Drug and Alcohol

Abilify Ruined My Life: Risks and Adverse Reactions

abilify-ruined-my-life

Has Abilify ruined your life? Some people experience severe side effects ranging from worsened depressive symptoms to suicidal thoughts, weight gain, and more.

Abilify is a brand name antipsychotic used for several mental health conditions, along with certain developmental and motor disorders. While it’s effective for many, some people say “Abilify ruined my life” due to its potentially severe side effects, which include increased depression and anxiety, agitation, heightened suicidal tendencies, weight gain, muscle spasms, metabolic changes, movement disorders, compulsive behaviors, and withdrawal symptoms.

If you’re currently taking Abilify or considering it for treatment, this guide is for you. Learn more about the seemingly life-ruining side effects of Abilify, so that you can ensure safe and proper use.

What Is Abilify?

Abilify, also known by its generic name aripiprazole, is an atypical antipsychotic medication primarily used to treat mental health conditions. It works by altering the activity of certain natural substances in the brain, particularly dopamine and serotonin, to help stabilize mood and behavior. Abilify is available in various forms, including tablets, oral solutions, and injections, making it versatile for different treatment needs. It is often prescribed when other medications have not been effective, offering an alternative for managing complex psychiatric conditions.

How Does Abilify Work?

Abilify functions by modulating the activity of neurotransmitters in the brain, particularly dopamine and serotonin. As an atypical antipsychotic, it acts as a partial agonist at dopamine D2 and serotonin 5-HT1A receptors, while also serving as an antagonist at serotonin 5-HT2A receptors. This unique mechanism helps to balance the levels of these neurotransmitters, which can be disrupted in various mental health conditions. By stabilizing these chemical imbalances, Abilify can effectively reduce symptoms such as hallucinations, mood swings, and depression, thereby aiding in the management of disorders like schizophrenia, bipolar disorder, and major depressive disorder.

What Is Abilify Used For?

Abilify is commonly used to treat a range of mental health disorders, including schizophrenia, bipolar disorder, and major depressive disorder. It's also prescribed for irritability associated with autism spectrum disorder (ASD), Tourette syndrome, and, in some cases, as an adjunct treatment for depression when other medications alone are insufficient. By helping to balance neurotransmitters in the brain, Abilify can reduce symptoms such as hallucinations, mood swings, and depression, thereby improving overall quality of life for individuals with these conditions.

  • Schizophrenia (adults and adolescents aged 13 and older)

  • Bipolar I disorder (manic and mixed episodes in adults and children aged 10 and older)

  • Major depressive disorder (as an adjunct treatment in adults)

  • Tourette’s syndrome (children aged 6 and older)

  • Irritability associated with autistic disorder (children aged 6 and older)

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Why People Say “Abilify Ruined My Life”

Many users say that Abilify has ruined their life due to severe side effects and the activation period, which can lead to increased depression, anxiety, clouded thoughts, agitation, and heightened suicidal tendencies during the initial weeks of treatment. Other users report severe physical side effects including weight gain, muscle spasms, metabolic changes that induce diabetes, and movement disorders such as tardive dyskinesia. In some cases, users have formed compulsive behaviors such as gambling or binge eating due to Abilify’s effects on the brain’s reward system. Lastly, stopping Abilify without a tapering schedule can lead to adverse withdrawal symptoms like nausea, vomiting, dizziness, anxiety, insomnia, and panic attacks.

Abilify Side Effects

Common Side Effects

  • Nausea

  • Vomiting

  • Constipation

  • Headache

  • Dizziness

  • Restlessness

  • Sleepiness

  • Tremors

  • Trouble sleeping

  • Blurred vision

  • Anxiety

Severe Side Effects

  • Weight gain

  • Muscle spasms

  • Activation syndrome*

    • Suicidal thoughts

    • Depression

    • Mood Swings

    • Loss of motivation

  • Metabolic changes leading to diabetes

  • Increased heart reate and blood pressure

  • Movement disorders (i.e. tardive dyskinesia)

  • Compulsive behaviors such as gambling or binge eating

  • Withdrawal symptoms (nausea, dizziness, anxiety, insomnia, and panic attacks)

What Is Activation Syndrome?

Activation syndrome is a temporary condition that can occur when starting treatment with SSRIs (Selective Serotonin Reuptake Inhibitors), characterized by worsening depressive symptoms including increased anxiety, agitation, and even heightened suicidal tendencies during the initial weeks. This phenomenon happens because SSRIs can initially increase serotonin levels in the brain, which may lead to heightened emotional responses before the medication stabilizes mood.

While activation syndrome can be distressing, it typically resolves within a few weeks as the body adjusts to the medication. If symptoms persist or become severe, it’s important to consult a healthcare provider for guidance.

