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Quote:

Zyprexa was not given me for mood stabilization - i am on a hefty dose of depakote for that (which surely contributed to the initial gain coz we had to ramp that up real fast back in... i think, december?) Zyprexa was for specific sx which now seem to be remitting. i have had means to test the waters. if my mood still needs fixing, anyway, pdoc would not throw Zyprexa at it. it's a reserve drug.

I'm sorry if I offended you. Honestly, I meant no harm. You know yourself well, I was just asking. I understand now that you aren't hypo.

I think I was rx'ed zyprexa for specific symptoms, too. Not mood stabilization. I maybe wrong tho, because the other pdoc wasn't giving me anything but more zyprexa for the mania.

My appetite is voracious right now, and my will power is seriously lacking. I can understand wanting to get off the zyprexa.

Dear Kay :hug:

o€h dear! No!!! you did not offend me at all!!! i appreciate the concern! but yeah, i'd say our doctors gave us Zyprexa with a different scope of action in mind this round.

anyway don't worry i am pretty careful with my meds. if i feel edgy i will take something else... i know all my meds and can tweak safely till i talk to pdoc. so, don't worry. just try to stay well.

and thank you for asking useful questions. it never hurts to ask.

Dear Mari
Should be be able to pass the baton from Zyprexa to loxapine seamlessly. But i don't know if i can get it... it is sort a predecessor AP to clozapine and related to it, may even be structurally related to Zyprexa (olanzapine) no matter - same class of drug... works fast.

thing is lots of more recent drugs are not prescribable for certain pathologies. heck, Wellbutrin became avaialble here in 2008. :rolleyes:

i can probably get an older antipsychotic i don't want an older one. loxapine is intermediate. but my pdoc had never heard of it. :rolleyes. (i've found articles on it so somebody here has it. but like they have Geodon, but it is only prescribable for schizophrenia.

anyway, i will d/c without replacing Zyprexa unless tomorrow or Wednesday i have clearly fearful events regarding 911 sequences or oracles or telepathic stuff or pre-paranoia/hypervigilance that are of concern.

~ waves ~

anxiety today... migraine related i think

the anxiety today.... i had a migraine, yesterday and again today. i have had acute anxiety attacks follow those closely more than once. 2.5mg lorazepam mostly worked. in the past it has taken 5mg lorazepam for one of these (that's = to 2.5mg Xanax). then i felt just exhausted, mostly mentally. labored, a little unfocused, confused. and work was confusing i was doing like 5 things at once (not by choice nor impulse) AND had to deal with my boss.

it was a hard day from all sides. i am glad it is over and that i was able to manage the anxiety attack at lunch without being obvious to anyone in the office.

~ waves ~

med revisions for next 2 nights

increase long acting benzo from 1.0mg to 1.5mg (pre-zyprexa dosage)
increase Depakote from 800mg to 900 mg
decrease Zyprexa from 10mg to 5mg

i think these are subtle enough changes not to mess me up, but they might just nip the edge off the racing thoughts and any anxiety that is mood and not migraine related and just overall help me stay cool. so to speak.

lorazepam 2.5's are always at my disposal for prn use, and i can use them to sleep if need be.

i might even take half of one tonight.

Dear Waves,
Three changes!

. . but I see that they are each, although subtle, in the direction you want to go in. . . .
This looks good.
M.

Quote:

Originally Posted by waves (Post 741777)

i feel that i am overmedicated in some respects but alsoo improperly medicated in others.

thursday night i took, as instructed:
1000 mg Depakote ER
10 mg Zyprexa
1.5 mg my usual benzo
2.5 mg + lorazepam.

i could not gain consciousness friday morning, even with various attempts by my folks to get me out of bed. my mom said i would occasionally talk back nonsense to her trying... anyway. i got to work at 2. my boss didn't seem to react much to my apology about lateness... later i overheard him tell someone he hadn't been there most of the morning. so i musta got real lucky in that department.

last night, i took all of the above minus the lorazepam after talking to pdoc.

i slept late and could not get going in general. i was tired and hazy all day. finally came out off zombie-land around 10pm.

in general - and i mean lately, before doc added the Zyprexa:
restless, uptight, angry, impatient, irritable, irascible, labile and did i say restless???
PLUS
real fatigued, sleepy, body feels broken top to bottom.

i have never been on 1000mg of Depakote + Zyprexa, while attempting to go to work, with this long a commute. at that time, i had zyprexa 15mg, zoloft 100 or so mg, the same long acting benzo, plus lorazepam as needed, and i still had to find time to get a lot of sleep. i don't understand why he wants to keep the depakote on board, not even reduce. i believe the zyprexa would do what the depakote was doing any way.... and then some.

tonight i took (of my own accord):

500mg Depakote (instead of 1000)
10mg Zyprexa
1mg my usual benzo (instead of 1.5)
no lorazepam

if i cannot shovel myself out of bed tomorrow with some effort and some help, i will suspend the zyprexa until thursday (i see pdoc) and rediscuss the issues.

because, the point is to go avoid going crazy, so i can keep my job, not to medicate my way out of it.

I had trouble with Depakote and my dr resisted taking me off it so I went to a different dr. I could not get off the couch or out of bed. I felt groggy and like I didn't care about anything, I didn't have energy and I gained weight. Did I mention pain? I felt like I had aged physically 20 years. Maybe there is some other med out there that could help.