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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by tensor on February 9, 2012, at 3:41:52
What dosage of Zyprexa are you guys on? I'm mainly interested in depressed and/or anxious people but also bipolar people. Also, how long before it 'kicked' in?
/t
Posted by Christ_empowered on February 9, 2012, at 23:59:26
In reply to Zyprexa dosing, posted by tensor on February 9, 2012, at 3:41:52
As someone who must take a neuroleptic in order to keep the batsh!t at bay, I'd say: lowest effective dose. This is what docs are supposed to aim for, but rarely do, especially now that the "atypicals" have taken over the market.
I think zyprexa comes in 2.5 tabs. I'd try those, personally, and go up in increments of 2.5mgs/day until you reach a pre-set max. I'd personally set the max at 10, since 10 is half the max fda approved dose and strong enough to sedate an agitated psychotic person.
What are you thinking in terms of dealing with the weight gain and potential for diabetes? Metoformin, maybe? I read somewhere that high-dose antioxidants, such as alpha lipoic acid and/or green tea extract, can help. I would imagine they'd also reduce the TD risk, but that's purely speculative.
Posted by tensor on February 10, 2012, at 4:03:13
In reply to Re: Zyprexa dosing, posted by Christ_empowered on February 9, 2012, at 23:59:26
> As someone who must take a neuroleptic in order to keep the batsh!t at bay, I'd say: lowest effective dose. This is what docs are supposed to aim for, but rarely do, especially now that the "atypicals" have taken over the market.
>
> I think zyprexa comes in 2.5 tabs. I'd try those, personally, and go up in increments of 2.5mgs/day until you reach a pre-set max. I'd personally set the max at 10, since 10 is half the max fda approved dose and strong enough to sedate an agitated psychotic person.I believe I'm a little too apprehensive when it comes to dosing. Looking at Symbyax the maximum dose is 12/50, but that includes a skinny woman, I'm a heavy man, so I would go up to 15mg, if needed. One need to optimize dosage before giving up a drug.
> What are you thinking in terms of dealing with the weight gain and potential for diabetes? Metoformin, maybe? I read somewhere that high-dose antioxidants, such as alpha lipoic acid and/or green tea extract, can help. I would imagine they'd also reduce the TD risk, but that's purely speculative.I eat a very healthy and low calorie diet. So before I see some weight gain I'm not gonna do anything, although I could start doing some exercise, if I just had some more energy. The diabetes thing is more tricky, we are taking blood tests regularly, but is that enough? Can you see from the results of a blood test if you're in the danger zone of getting diabetes or can you get it anyway, without any signs?
/t
This is the end of the thread.
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