Is there a reason in Symbyax combined doses there is no Zyprexa level above 12.5?? At 10mg I had no decrease in auditory hallucinations, at 20mg they're for the moment pretty much hushed. So im not complaining about the dose Just concerned. Also if anyone has experience with THIS PLUS being on Suboxone that would be all the better. But psych meds come first
Has anyone else been prescribed 20mgme Zyprexa and 40mg of Prozac as Symbyax?
- Posted:
- 13 Apr 2012 by GreenMommy
- Topics:
- prozac, symbyax, zyprexa, schizophrenia, bipolar disorder, insomnia, obsessive compulsive disorder, anorexia nervosa, anxiety and stress, hallucination
Answers (1)
14 Apr 2012
You seem pretty well versed in medicine so I'll make it quick. With drugs of any kind, 3 apples and 2 oranges don't make 5 pieces of fruit, but something else entirely unrelated. They didn't do any clinical trials with the combination of at the time not yet compounded medications at levels above 18mg of Zyprexa and 75mg of Prozac, so they set the combination treatment drug mgs of each in ratio at amounts which could be adjusted easily while not crossing either of the highest doses of the individual drugs they tested with while also keeping in mind the most effective trial dosages of the two combined. It's the process...
As for Symbyax and Suboxone, well, it's an easy combo of medications to hear about and then jump to patient history conclusions over, but I'm not going to suggest of you something that should not be my business.
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At 20mg Zyprexa I feel less manic and well less psychotic. So my doc put me on a special dose of Symbyax of 20mg Zyprexa and 40mg of Prozac as an ...

The line of thought I was using caused me to err in one minor way which I know is really unnecessary to come back and fix but I don't want to educate anyone incorrectly by accident, so the third part above should read:
"I don't know of any reasons why the FOUR drugs together would cause a specialized interaction of any particular type."
And should have been extended after "... particular type" with:
"that has not already been considered by your prescribing doctor."