I Would Like To Know If Ability Can Cause The
Issues:
-Ticking noise from throat, doesn't happen when sleeping but happens through out the day. She will stop it if confronted about it but then resumes again right afterwards.
-Constant repetitive movement in one leg, whether standing or sitting, But not when sleeping.
She experienced an issue with her hand being held in a stiff position unconsciously when she was on 5mg/day, but that is not an issue now.
She is 62 years old and weighs 77lbs.
Her current doctor says the throat noise is a tick and doesnt recommend any treatment or investigation. The leg movement he was unable to see or advise on yet.
Most likely no
Detailed Answer:
Hello,
Thanks for using Ask A Doctor service.
I read your query and understand your concerns.
From the available description it appears that your mother is dealing with dyskinetic movements as all the three description can occur in individuals with dyskinesia. Having said this it is also true that Abilify belongs to class of medications which cause dyskinesia sooner or later.
However among the available options on the current date there is little association between dyskinesia and Abilify as the abilify is considered one of the safest option to prevent dyskinesia.
I mean to say that theoretically abilify can cause all these problems however the available literature and experience of scientific community is very much limited in this regard.
Considering the fact that the problem is dyskinesia I feel you need to discuss option of tetrabenazine with vitamin E with her doctor. These two medications are highly useful in treatment of dyskinesia.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
I do not think 1.25 mg have any therapeutic value for adult patients. The minimum effective dose of abilify is 5 mg per day and the maximum dose can be 30 mg per day. Considering this fact I feel the dose should be given as per the recommendation of her doctor.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
Considering the fact that she is just 77 lb (which is equal to 10 year kid) I think 2.5 mg can be used for time being. In case this remains ineffective or partially effective the dose can be increased to 5mg after an interval of two weeks or more.
I do not think you need to do it at home as Abilify is one of antispsychotic medication and have number of side effects if not used in proper guidance of a doctor. There is also need for blood investigations before starting medication and at the interval of 3-6 months in most patients.
Sometime when the patient is hesitant to see a doctor, she can be asked to accompany you saying that you need to visit a doctor for one or another reason. There is no point in forcing as it becomes more difficult for the patient.
I hope this helps you further.
Thanks again.