dancesintherain Posted September 24, 2019 Share Posted September 24, 2019 (edited) So I went from 15mg zyprexa Friday to 17.5mg Saturday and Sunday, to 20mg tonight (Monday). The initial (15 to 17.5) change was due to mood dysregulation and generally feeling unstable. The 17.5 mg to 20mg has occurred because I had auditory hallucinations crop up. How quickly will the zyprexa squash the AH? I don't want to continue down the path (currently the AH are restricted to my bedroom and just noises rather than words, but it can go downward from there pretty quickly). to clarify a bit...a dose of zyprexa will make most of the individual hallucinations go away somewhat quickly. What I'm wondering is when it gets rid of them completely. Edited September 24, 2019 by dancesintherain Link to comment Share on other sites More sharing options...
dancesintherain Posted September 24, 2019 Author Share Posted September 24, 2019 Anyone? From personal experience or otherwise? i wasn’t hearing anything when I woke up this morning but I wasn’t sure if it was just good luck or zyprexa kicking in. Link to comment Share on other sites More sharing options...
Iceberg Posted September 24, 2019 Share Posted September 24, 2019 For me zyprexa was very fast, usually immediately for sedation and a few days for full effect - but that was for mania w/o psychosis Link to comment Share on other sites More sharing options...
dancesintherain Posted September 24, 2019 Author Share Posted September 24, 2019 Good to know. Hopefully there won’t be voices when I get home. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 24, 2019 Author Share Posted September 24, 2019 And I’m hearing (faint) sounds at work. lovely. I can ignore them. But it’s frustrating because that’s a pretty elevated level of symptoms for me. i feel so much more emotionally stable though. That has to count for something. Maybe it’ll just take another few days to get the psychosis piece under control? Link to comment Share on other sites More sharing options...
dancesintherain Posted September 24, 2019 Author Share Posted September 24, 2019 And now they are gone. I’ll just think of them as intermittent pains in the ass. Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted September 25, 2019 Share Posted September 25, 2019 (edited) @dancesintherain I'm on abilify max dose and zyprexa zydis max dose. I have treatment resistant psychosis (TRP) though so bear that in mind. But zyprexa has worked the best for me out of all the AAP's for psychosis. And it works relatively fast. Some symptoms take longer to obliterate though, I've found. Mood it really helps fast. It hasn't gotten rid of voices completely for me, but again TRP. Edited September 25, 2019 by Wonderful.Cheese Link to comment Share on other sites More sharing options...
saintalto Posted September 25, 2019 Share Posted September 25, 2019 It worked really fast for me, got rid of symptoms quicker than anything else I’ve been on, but it was so sedating for me I could only take it as a prn. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 thank you both. it stabilized my sense of pretty awful mood dysregulation really quickly. It hasn't gotten rid of the AH yet, but I'm remaining hopeful because it was only my second night at 20mg. I take it at night and may have a slight hangover, but since I was adjusted to 15mg previously, I don't think it's a huge change. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 There have been no AH do far today. Granted I’ve only been awake for five hours. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 I spoke too soon. Link to comment Share on other sites More sharing options...
Iceberg Posted September 26, 2019 Share Posted September 26, 2019 9 minutes ago, dancesintherain said: I spoke too soon. Did your doc give any instructions on how long to wait before you reach out to them again? Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 No, but I see her on Tuesday. It’s only been three days at the increased zyprexa dose. They’re also intermittent, faint, and musical, so I can tell they aren’t real. I’ll be more scared when I can’t do that, like if the stopped essentially being quiet background music. all that said, does Tuesday sound too late? I’m open to other thoughts. Link to comment Share on other sites More sharing options...
Iceberg Posted September 26, 2019 Share Posted September 26, 2019 Never hurts to call and if she feels Tuesday is still appropriate Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 I basically just had a mini appointment. We decided to increase the fanapt to 9 mg (one and s half tablets) to see if that would knock them out. I let her know that it seemed like things were improving a bit with the zyprexa increase, but not to the degree I would have liked. Link to comment Share on other sites More sharing options...
Iceberg Posted September 26, 2019 Share Posted September 26, 2019 Good luck! Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 (edited) Thanks! She initially wanted to play with my lithium, but I reminded her what I remind her every time she raises it (I went toxic at a very slightly higher dose and am on it again with hesitations). She agreed that we shouldn’t change two things at a time and accepted my statement that the mood dysregulation has been better since the Zyprexa increase. So Fanapt won the day. (Obviously much more extended than that.) I'm honestly not sure there even is a mood component to the current AH, which raises SZA questions...but we'll handle that issue later. Edited September 26, 2019 by dancesintherain Link to comment Share on other sites More sharing options...
jarn Posted September 26, 2019 Share Posted September 26, 2019 Keep us updated please dances. I really hope the increased fanapt helps. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 26, 2019 Author Share Posted September 26, 2019 thanks jarn, will do. I told the three non-professionals who are part of my "safety plan" not because I feel unsafe but because it's a symptom and med change they should know about. I said "I'm embarrassed..." and I got a text message from one of the friends and her response was "sorry to hear you're dealing with the auditory issues. thanks for letting me know." She's a dear and kind friend. So one positive reaction and the second knew already. The third it is news to and I haven't heard back from yet, but I just sent the email. Link to comment Share on other sites More sharing options...
jarn Posted September 26, 2019 Share Posted September 26, 2019 I'm glad the people you've told IRL so far have responded well. I'm sure the third will as well. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 27, 2019 Author Share Posted September 27, 2019 I'm sure she will. She's someone I've known since college which is now 15 years ago! Link to comment Share on other sites More sharing options...
dancesintherain Posted September 27, 2019 Author Share Posted September 27, 2019 friend came through as anticipated. First day of increased fanapt is that it hasn't felt a ton difference, but it's only been 12 hours at the higher dose and I can't imagine it's expected to work that quickly. Link to comment Share on other sites More sharing options...
Wonderful.Cheese Posted September 27, 2019 Share Posted September 27, 2019 (edited) 54 minutes ago, dancesintherain said: friend came through as anticipated. First day of increased fanapt is that it hasn't felt a ton difference, but it's only been 12 hours at the higher dose and I can't imagine it's expected to work that quickly. Good luck with all the med increases dances! I hope you find the relief you so deserve! And I’m glad your friend came through. Good support is very important. Edited September 27, 2019 by Wonderful.Cheese Link to comment Share on other sites More sharing options...
dancesintherain Posted September 27, 2019 Author Share Posted September 27, 2019 thanks Cheese! hope you're feeling better soon. 1 Link to comment Share on other sites More sharing options...
dancesintherain Posted September 28, 2019 Author Share Posted September 28, 2019 they go away almost completely about 1hour after I take my nighttime zyprexa dose (20mg). Now if we can only get it to stay throughout the day. That's where I'm hoping the fanapt kicks in. Link to comment Share on other sites More sharing options...
dancesintherain Posted September 30, 2019 Author Share Posted September 30, 2019 So at least they aren't getting worse. They might be a tiny titch better, but ony a tiny one. I'm only into three days of the raised fanapt dose, so I'm trying to maintain hope. I see my pdoc on Tuesday and I don't know if she's going to want a med change. I surprisingly almost don't. I kind of want to wait and see, because alhtough they are as annoying as hell, I seem to be able to deal with them. The question will be work tomorrow. I did fine last week, but we'll see about this week. It's interesting paying attention to what makes them go away and come back. Link to comment Share on other sites More sharing options...
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