Abilify Brand and Street Names

Brand Names

  • Abilify

  • Abilify Maintena

  • Abilify MyCite

  • Abilify Discmelt

  • Aristada

Street Names

  • A-Train

  • Aripip

  • Arip

  • Abili

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Abilify Types and Dosages

Types of Abilify

Oral Tablet

The most common form of Abilify, the oral tablet, is typically taken once daily. It is available in strengths of 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, and 30 mg. This form is designed for easy ingestion and provides a consistent dose of medication to help manage symptoms effectively.

Abilify Discmelt

For those who have difficulty swallowing pills, Abilify Discmelt offers a convenient solution. This orally disintegrating tablet dissolves quickly in the mouth and comes in strengths of 10 mg and 15 mg, making it easier to take without the need for water.

Abilify Maintena

Abilify Maintena is a long-acting injectable form of the medication. Administered by a healthcare professional once a month, it provides a steady release of medication over time. It is available in strengths of 300 mg and 400 mg.

Aristada

Another injectable option, Aristada, can be given every four to six weeks, depending on the dosage. This formulation offers flexibility in dosing intervals while maintaining effective symptom control. It comes in strengths of 441 mg, 662 mg, 882 mg, and 1,064 mg.

Abilify MyCite

Abilify MyCite combines the oral tablet with a sensor that tracks medication adherence. This high-tech solution helps monitor treatment and ensures that patients are taking their medication as prescribed. It is available in strengths of 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, and 30 mg.

What Is Considered a High Dose of Abilify?

A high dose of Abilify is generally considered to be 30 mg per day, which is the maximum recommended dosage for conditions such as schizophrenia and bipolar disorder. While doses higher than 30 mg have not been shown to provide additional benefits, they may increase the risk of severe side effects. It’s important to follow your healthcare provider’s guidance on dosing to ensure the medication is both safe and effective for your specific condition. Always consult with a healthcare professional before making any changes to your prescribed dosage.

How to Take Abilify

Taking Abilify correctly is crucial for managing your condition effectively. Here are some key guidelines:

  1. Follow Your Doctor’s Instructions: Always take Abilify exactly as prescribed by your healthcare provider. Do not alter the dosage or frequency without consulting your doctor.

  2. Consistent Timing: Take Abilify at the same time each day to maintain an even level of the medication in your bloodstream. This helps in achieving the best therapeutic effect.

  3. With or Without Food: Abilify can be taken with or without food. However, if you experience stomach upset, taking it with food might help.

  4. Swallow Whole: Do not crush, chew, or break the tablet. Swallow it whole with a full glass of water.

  5. Missed Dose: If you miss a dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double up to make up for the missed one.

  6. Avoid Alcohol: Alcohol can increase certain side effects of Abilify. It’s best to avoid drinking alcohol while taking this medication.

  7. Monitor Side Effects: Be aware of potential side effects and report any unusual symptoms to your doctor immediately. Common side effects include dizziness, lightheadedness, and weight gain.

  8. Regular Check-ups: Keep regular appointments with your healthcare provider to monitor your progress and make any necessary adjustments to your treatment plan.

By adhering to these guidelines, you can help ensure that Abilify works effectively for you. Always consult your healthcare provider with any questions or concerns about your medication.

When Is the Best Time to Take Abilify?

Abilify can typically be taken at any time of day, as long as it’s the same time each day to maintain consistent levels of the medication in your bloodstream. While Abilify can cause drowsiness in some people, it doesn’t necessarily mean it should always be taken at night. Some people might prefer to take it in the morning if it doesn’t make them sleepy, while others might find it better to take it in the evening if it does. You can always ask your doctor on guidance on when to take Abilify, as they can help you decide based on how you respond to the medication.

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How Long Does Abilify Take to Work?

Abilify usually starts to show its effects within 1 to 2 weeks of starting the medication. However, it may take several weeks to experience the full benefits. It’s important to continue taking Abilify as prescribed and consult your healthcare provider if you have any concerns.

Abilify Onset and Duration

The onset of Abilify’s effects can vary depending on the individual and the condition being treated. Some people may notice improvements in symptoms within the first week, while for others, it might take a bit longer. The duration of its effects can last throughout the day, as Abilify is usually taken once daily. Consistent use as directed by your healthcare provider is crucial for achieving the best results.

How Long Does Abilify Stay In Your System?

Abilify can stay in your system for several days after your last dose, with its half-life being approximately 75 hours. This means it takes about 75 hours for the drug’s concentration to reduce by half in your body.

Abilify Half-Life

Due to this long half-life, Abilify can remain in your system for an extended period, even after discontinuation. Factors such as metabolism, dosage, and overall health can influence how long it stays in your system. It’s essential to follow your healthcare provider’s guidance when stopping or switching medications to ensure safe and effective treatment.

