Posted by burial on February 14, 2015, at 9:08:25
In reply to Re: worst mixed episode » b2chica, posted by ed_uk2010 on February 11, 2015, at 17:46:45
> You were only taking 5mg of Zyprexa before, which is lower than the minimum effective dose for most people in a mixed state. The majority need 10mg or more. 5mg-7.5mg does sometimes work but it's not reliable. And many people need more than 10mg. You have plenty of room to adjust. I think you're absolutely right that a change was needed.
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> Hopefully, Zyprexa (at an adequate dose) and Deplin will help to keep you stable. If not, you still have lithium and Depakote to consider. Tegretol is less well-established as a mood stabiliser than Depakote so I'd always suggest Depakote first for a mixed state.
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> Hope you're feeling OK.
I think so too. It took me 20mg zyprexa and 1500mg Depakote to feel stable. I've seen studies of zyprexa, where they used 60-90mgs for treatment-resistant schizophrenia. Not saying you need those doses, but the point is you still have choices
poster:burial
thread:1076072
URL: http://www.dr-bob.org/babble/20150129/msgs/1076594.html