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2 years, 3 months ago

Why is Abilify so expensive, are there any options?

What options are there for people who do not have insurance and can't afford this medication? My mother has recently been put on Abilify. She said that her prescription is over $600.00 a month.
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justin_time's Avatar
justin_time | 2 years, 3 months ago
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Honestly, I'm not a psychiatrist, but I can tell you the following in good faith. Unless a bipolar patient is suffering from an acute manic episode, there is not really any reason to be on an atypical antipsychotic. The only antipsychotic medication approved by the FDA for use in bipolar patients is Seroquil.

Many other antipsychotics have been used "off label" for bipolar disorder and many of them are available as a generic: risperidone (generic name), zyprexa, geodon, etc.

I was on three different atypical antipsychotics. I couldn't stand any one of them, because they all had side effects. The cost of one (Invega) was 1100/mo, which had the least side effects. Risperidone has strong sexual side effects. Zyprexa made me feel like only have of my brain was firing and made me eat ravenously.

Oh, and by the way, I stopped taking Risperidone on my own, and then had my Psychiatrist take me off the other antipsychotic. I couldn't tell I was on any medication ever since (except for the fact that I didn't have any bipolar symptoms).

Point is, since Abilify isn't available as a generic until 2015, explore other antipsychotics or the possibility of getting off the antipsychotic completely (this option doesn't apply for schizophrenia patients).

Doctors do prescribe pharmaceuticals in the interest of the pharmaceutical companies. As such, they make it seem that it's imperative to have the latest and greatest medications. This is often not the case. For example, Lithium, a natural element that cannot be patented, is still the best medication for BP disorder, but is not prescribed as often because it's unpatentable and doesn't make the pharmaceutical companies much profit at all.
source(s):
I'm a bipolar patient
My sister is a bipolar patient
My dad was a bipolar patient
My mother-in-law is/was bipolar

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justin_time's Avatar
justin_time | 2 years, 3 months ago Report

Let me tell you a brief story to illustrate my point. Last year, I was on lithium and Invega (antipsychotic). I was experiencing some mild yet weird mania-like symptoms. I told my psychiatrist about this and all she wanted to do was switch my antipsychotic meds to something stronger. I obliged until an epiphany hit me as I was going to the pharmacy.

I had switched to a vegan diet. I vaguely remembered that you were supposed to take B-12 supplements when you do this. I consulted the literature. Sure enough, mania was caused by a B-12 deficiency.

I told my doctor. She didn't really care. After all, I was just a crazy BP patient. I tried the new meds. They were terrible, with bad side effects. I stopped taking them and went back to my old antipsychotic. I took B-12 supplements and all of my symptoms went away.

Conclusion: I had a B-12 deficiency that I self-diagnosed and verified this by treating it successfully. The verification was valid because I stopped taking the stronger medication.

Doctors always want to give you expensive pills, but there's almost always a cheaper way. To find that way, you have to research it yourself.

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kaiote's Avatar
kaiote | 2 years, 3 months ago
3
Abilify won't be available until 2015 or so in Generic, so it's expense is due to Bristol-Myers deciding it's cost. There are similar drugs, and drug combinations that have similar effects, and both similar, and wildly different side effects. Abilify fits the niche between multiple drugs, and multiple side effects, with having one medication, with fewer side effects.

If your income is low enough, you can apply for hardship vouchers with Bristol-Myers. This will make it more affordable until the generic is available.

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kaiote | 2 years, 3 months ago Report

Also, as it is your mother who needs it, it should not be a problem getting the hardship voucher. With medication costs higher than two car payments.. yeah, should qualify.

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akiong's Avatar
akiong | 2 years, 3 months ago
3
Warning:
I'm not a doctor. The informations I provided here are based on what I found from Internet. If you want to try one of this alternative, you MUST consult with your doctor.

Aripiprazole (redirected from Abilify):
---quote---
Aripiprazole (Abilify, Abilify Discmelt) is an atypical antipsychotic and antidepressant used in the treatment of schizophrenia, bipolar disorder, and clinical depression. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Abilify

Medications for Schizophrenia:
- Olanzapine
- Perphenazine
- Quetiapine (brand names: Seroquel or SeroquelXR)
- Risperidone (brand names: Risperdal, Ridal, Sizodon, Riscalin, Rispolept, Belivon, Rispen)
- Ziprasidone (brand names: Geodon, Zeldox)
- Clozapine (brand names: Clozaril, Leponex, Fazaclo, Froidir, Denzapine, Zaponex, Klozapol, Clopine)
source:
http://en.wikipedia.org/wiki/Schizophrenia

Medications for Bipolar disorder:
- Lithium Carbonate (as a mood stabilizer medicine, effective in preventing relapses of manic)
- Lamotrigine (best for preventing depressions, effective in preventing relapses of manic)
- Sodium Valproate (as an anticonvulsant)
- Carbamazepine (as an anticonvulsant, effective in rapid cycling bipolar disorder)
- Quetiapine
- Olanzapine
- Chlorpromazine
- Topiramate (as an anticonvulsant)
source:
http://en.wikipedia.org/wiki/Bipolar_disorder

