When zyprexa doesn’t kill mania?!?!? What then?

[Wonderful.Cheese]

What then? What can do the job if zyprexa can’t kill mania? 

[Iceberg]

Heavy typicals like haldol or Thorazine maybe? ECT theoretically. The conventional move is clozaril but you’ve already tried that right? 

Oh, or add back a mood stabilizer 

[Iceberg]

Round 2 of ideas- can’t remember if you’ve tried saphris... also, some studies show that the combination of clozaril + abilify is more effective than either alone. 
my mentioning of Thorazine disclaimer- they rarely use it anymore but it a) anecdotally helped me in the acute stage and b) is sometimes favored as the add on by ECT docs  

https://academic.oup.com/ijnp/article/23/4/230/5658435

[aura]

Haldol? I know you aren't keen on trying typicals, but maybe for a short amount of time?

[dancesintherain]

remind me of your experiences with mood stabilizers?  have you tried depakote?