What Happens If You Stop Abilify Cold Turkey?
Stopping Abilify (aripiprazole) abruptly, or “cold turkey,” can lead to withdrawal symptoms and a relapse of the underlying mental health condition, making it crucial to consult with a healthcare provider before discontinuing the medication. It’s not generally considered to cause physical dependence like some other medications, but stopping abruptly can still be problematic.
Understanding Abilify and Its Purpose
Abilify, also known by its generic name aripiprazole, is an atypical antipsychotic medication. It’s prescribed for a range of mental health conditions, including:
- Schizophrenia
- Bipolar disorder (both manic and depressive episodes)
- Major depressive disorder (as an add-on treatment)
- Tourette’s syndrome
- Irritability associated with autism spectrum disorder
Abilify works by affecting neurotransmitters in the brain, such as dopamine and serotonin. It’s thought to stabilize these neurotransmitter systems, helping to alleviate symptoms of these conditions. It’s important to remember that Abilify is often used in conjunction with therapy and other supportive treatments.
The Benefits of Abilify Treatment
When taken as prescribed, Abilify can significantly improve a person’s quality of life by:
- Reducing psychotic symptoms like hallucinations and delusions.
- Stabilizing mood swings associated with bipolar disorder.
- Alleviating depressive symptoms when added to an antidepressant.
- Managing tics associated with Tourette’s syndrome.
- Decreasing irritability in individuals with autism spectrum disorder.
For many, Abilify provides a much-needed sense of stability and control over their mental health. The benefits of consistent treatment highlight the potential dangers of abrupt cessation.
Why People Might Stop Abilify Cold Turkey
Despite its benefits, individuals may consider stopping Abilify abruptly for various reasons:
- Side Effects: Unpleasant side effects, such as weight gain, akathisia (restlessness), or drowsiness, can be a significant deterrent.
- Feeling Better: Some people mistakenly believe they no longer need the medication once their symptoms improve.
- Cost: The cost of medication can be a barrier for some individuals, especially without adequate insurance coverage.
- Stigma: The stigma associated with mental illness can lead some people to discontinue treatment secretly.
- Forgetting/Inconsistency: Sometimes, simply forgetting doses or inconsistency in taking the medication can lead to an unplanned abrupt stop.
What Happens When You Stop Cold Turkey?
Stopping Abilify abruptly can trigger a range of withdrawal symptoms and potential complications. These symptoms can vary in severity depending on factors like dosage, duration of treatment, and individual sensitivity.
Here’s a breakdown of potential consequences:
| Symptom | Description | Severity |
|---|---|---|
| Withdrawal Symptoms | ||
| Insomnia | Difficulty falling asleep or staying asleep. | Mild-Mod |
| Anxiety | Increased feelings of worry, nervousness, or unease. | Mild-Mod |
| Agitation | Feeling restless, irritable, or easily frustrated. | Mild-Mod |
| Nausea | Feeling sick to your stomach. | Mild |
| Sweating | Excessive perspiration. | Mild |
| Dizziness | Feeling lightheaded or unsteady. | Mild |
| Relapse | ||
| Symptom Re-emergence | The return of the original symptoms that Abilify was prescribed to treat (e.g., hallucinations, delusions, mood swings). Symptoms can be more intense than before. | Mod-Severe |
| Exacerbation | Worsening of the underlying mental health condition. | Mod-Severe |
| Other | ||
| Akathisia | While Abilify can cause akathisia initially, discontinuing it abruptly can paradoxically lead to a rebound akathisia in some individuals, meaning the restless feeling returns or worsens. | Mod |
| Tardive Dyskinesia | Although rare, abruptly stopping antipsychotics, including Abilify, might, in extremely rare cases, unmask underlying tardive dyskinesia (involuntary movements). This is more likely if the medication was taken for a long time and at high doses. | Severe |
The Importance of a Gradual Taper
A gradual tapering schedule, developed in consultation with a healthcare professional, is the safest way to discontinue Abilify. Tapering allows the brain to slowly readjust to the absence of the medication, minimizing the risk of withdrawal symptoms and relapse. The tapering process usually involves gradually reducing the dosage over weeks or even months. Your doctor will tailor the taper to your specific needs and circumstances.
