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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by linkadge on September 14, 2005, at 19:13:32
My mother is coming off 150mg mellaril and onto 5mg of zyprexa. She wants to do it all in one night, but I am not sure.
What risks are there in combining these two, and is a direct swap advisable ?
Linkadge
Posted by linkadge on September 14, 2005, at 19:46:02
In reply to Quick help - zyprexa mellaril swap (how to do it?), posted by linkadge on September 14, 2005, at 19:13:32
I know there was some discussion above, but the real question I have is weather combining the two drugs is ill advised ?
Linkadge
Posted by linkadge on September 14, 2005, at 20:19:17
In reply to Re: Quick help - zyprexa mellaril swap (how to do it?), posted by linkadge on September 14, 2005, at 19:46:02
Posted by ed_uk on September 15, 2005, at 14:01:24
In reply to Quick help - zyprexa mellaril swap (how to do it?), posted by linkadge on September 14, 2005, at 19:13:32
Hi Link,
What did the pharmacy suggest?
~Ed
Posted by linkadge on September 15, 2005, at 16:09:22
In reply to Re: Quick help - zyprexa mellaril swap (how to do it?) » linkadge, posted by ed_uk on September 15, 2005, at 14:01:24
Tapering the mellaril as low as possable then do a direct swich.
Though I am not confident zyprexa will be the one, that she will stick with.
I see her having problems with the increased appetite.
Linkadge
Posted by med_empowered on September 16, 2005, at 22:41:09
In reply to Re: Quick help - zyprexa mellaril swap (how to do it?), posted by linkadge on September 15, 2005, at 16:09:22
hey! About the increased appetite...apparently, there's been some success with using Meridia as an add-on (I think at the beginning of Zyprexa therapy). Patients either didnt gain weight or were able to lose weight and the neuroleptic potency wasn't adversely affected. Using an older med, like phentermine or phendimetrazine, might be helpful as well. If she doesn't stick with zyprexa, risperdal or geodon might be good, since they cause weight gain less often than zyprexa (geodon doesn't really cause weight gain all that often in general). If she's using an atypical for agitation and what not, you might want to add hydroxyzine or something if you opt for a less sedating medication, though it may not be necessary. Good luck!
Posted by Jeroen on September 22, 2005, at 11:25:06
In reply to Re: Quick help - zyprexa mellaril swap (how to do, posted by med_empowered on September 16, 2005, at 22:41:09
took it for 3 weeks and got TD from it lowest dosage
eye blinking, and uncontrollable eye movements, im now 1 year later and its improved but not gone, i feel a change in my nervous system, (neurological damage) too bad for me :(
geodon suck
This is the end of the thread.
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