=== Olanzapine ===

---quote---
Olanzapine (trade names Zyprexa, Zyprexa Zydis, Zalasta, Zolafren, Olzapin, Rexapin or in combination with fluoxetine Symbyax) is an atypical antipsychotic, approved by the FDA for the treatment of schizophrenia and bipolar disorder. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Olanzapine

Side effects:
aggressiveness, inability to remain still, dry mouth, dizziness, irritability, sedation, insomnia, urinary retention, orthostatic hypotension, weight gain, increased appetite, runny nose, low blood pressure, impaired judgment, thinking, and motor skills, impaired spatial orientation, impaired responses to senses, seizure, trouble swallowing, dental problems and discoloration of teeth, missed periods, problems with keeping body temperature regulated, lack of emotion
source:
http://en.wikipedia.org/wiki/Olanzapine

=== Perphenazine ===

---quote---
Perphenazine is used to treat psychosis (e.g. in schizophrenics) and the manic phases of bipolar disorder. Perphenazine effectively treats the positive symptoms of schizophrenia, such as hallucinations and delusions, ...
---/quote---
source:
http://en.wikipedia.org/wiki/Perphenazine

Side effects:
High doses of perphenazine can cause temporary dyskinesia.
source:
http://en.wikipedia.org/wiki/Perphenazine

=== Quetiapine ===

---quote---
Quetiapine is indicated for the treatment of schizophrenia, depressive episodes associated with bipolar disorder, acute manic episodes associated with bipolar I disorder (as either monotherapy or adjunct therapy to lithium or valproate), and maintenance treatment of bipolar I disorder ...
---/quote---
source:
http://en.wikipedia.org/wiki/Quetiapine

Side effects:
tachycardia, abnormal liver tests, dizziness, upset stomach, substantial weight gain, a stuffy nose, akathisia, increased paranoia and diabetes, increase risk tardive dyskinesia, neuroleptic malignant syndrome, persist of appetite even after meals, studies conducted on beagles have resulted in the formation of cataracts
source:
http://en.wikipedia.org/wiki/Quetiapine

=== Risperidone ===

---quote---
Risperidone (pronounced Ris-PEAR-rǐ-dōne) is an atypical antipsychotic used to treat schizophrenia (including adolescent schizophrenia), schizoaffective disorder, the mixed and manic states associated with bipolar disorder, and irritability in children with autism. ...
---/quote---

Side effects:
weight gain, severe anxiety, akathisia, sedation, dysphoria, insomnia, sexual dysfunction, low blood pressure, muscle stiffness, muscle pain, tremors, increased salivation, and stuffy nose, hyperprolactinemia, osteoporosis, galactorrhoea, gynaecomastia, irregular menstruation, prolactinoma, increased thoughts of suicide, tardive dyskinesia, extrapyramidal symptoms, neuroleptic malignant syndrome, diabetes, ketoacidosis, hyperosmolar coma
source:
http://en.wikipedia.org/wiki/Risperidone

=== Ziprasidone ===

---quote---
Ziprasidone (marketed as Geodon, Zeldox by Pfizer) was the fifth atypical antipsychotic to gain FDA approval (February 2001). In the United States, Ziprasidone is Food and Drug Administration (FDA) approved for the treatment of schizophrenia, ...
---/quote---
source:
http://en.wikipedia.org/wiki/Ziprasidone

Side effects:
increased mortality in elderly patients with dementia-related psychosis, increases the QTc interval in some patients, increases the risk of torsades de pointes, cause activation into mania in some bipolar patients, birth defects (in animal studies), severe chest pains, sedation, insomnia, orthostasis, life-threatening neuroleptic malignant syndrome, akathisia, tardive dyskinesia, temporary speech disorders, hyperglycemia, Type II diabetes with atypical antipsychotics, insulin resistance, weight gain
source:
http://en.wikipedia.org/wiki/Ziprasidone

=== Clozapine ===

---quote---
Clozapine (sold as Clozaril, Leponex, Fazaclo, Froidir; Denzapine, Zaponex in the UK; Klozapol in Poland, Clopine in NZ/Aus) is an antipsychotic medication used in the treatment of schizophrenia. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Clozapine

Side effects:
constipation, drooling, muscle stiffness, sedation, tremors, orthostasis, hyperglycemia, and weight gain, tardive dyskinesia, seizures, myocarditis, cardiovascular and respiratory effects, ceasure of ejaculation during orgasm on male patients
source:
http://en.wikipedia.org/wiki/Clozapine

=== Lithium Carbonate ===

---quote---
Lithium carbonate is used to treat mania, the up phase of bipolar disorder. Lithium ions interfere with chemical reactions (sodium pump) that relay and amplify messages carried to the cells of the brain. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Lithium_Carbonate

