Pdoc called

Bye Bye Seroquel. Hello again Abilify, but a much lower dose. Pdoc emailed me back asking me to call her. It took her so long to get back to me because she's been very sick for a couple days. She was bedridden, but is getting better. She's decreasing the Seroquel beginning tomorrow. Then she wants him on 1 mg Cogentin once a day and is putting him back on Abilify starting tomorrow, but only 2.5 mg once a day. In the past he was on 10 mg, 15 mg and 20 mg. He was never on it so low. I don't think that will work, but we'll see. She said we'll just keep a very close eye on his liver enzymes through blood work. If that is not enough, she'll try 2.5 mg of Abilify twice a day. The next drug of choice she'd try is Lamictal. She didn't want to try that now, because she said it's so slow to work. She said it goes up in 25 mg intervals up to 100 mg 2x day. She wanted to try the low dose Abilify 1st. She is against the old APs (That the 2nd opinion pdoc mentioned) because of their side effects. She doesn't want to use Depakote (Which is what she thinks Dr T her boss lady would suggest and something the 2nd opinion doc suggested) because it's metabolized through the liver. She didn't agree with the 2nd opinion pdoc questioning his Bipolar, because as she said "He clearly cycles" and Celexa made him suicidal. She also said she's going to research some of the newer antipsychotics (New Risperdal and a few others she mentioned) to see what she can find out about them and if our insurance would cover them with prior authorizations. Insurance often denies requests for various reasons.