Best medication for paranoid schizophrenia

What are the best alternatives to olanzapine for a person with paranoid schizophrenia that is currently taking , its causing weight gain drowsiness and sleepiness nerves and getting panic attacks anxiety fatigue sometimes although olanzapine has helped we think its time for a change as its been years now & can a doctor switch to new medication if requested, is Seroquel or abilify better, also wondering if anxiety panics attacks nerves trembling can come from paranoid schizophrenia

Thankyou :slightly_smiling_face:

Meds are just personal trial and error unfortunately. One person’s miracle med is another’s downfall.

An example is seroquel, that med nearly killed me, I went bananas on it, however other people here swear by it and think it’s great.

For what it’s worth, I’m on Abilify 15mg now and I’m stable on it.


There is a new olanzapine drug called lybalvi which can help not to gain weight.

If you decide to try another drug I guess trying another second generation AP is your first port of call. I would maybe read up on the different drugs, pick two or three that you find interesting, then confer with your doctor about these and take it from there.

welcome to the forum,
i am on lurasidone (latuda) it works great for all symptoms and made me stable for a year now. and i dont have any side effect only weight hain and i take green coffee beverage to reduce my body weight and i succeeded in that. if you have problems with your medication discuss this issue with your psychiatry doctor to help you.

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Everyone is different. Got to find what works best for you. I am on Invega injection and that works for my delusions.

I have only taken thorazine ( don’t try it), zyprexa, and risperdal. Risperdal is ok. I hope you find something that works for you