Posted by Schlepo on March 28, 2019, at 18:36:38
In reply to Re: Alternatives to Olanzapine., posted by Christ_empowered on March 28, 2019, at 9:33:58
> maybe ask about buspar (buspirone) ? it can boost under-performing antidepressants, sometimes...
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> and its generic, usually inexpensive, i don't think it carries the crazy adverse effect burden of olanzapine. dosing is often 3x daily, though, which...is a pain. :-(
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> i think once can take Prozac w/ nortip. in fact...i seem to recall a couple, maybe more than a couple, of posters here pursuing that 'augemntation strategy,' as the pros call it. i just mention that because...
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> symbyax. at some point, i think they introduced a 3mgs olanzapine+25mgs Prozac combo pill. might be easier than adjusting 2 meds separately, plus you'd just get stuck with the 1 co-pay (but you know your coverage...i don't, obviously).
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> other than that...has the pdoc ever mentioned a sedative? gabapentin, maybe lyrica or a benzodiazepine? with lyrica and the benzodiazepines, long term use can be...tricksy. not always the best idea. however...
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> some older data in people labeled with "Schizophrenia" seemed to indicate that sufficient doses of benzodiazepines (keep in mind; benzodiazepines were largley unregulated until the 80s) could treat a lot of "prodromal psychotic symptoms" about as well as whatever old school neuroleptics they had floating around back then. and...
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> even now, its not terribly uncommon for people on long term neuroleptic Rx to be given some sort of sedative...the neuroleptic helps keep the sedative dose lower, the sedative helps keep the neuroleptic dose lower, and GABA-sedatives can help soothe akathisia, anxiety, etc.
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> just some random thoughts. i hope things get better in your world. :-)I recently had a bad experience with benzos (clonazepam and Ativan); I'm just not reacting to meds the way I'm supposed to anymore. I was recently getting a huge mood boost from Ativan, though, and am tempted to try it again (and reluctant to, since I ended up getting anxiety from it.)
Buspar and Lyrica have also been on my mind. Buspar didn't do anything for me the time I tried it (though I was taking it on top of a number of meds.) At that time I was also on Lyrica, which had an antidepressant effect on me (but was also sedating). But as stated, meds don't seem to working properly on me, so everything feels like a gamble.
poster:Schlepo
thread:1103692
URL: http://www.dr-bob.org/babble/20190206/msgs/1103733.html