Im going to ask my pdoc about it at my next appointment, i dont have high hopes because i have medicaid insurance so I only get generics of medication and had to get pre authorized when i switched to paliperidone, i started back on olanzapine a week ago and i know from past experiences that it is a weight gainer for me so if i could i would definitely try lybalvi because olanzapine is one of the only ap’s that is completely effective for me in regards to positive symptoms and mood stability. I wonder also if samidorphan is available as a standalone generic med that can be prescribed with olanzapine, i dont really know, but i couldnt get a clear answer from google
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I was on the Invega shot(non-generic) when I was on medicaid, so it certainly is possible.
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I may switch from Risperdal to Lybalvi also.
I don’t think that Samidorphan is a stand alone medication but I could be wrong.
Hopefully my insurance covers it but I may get pre authorization for it.
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@Wave Did Olanzapine work for your psychosis?
It didn’t for me. Dr wanted to try 20+mg but I refused.
It didn’t work so well for me but I was on a low dose of 7.5 mg and only stayed on it for a month.
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From what I previously read, you can’t yet take Samidorphan by itself, its mixed with Olanzapine in the same pill.
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Dr tried up to 15mg on me then he said its not worth it going higher. 15mg+50mg Seroquel I was still psychotic.
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Are you considering trying it out @Aziz?
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No as 15mg Zyprexa didn’t even touch my psychosis. One pdoc suggested trying doses above 20mg but my other previous pdoc said its not worth the risk as I might end up psychotic.
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Maybe try higher doses.
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Yes I may try it.
It should raise prolactin less
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Is zyprexa a name for olazipine?
Yes 15555555454
That was my emergency med in hospital.
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Yes, its supposed to be prolactin neutral like Clozapine. My pdoc said Clozapine and Olanzapine are similar just that Clozapine is stronger, more effective. Maybe bcz both end with -zapine.
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Yes there are the -pine APs and the -done APs
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I head about that, it’s an opioid that offsets the weight gain when used in combination with Olanzapine.
From everything I have read it is a new combo medication. I haven’t heard anything about prescribing each med separately. But don’t take what I say as definitive, I didn’t do a lot of reading about it because I was transitioning to Lurasidone.
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-pine APs are usually more sedating than the -dones
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That has been my experience. Olanzapine caused me to sleep 12 hours a day. Lurasidone doesn’t make me sleepy at all.
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It’s an opioid antagonist
It’s not an opioid
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