Brief Answer:
drug change indicated.

Detailed Answer:
Hello
Welcome to HCM.

Your dose of Zoloft has been increased to 150mg. Along with that, you have been prescribed low dose of abilify in night and ativan twice a day.
But you are still anxious and feel tired.

I think the choice of medicines is not appropriate. Therefore you feel such symptoms. The choice of drug should be such that it causes least discomfort and maximum benefit to the person. The minimum the number of drugs, the less is the discomfort.

Dear, I have some suggestions for you:
1. Abilify can precipitate anxiety for initial few days or may be longer in some cases. Also, it is usually not prescribed in night as it can disturb sleep.

2. In my opinion, if drug augmentation is instituted in your case, I would prefer seroquel (if you have not tried it earlier). This drug has excellent anti-anxiety and mood stabilising properties. It will also help you to sleep better in night and thus omit the need of ativan.

3. If you get the feeling of tiredness with ativan, other benzodiazepines with least sedating potiential can be tried like etizolam.

Hope this addresses your concerns satisfactorily.

Feel free to ask further.

Take care.
Thanks.

Dr. Shubham Mehta, MD (Psychiatry).

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Brief Answer:
should see some results after 7-10 days of taking abilify.

Detailed Answer:
Thanks for the follow-up.

Dear,
Abilify has been approved as an adjunctive treatment for depression.

You should definitely expect some results after 7-10 days of taking abilify.

However, tolerability to abilify is a major issue in some cases.
If your body tolerates the drug, this could prove as a wonderful augmentation strategy as well.

Hope I am able to help you with my answers.

I would be happy to answer if you have more issues to discuss.

I wish you good health.

Thanks.

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