but I am not being able to figure out what you mean by "MMTI to correct yourself", could it be a misspelling or perhaps an acronym used in US and not in Europe which I don't know. So you'll have to explain that for me as I am not finding it by searching on internet either. I can say from now though that cognitive therapy is an essential part of any psychotherapy. As for the agitation issue which I mentioned in our last conversation, of course us all can have moments of agitation. We speak of treatment with antipsychotics in the cases when it leads to uncontrolled behavior, aggressiveness towards self or others, it is in that case that their use is considered. I will be waiting for your feedback.