Posted by med_empowered on June 30, 2005, at 19:13:42
In reply to Re: zyprexa once or twice a week? good or bad? » Denise1966, posted by ed_uk on June 30, 2005, at 10:49:08
Hey! Like one poster said, atypical antipsychotics are being increasingly used "PRN" for some problems, especially for those with bipolar or borderline personality disorder. I think you gotta do whats best for you...theoretically, since you're dealing with a D2 antagonist, you might be setting yourself up for a "dopamine rebound" kind of like people get after coming off long-term antipsychotic treatment. With the old antipsychotics, this could be really bad, but no one really knows much about atypicals sooo...the jury's out on that one. One poster I noticed recommend trying low-dose Zyprexa daily, and another recommended abilify. Personally, I'd go for the Abilify--whether you're doing it daily or PRN--because Abilify seems to be weight neutral and less risky in terms of diabetes development than Zyprexa. Subjectively, it also seems to be better--less sedation, less cognitive impairment, etc. 10mgs is the usual starting dose for psychotic disorders, but improvement in non-psychotic disorders can be seen at lower doses...personally, I wouldnt dip below 5, though.
poster:med_empowered
thread:521289
URL: http://www.dr-bob.org/babble/20050627/msgs/521704.html