Common Mistakes to Avoid
- Self-Tapering: Attempting to taper off Abilify without medical supervision can be dangerous.
- Ignoring Symptoms: Dismissing or ignoring withdrawal symptoms can lead to more serious complications.
- Stopping Abruptly Based on Misinformation: Making decisions based on online articles that promote unsafe medication practices.
- Combining with other substances: Using alcohol or recreational drugs to manage symptoms as that can exacerbate withdrawal.
- Not Seeking Professional Support: Not informing your doctor, psychologist or therapist of your decision to stop can negatively impact your support system.
Frequently Asked Questions (FAQs) About Stopping Abilify Cold Turkey
Will I experience withdrawal symptoms if I miss just one dose of Abilify?
Missing a single dose of Abilify may not cause significant withdrawal symptoms for everyone, but it can disrupt the medication’s effect and potentially lead to a mild return of symptoms. Consistency is crucial, and it’s best to take the missed dose as soon as you remember unless it’s close to the time for your next dose.
How long do Abilify withdrawal symptoms typically last?
The duration of withdrawal symptoms varies from person to person, but they can typically last for a few days to several weeks. The severity and length depend on factors such as the dosage, duration of treatment, and individual sensitivity.
Is it possible to stop Abilify without any withdrawal symptoms?
While some people might experience minimal withdrawal symptoms when stopping Abilify with a gradual taper, it’s not guaranteed. Everyone’s experience is different, and it’s best to prepare for the possibility of some discomfort.
What should I do if I experience severe withdrawal symptoms after stopping Abilify?
If you experience severe withdrawal symptoms, seek immediate medical attention. Contact your doctor, psychiatrist, or go to the nearest emergency room. They can assess your condition and provide appropriate treatment to manage your symptoms.
Can stopping Abilify cold turkey worsen my underlying mental health condition?
Yes, stopping Abilify abruptly can significantly worsen your underlying mental health condition. It can lead to a relapse of symptoms and potentially make the condition more difficult to manage in the future. This is why a gradual taper is essential.
How can I manage withdrawal symptoms while tapering off Abilify?
Talk to your doctor about strategies to manage withdrawal symptoms during the tapering process. This may include lifestyle adjustments, such as getting enough sleep, eating a healthy diet, and practicing relaxation techniques. In some cases, your doctor may prescribe other medications to help alleviate specific symptoms.
Is it safe to switch from Abilify to another antipsychotic medication abruptly?
Switching antipsychotics abruptly is generally not recommended. It’s crucial to consult with your doctor to develop a safe and gradual transition plan. They can determine the best way to switch medications while minimizing the risk of withdrawal symptoms and relapse.
Are there any alternative treatments for the conditions Abilify treats?
Yes, there are alternative treatments for conditions like schizophrenia, bipolar disorder, and depression. These may include other medications, therapy, lifestyle changes, and alternative therapies. Discussing these options with your doctor can help determine the most suitable treatment plan for your specific needs.
Can I start Abilify again if I experience a relapse after stopping it?
Yes, it’s possible to restart Abilify if you experience a relapse after stopping it. However, it’s crucial to discuss this with your doctor to determine the appropriate dosage and monitoring plan. They will also assess whether other treatment options may be more suitable.
What if I can’t afford Abilify and need to stop taking it?
If you cannot afford Abilify, discuss your financial concerns with your doctor. They may be able to prescribe a generic version or connect you with resources that can help with medication costs. Never stop taking medication abruptly due to cost concerns without talking to your healthcare provider first.
Does the length of time I’ve been on Abilify affect the withdrawal symptoms?
Yes, generally speaking, the longer you have been taking Abilify, the more likely you are to experience withdrawal symptoms when you stop, especially if you do so abruptly. This is because your brain has adapted to the presence of the medication over a longer period.
How do I find a doctor who can help me safely taper off Abilify?
Finding a doctor experienced in antipsychotic medication management is essential for a safe taper. Ask your current doctor for a referral to a psychiatrist or a physician specializing in mental health medication management. You can also check online directories or contact local mental health organizations for recommendations. Look for providers who prioritize patient education and shared decision-making.