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Anybody heard of this? Or is there anyone else whose pdoc has them on this only for emergency attacks? I have had several emergency attacks of panic-stricken psychosis, and yesterday my pdoc gave me some 5mg Zyprexa Zydis orally disentegrating tabs to carry around with me. Just wondered if this is a common use for it, and also, how quickly does it work? She said it starts to take effect very quickly, so I just wondered how quickly. She said about as fast as Valium. And is 5mgs a reasonable dose for emergencies? Sorry so many questions. TIA.

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Some time ago, when I was TOTALLY batshit-manic, my pdoc put me on 10 mg zyprexa for 2 weeks. After 3 days I was OUT.

5 mg to stop an emergency attack doesn't seem out of the question.

Zydis, as orally disentregrating, is rather fast acting. How fast I dunno, haven't read up on it, but MUCH faster than tabs. Often used in hospitals for "difficult" patients who won't take their meds.

Only way to really tell is to try it!

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2 cents

i get by just having regular Z for emergencies, takes about an hour to notice, but the assurance of sleep and food comsumption is the real therapy for me. Zydis in the hospital were super fast though, and sweet like candy

careful dragging the Zydis around in a bag though, they are super sensitive to mositure, so splitting waffers or punctured casings means deminished active ingredient

i have my pdoc issues. right now emergency Z is my monotherapy, so yeah, my pdoc said: don't expect PRN zyprexa to work long-term for your bipolar, but its alright medically PRN

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Thanks for the replies guys. Username, I can see why you'd have pdoc issues, with that being monotherapy. Seems like he/she'd have you on a regular mood stabilizer. I have the opposite problem, as I am a walking pharmacy that should rattle when she walks, *sigh*. I see you've tried Lamictal, and so have I, didn't work out for me, either. Maybe you could get the pdoc to try something else out on you? I've been on Lamictal, Tegretol, and Depakote, and now have finally landed on Lithobid, which is working out alright for me most of the time right now.

Any way, I will be careful with carrying it around in my purse, thanks for that info. And thanks to the other 2 responses as well. CNS, guess you're right. The next time I have an attack, guess I just take one and hope it works. Good to know this is not unheard of, and that my pdoc isn't nuts.

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  • 4 weeks later...

I haven't tried Zyprexa yet, but for planning purposes my pdoc informed me that is what she will prescribe at my next manic or mixed episode. I wish she would give me some to hold, but I think she is trying to force me to call her, something I haven't reliably done when the chips are down.

a.m.

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Having just recently started Zyprexa Zydis I have to say if you can get past the initial side effect of drowsiness it isn't a bad med. This may become one of my long term medications for my bipolar disorder after having numerous problems with other atypical antipsychotics.

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