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Re: want to go off all meds..LOL.. it never works. but » Zyprexa

Posted by SLS on October 30, 2016, at 7:31:45

In reply to want to go off all meds..LOL.. it never works. but, posted by Zyprexa on October 28, 2016, at 22:53:32

> oh well.. back to the meds..

Given your diagnosis and history, I think that it would be prudent to continue with treatment. Also, if you stop taking sertraline (Zoloft), you might not respond to it as well once you restart it.

There are times when someone actually feels better when the dosage of a drug is reduced. It can be confusing, but it really does make sense that such a thing can happen. It probably has to do with changes in receptor sensitivities. It is a positive rebound improvement - sort of releasing a stretched rubber-band. Unfortunately, as real as this reaction is, it is not sustained for more than a week or two. In many cases, one can recapture the full therapeutic antidepressant response when the drug is restarted. However, it occurs too often that returning to the original antidepressant no longer works or does not work as well. I can't be sure, but it is my impression that the SSRIs are more likely to exhibit this behavior than other types of antidepressant medication.

If it ain't broke, don't fix it. Generally, this adage applies most to people who have been severely depressed for a long time, have recurring episodes, or have tried 3 or more antidepressant treatments.

I am becoming more and more impressed with Saphris (asenapine). I have seen many people respond well to it as both an antipsychotic and an augmenter to antidepressants. Weight-gain seems to be minimal. Sex drive remains intact. People report having their thoughts clear up become more energetic.

If you want, you can add Saphris first, and once established, attempt to discontinue Zyprexa (olananzapine). You don't want to go without coverage. A friend of mine does well with a combination of Navane (thiothixene) and Saphris. I understand that Saphris works particularly well when paranoia is present.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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