It turns out that it was a good thing that I went to see the psychiatrist today because I really needed a medication change and the doctor concured. My doctor dropped the Seroquel and added Abilify to regimen. It’s okay because Seroquel was not really doing anything effective anyway. She explained that Remeron is still the best antidepressant for me out there but it just needs something else to augment it. And it is available in the generic form because that is all I am worth: generics. I hope that this will help because I am struggling in a very bad way. I even told my doctor exactly how I am getting along.
Since this is a new medication, I need to have a follow up visit in two weeks to make certain everything is going okay and I am fine with that. My concern, again, is the affordability of the medication. It is frightfully expensive and I have no idea how much it is going to cost with the insurance coverage. My fear is that it is still going to put a hurting on me. Abilify has not been available in generic as long as Remeron has either. I will do what I have to do and that is really the best I can do. So why, despite this change, do I still feel every bit less than hopeful? It has to be just my generally depressed mood. Like anything, this is going to take time to sort out.
My doctor feels strongly that Abilify is the better between it and Latuda. I brought up the possibility of esketamine and she said it is not designed to be taken on an outpatient basis. Esketamine requires careful monitoring by medical staff on an inpatient basis so clearly this would not be the right option. Good god, I really don’t want to go back to the hospital. I had 3 hospitalizations in the span of 1 year from the summer of 2014 to the summer of 2015. I really do not want to be in that position again. Period. My doctor felt Latuda could be an option but she wants to try Abilify first because Latuda is very strong. It is best to start with milder medications and advance further as neeeded and I fundamentally agree. All I have left is some hope that this medication makes life easier.