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How to Avoid Weight Gain on Abilify

To avoid weight gain while taking Abilify, it’s important to maintain a balanced diet and engage in regular physical activity. Focus on consuming nutrient-dense foods, such as fruits, vegetables, lean proteins, and whole grains, while limiting high-calorie, sugary, and fatty foods. Staying hydrated and monitoring portion sizes can also help manage weight. Lastly, incorporating regular exercise, such as walking, jogging, or strength training, can boost metabolism and support weight management. Be sure to consult your healthcare provider for personalized advice before making any significant changes to your diet or exercise routine.

Abilify and Pregnancy

Taking Abilify during pregnancy involves potential risks that need careful consideration. Although not extensively studied in pregnant women, antipsychotic medications like Abilify can increase the risk of side effects or withdrawal symptoms in newborns if taken during the last trimester.

These symptoms might include agitation, tremors, sleepiness, respiratory distress, and feeding difficulties. Some research also suggests a possible link between antipsychotic use and birth defects, such as cleft palate or limb abnormalities. With this in mind, it’s crucial for pregnant women or those planning to become pregnant to discuss their treatment options with their healthcare provider to weigh the benefits and risks. Enrolling in a pregnancy registry for psychiatric medications can also provide additional information and support.

Can Abilify Cause Depression?

Abilify (aripiprazole) is a medication commonly prescribed to treat major depressive disorder, among other mental health conditions. However, despite its intended use to alleviate depressive symptoms, there are instances where Abilify can paradoxically cause or exacerbate depression in some individuals, such as with activation syndrome.

Here are some reasons why Abilify might lead to depressive symptoms:

  1. Paradoxical Effects: In rare cases, medications can have the opposite effect of what is intended. This means that while Abilify is designed to treat depression, it might cause depressive symptoms in some individuals.

  2. Initial Adjustment Period: When starting Abilify, some people may experience a temporary worsening of symptoms before improvement occurs, otherwise known as activation syndrome. This adjustment period can be challenging and might contribute to feelings of depression.

  3. Underlying Conditions: If a person has multiple mental health conditions, Abilify might help one condition while exacerbating another. This complex interplay can sometimes lead to increased depressive symptoms.

  4. Side Effects: Abilify can cause side effects such as anxiety, restlessness, or insomnia, which might indirectly contribute to feelings of depression.

What to Do If You Experience Depressive Symptoms

If you or someone you know is experiencing new or worsening depressive symptoms while taking Abilify, it is crucial to consult a healthcare provider. They can adjust the dosage, switch medications, or provide additional treatments to help manage these side effects.

Can Abilify Cause Compulsive Behaviors?

Abilify has been linked to compulsive behaviors such as gambling, binge eating, shopping, and hypersexuality. These behaviors are thought to be related to the drug’s effect on the brain’s dopamine system.

  1. Dopamine Agonist Activity: Abilify acts as a partial agonist at dopamine receptors in the brain. Dopamine is a neurotransmitter associated with pleasure, reward, and motivation. By stimulating these receptors, Abilify can increase dopamine levels, which may lead to heightened reward-seeking behaviors.

  2. Increased Reward Anticipation: Higher dopamine levels can enhance the anticipation of rewards, making activities like gambling, eating, or shopping more appealing and harder to resist.

  3. Impulse-Control Problems: The FDA has issued warnings about impulse-control problems associated with Abilify, noting that these compulsive behaviors often stop when the medication is discontinued or the dose is reduced.

If You Experience Compulsive Behaviors

If you or someone you know is experiencing compulsive behaviors while taking Abilify, speak with your healthcare provider and adjust the dosage or switch medications to help manage these side effects. Do not stop taking Abilify without consulting your doctor, as this can lead to withdrawal symptoms and other complications.

Abilify Abuse

While Abilify is effective for many patients, there is a growing concern about its abuse potential. Abilify abuse occurs when the medication is used in a manner not prescribed by a healthcare professional. This can include taking higher doses than recommended, using it without a prescription, or combining it with other substances to enhance its effects. Such misuse can lead to serious health risks, including physical and psychological dependence.

