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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Two Weeks Ago I Started Weaning Off Olanzapine And Introduced

Two weeks ago I started weaning off olanzapine and introduced lurasidone. I am also on fluphenazine decanoate, which I had last Monday (yesterday), and two weeks ago - what I am noticing is that since beginning to wean off the olanzapine, the fluphenazine is not holding my symptoms - it does a little, but I think doctors call it 'breakthrough symptoms' - mostly a constant low level of anxiety which is quite disturbing, and which I have to fight to keep as normal as possible. This is unusual for me, to have the anxiety all the time, I get anxious every day around 1700, and have olanzapine 5mg at this time of day, with effect. However, today I have already had 2.5mg of diazepam with little relief. The weather is very hot at present, for months now, and I am wondering if the heat has affected the fluphenazine or if it is the lurasidone not holding me. I am expecting my health worker to visit but she hasn't turned up yet, and I am anxioius for her to come so I can discuss this with her. I think I will have to take 40mg of the lurasidone soon to see if it will hold these symptoms - - I am on 80mg lurasidone and will cease the olanzapine tomorrow and be on fluphenazine and lurasidone only, apart from citalopram in the morning. do you have any anwers as to this situation?
Fri, 11 Mar 2016
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Two Weeks Ago I Started Weaning Off Olanzapine And Introduced