Posted by SLS on October 3, 2012, at 9:56:02
In reply to Re: PS. what should i do? » Zyprexa, posted by b2chica on October 3, 2012, at 8:48:09
I'm glad that you made it through the night and that you made it to work. However, I really feel that you should see your doctor and work out a plan. I think he needs to see you face-to-face.
Would you lose your job were you to go inpatient for a few days or weeks?
You might need to change APs. However, before doing that, you might want to investigate using higher dosages of the generic olanzapine. It might be a matter of differences in absorption between the name brand Zyprexa and the generic olanzapine. I would consider going up to 15 - 20 mg/day. I had something similar happen with Lamictal and generic lamotrigine. I needed to take more of the generic in order to get the same antidepressant effect. The Mylan brand generic lamotrigine really sucked. I needed to raise the dosage from 200 mg/day to 500 mg/day, and the therapeutic effects were still inferior to Lamictal.
If the higher dosage of olanzapine make matters worse, I think you should discontinue it immediately.
If Zyprexa is not the right drug for you anymore, you can explore Seroquel, Safris, or Latuda. Some people like Geodon. I think it is an unpredictable drug, though. Geodon can either reduce anxiety or make it worse, depending on the person. For some people, Abilify reduces depression and anxiety at the same time. However, like Prozac, there is sometimes temporary startup side effects such as an increases in restlessness, anxiety, agitation, or insomnia. For me, these things disappeared within a week. As with other APs, if Abilify produces true akathisia, you might have to discontinue it.
I agree with others in that you have presented with a mental state and behaviors for which hospitalization would be well-advised. Sometimes, a stay of 2 - 3 days is sufficient. I am guessing that there are plenty of treatment strategies that you have not tried yet. They might want to place you on Risperdal.
I am sure that whatever you and your doctor agree on will work out for you.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1027311
URL: http://www.dr-bob.org/babble/20121001/msgs/1027430.html