argh

I didnt but whatever. Go ahead and nuke my posts.

K. Agree to disagree.

School of thought relating to a mood spectrum. Neat little packages dont fit mood disorders which the dsm dictates. Dr Sachs, ghaemi, Aiken, https://psycheducation.org/diagnosis/bipolar-diagnosis-spectrum-or-yesno/the-bipolarity-index/ Links to studies on page. There is a constellation of what are referred to as non manic markers. Reaction to antidepressants, either via switching poop out or failed trials suggests there is more going on. This is not just related to antidepressants, other markers include age of onset, presence of mixed episodes, episode duration, cycling

Bored, lol amantadine? Naltrexone? H2 blocker like pepcid? Carbamazepine augmentation to your lithium instead on an aap...not really weightloss per se but can be anti manic https://www.ncbi.nlm.nih.gov/pubmed/6806160 Carbamazepine can work on psychosis https://www.ncbi.nlm.nih.gov/pubmed/3084316 Important part of this is that carbamazepine is weight neutral.

Zonegran? https://medicalxpress.com/news/2012-10-zonisamide-mg-weight-loss-obese.html Might help with that pesky bipolar thing too.

Maybe metformin or topiramate to help with metabolic issues? Might help you stay on olanzapine as it's helping quite a bit.

Also adjunct abilify... small dose can help with hyperprolactemia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998932/ Yeah this is risperidone but the general principle should apply as risperidone has the highest chance of AAPs to cause hyperprolactemia Would be a hell of a thing to add yet two more AAPs but if you do need something like haldol you can at least avoid hyperprolactemia.

Haldol. High potency antipsychotics tend to have more EPS but less weight gain. Inverse is true for low potency. High vs low potency does not have bearing on efficacy. Of the list, vraylar is said to be the most weight neutral.fwiw when AAPs were on the list of possible drugs for me, I did voice weight concerns...I exercise via body weight exercises so weight gain would be a problem. Abilify and geodon were the possibilities. Not sure if you tried those already.

To me this means there will be a generic but it is exclusive to certain mfgs, limiting competition http://www.takerx.com/authgene.html Authorized generics per the link above are actually made by the original mfg of latuda and repackaged at a lower than brand name cost. Non authorized generics are generic mfgs shot at making something bio equivalent. If there are no non authorized generics, the authorized generics can sell for more. My interpretation at any rate.

Mood..maybe this would allow for more fluoxitine? Weight...can you handle more topiramate or does that turn into dopamax for you at higher doses?