Signs and Symptoms

Recognizing the signs of Abilify abuse is key for early intervention. Symptoms may include:

  • Increased tolerance, requiring higher doses to achieve the same effect

  • Withdrawal symptoms when not taking the medication

  • Obsessive thinking about obtaining and using Abilify

  • Neglecting responsibilities at work, school, or home

  • Engaging in risky behaviors to obtain the medication

Health Risks

Abilify abuse can result in a range of adverse health effects, such as:

  • Cardiovascular issues such as increased heart rate and blood pressure

  • Neurological problems including dizziness, tremors, and seizures

  • Mental health deterioration, leading to increased anxiety, paranoia, or psychosis

  • Gastrointestinal issues like nausea and vomiting

Prevention and Treatment

Preventing Abilify abuse involves proper education and monitoring by healthcare providers. Patients should be informed about the risks and encouraged to follow their prescribed dosage strictly. For those struggling with abuse, treatment options include counseling, medication-assisted therapy, and support groups. Early intervention can significantly improve outcomes and help individuals regain control over their lives.

Can You Overdose on Abilify?

Yes, it’s possible to overdose on Abilify. Overdosing on Abilify can lead to serious health complications, including severe drowsiness, vomiting, aggression, confusion, tremors, and even coma.

If you suspect an overdose, seek urgent immediate medical attention to prevent potentially life-threatening consequences, and always follow your healthcare provider’s prescribed dosage and guidelines to ensure safe use of the medication.

Is Abilify Addictive?

Abilify is not considered addictive in the traditional sense, as it doesn’t produce the euphoric effects associated with substances like opioids or benzodiazepines. However, some individuals may develop a psychological dependence on the medication, particularly if they feel it is essential for managing their mental health symptoms. Knowing this, it’s important to use Abilify strictly as prescribed by a healthcare provider and to discuss any concerns about dependence or side effects with them to ensure safe and effective treatment.

How to Taper Off of Abilify

Tapering off Abilify should be done gradually and under the supervision of a healthcare provider to minimize withdrawal symptoms and prevent a relapse of the condition being treated. The process typically involves slowly reducing the dosage over a period of weeks or months, depending on the individual’s response and the initial dosage.

Your healthcare provider will create a personalized tapering schedule, monitor your progress, and adjust the plan as needed to ensure a safe and effective discontinuation of the medication. Remember to closely follow your provider’s guidance, and report any adverse effects during the tapering process.

Closing Thoughts

While Abilify can be an effective treatment for various mental health conditions, it is not without risks. Many individuals have reported severe side effects, ranging from weight gain and diabetes-inducing metabolic changes to movement disorders, impacted mental health, and more — leading to claims that Abilify has ruined their lives.

If Abilify has ruined your life, remember that it’s not your only option. Antipsychotics often take some trial and error before finding the right fit, and this just may not be the solution for you.

Whether you’re considering Abilify or currently taking it and experiencing adverse effects, communication with your healthcare provider is key. Your doctor can advise and help you determine which medication is best, so that your life isn’t impacted by your prescription.

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Written by

monty-montgomeryMonty Montgomery

Content Writer

Reviewed by

jeremy-arztJeremy Arzt

Chief Clinical Officer

Drug and Alcohol

September 4, 2024

FAQ

Frequently Asked Questions

Abilify, also known as aripiprazole, is an atypical antipsychotic medication that works by altering the actions of certain chemicals in the brain. It is primarily used to treat conditions such as schizophrenia, bipolar I disorder, major depressive disorder, Tourette syndrome, and irritability associated with autism spectrum disorder. By balancing neurotransmitters like dopamine and serotonin, Abilify helps improve mood, behavior, and thinking.

When taking Abilify, many people report feeling calmer and more stable. However, it can also cause side effects such as nausea, headache, dizziness, and restlessness. Some individuals may experience drowsiness or insomnia, and it’s important to monitor any changes in mood or behavior, especially when starting the medication.

Abilify can cause weight gain due to several factors, including increased appetite and changes in metabolism. The medication may affect blood sugar levels and insulin production, leading to increased fat storage. Additionally, Abilify’s impact on neurotransmitters can result in cravings for high-calorie foods, contributing to weight gain over time.

In the brain, Abilify acts as a dopamine stabilizer, which means it can either increase or decrease dopamine activity depending on the individual’s needs. This balancing effect helps manage symptoms of psychotic conditions by regulating mood, behavior, and cognitive functions. Abilify also influences serotonin receptors, further aiding in mood stabilization and reducing symptoms of anxiety and depression.

Abilify is used to treat a variety of mental health conditions, including schizophrenia, bipolar I disorder, major depressive disorder, Tourette syndrome, and irritability associated with autism spectrum disorder. It is effective in managing both acute episodes and long-term maintenance of these conditions, helping patients achieve better overall mental health and quality of life.

Weaning off Abilify should be done gradually and under medical supervision to minimize withdrawal symptoms and prevent a relapse of the underlying condition. A common approach is to reduce the dose by 10-50% every 1-2 weeks, depending on individual tolerance and response. It’s crucial to work closely with a healthcare provider to develop a personalized tapering schedule and monitor for any adverse effects during the process.