=== Lamotrigine (brand name: Lamictal) ===

---quote---
Lamotrigine (marketed as Lamictal (pronounced /ləˈmɪktəl/) by GlaxoSmithKline) is an anticonvulsant drug used in the treatment of epilepsy and bipolar disorder. For epilepsy it is used to treat partial seizures, primary and secondary tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome. Lamotrigine also acts as a mood stabilizer. It is approved for the maintenance treatment of bipolar type I. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Lamotrigine

Side effects:
Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, skin rash, headaches, dizziness, insomnia, acne, skin irritation, vivid dreams, nightmares, night sweats, body aches and cramps, muscle aches, dry mouth, mouth ulcers, damage to tooth enamel, fatigue, memory and cognitive problems, irritability, weight changes, hair loss, changes in libido, frequent urination, nausea, appetite changes and other side effects, DRESS syndrome, loss of concentration, increase in alertness and concentration
source:
http://en.wikipedia.org/wiki/Lamotrigine

=== Sodium Valproate (brand names: Depacon, Depakene, Orlept, Epilim, Episenta, Orfiril, Convulex, Epival, Epiject, Depakene, Depakine ===

---quote---
Sodium valproate (INN) or valproate sodium (USAN) is the sodium salt of valproic acid and is an anticonvulsant used in the treatment of epilepsy and bipolar disorder, as well as other psychiatric conditions requiring the administration of a mood stabilizer. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Sodium_Valproate

Side effects:
Pregnant mother should avoid this drug.
source:
http://en.wikipedia.org/wiki/Sodium_Valproate

=== Carbamazepine ===

Brand names: Tegretol, Biston, Calepsin, Carbatrol, Epitol, Equetro, Finlepsin, Sirtal, Stazepine, Telesmin, Teril, Timonil, Trimonil, Epimaz, Carbama/Carbamaze, Amizepin, Hermolepsin, and Degranol

---quote---
Carbamazepine (CBZ) is an anticonvulsant and mood stabilizing drug used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia. It is also used off-label for a variety of indications, including attention-deficit hyperactivity disorder (ADHD), schizophrenia, phantom limb syndrome, paroxysmal extreme pain disorder, and post-traumatic stress disorder.
---/quote---
source:
http://en.wikipedia.org/wiki/Carbamazepine

Side effects:
drowsiness, headaches, migraines, motor coordination impairment, upset stomach, cardiac arrhythmias, blurry or double vision, temporary loss of blood cells or platelets, aplastic anemia, small reductions in white cell count and serum sodium, hypothyroidism, perceive sounds about a semitone lower than previously, inappropriate antidiuretic hormone, juvenile myoclonic epilepsy, EEG slowing, cell apoptosis, Stevens Johnson syndrome, toxic epidermal necrolysis
source:
http://en.wikipedia.org/wiki/Carbamazepine

=== Chlorpromazine (brand names: Thorazine, Largactil) ===

---quote---
Chlorpromazine is classified as a low-potency antipsychotic and in the past was used in the treatment of both acute and chronic psychoses, including schizophrenia and the manic phase of bipolar disorder as well as amphetamine-induced psychoses. ...
---/quote---
source:
http://en.wikipedia.org/wiki/Chlorpromazine

Side effects:
sedation, slurred speech, dry mouth, constipation, urinary retention, lowering of seizure threshold, increase of appetite, weight gain, glucose tolerance, skin hypersensitivity reaction, contact dermatitis, hotosensitivity, abnormal skin pigmentation, increase sleep time, priapism, epileptic seizure, Tardive dyskinesia, akathisia, neuroleptic malignant syndrome, leukopenia, agranulocytosis, risk of blindness
source:
http://en.wikipedia.org/wiki/Chlorpromazine

=== Topiramate (brand name: Topamax) ===

---quote---
... It is also Food and Drug Administration (FDA) approved for, and most frequently prescribed for, the prevention of migraines. Psychiatrists have used topiramate to treat bipolar disorder, ...
---/quote---
source:
http://en.wikipedia.org/wiki/Topiramate

Side effects:
headache, paresthesia (numbness & tingling), upper respiratory tract infection, diarrhea, nausea, somnolence, anorexia (loss of appetite), insomnia, memory problems, dizziness, psychomotor slowing, fatigue, confusion, blood clots, alopecia (hair loss), paranoid delusions and prominent visual hallucinations, acute myopia, secondary angle closure glaucoma, osteoporosis, rickets (abnormal, deformed growth of bones) in children, slow the growth of children,congenital malformations, increase in suicidality
source:
http://en.wikipedia.org/wiki/Topiramate

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sjtpalmer's Avatar
sjtpalmer | 2 years, 2 months ago
3
You may want to research different discount drug card options, if you don't have insurance.
This abilify coupon says it will get you 11% off.

http://www.medsavercard.com/abilify-discount-coupon/

Here's some other sources too:http://www.rxfreecard.com
http://www.truerxsavings.com

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pravesh12's Avatar
pravesh12 | 2 years, 3 months ago
2
Srry but there arent any options ! just save up

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