Zyprexa (olanzapine)
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Zyprexa (olanzapine) which is a second generation neuroleptic or antipsychotic (SGA). Although it is referred to as an antipsychotic, this medication can be utilized in the treatment of mania (in bipolar disorder) and also can be used to treat depression (for example, augmenting an SSRI or SNRI). It has the potential for many side effects, and some of them are discussed in this video.
Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.
Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.
These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.
Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.
This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.
If you are researching a specific topic, please view our TH-cam channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.
www.RittenhousePA.com
www.ChrisPagnaniMD.com
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Nice but he did not talk about the consequences of discontinuing the drug. No one ever does. For me, that is a gaping omission. People need to know about it when trying to make an informed decision about taking the drug.
They gave my mother Zyprexa while she was dying from cancer to improve her appetite.
Oh no. Poor lady.
What is the reluctance among Medical Practitioners prescribing Benzodiazepines for Anxiety. Being a DEA schedule IV drug, which implies Acceptable Medical Use for Treatment, with low risk of Physiological Dependence
Depression being a subjective condition that isn’t necessarily or primarily cause by an imbalance in neurochemistry in the brain. Lifestyle changes, Social Factors, Family stressor, job/work/career related, Financial stress, Day-to-day,
Getting off a Valium dependency is one the hardest things psychologically I’ve ever had to do. It took me over a year and I felt so close to death stuck in a psych ward. The Valium was prescribed to help anxiety after switching antipsychotic medications due to nutrapenia (don’t know how to spell that). I think benzo’s need extreme caution when being handed out.
They didn't check any of this stuff while I was on olanzapine. The relentless insomnia is the worst and doesn't seem to go away even after stopping the medication.
@donmakavelli741 From 5 milligrams I started taking chips like every four days. Seems like around the 3rd or 4th day I would really start feeling the withdrawals, and one day I just dropped off. I don't recommend this and wish I would've found a professional that helped me taper off. I had to get treated involuntarily with something about 6 months after quitting.
Same with Seroquel. It's a total nightmare to try to get off, you don't sleep for weeks.
@@joeking433 People can't even imagine it until it happens to them.
You have insomnia with it?
@tearlessonions1488 yeah I stopped the medication four years ago and there's absolutely no sleeping without heavy sedatives now. It calms you down but i dont think its worth the risk if you've never taken it.
Can one/you withdrawal from Olanzapine/Zyprexa safely and successfully? Or do you relapse?
I have BP 1 disorder..took me 3 years and 5 manic episodes to start takin my olanzapine.
I feel weak and my dr wants me to x4 my dosage. I dont want to go up but i dont want to have another break.
how long does the insomnia caused by stopping the treatment last? or how is it treated?
Any update?
TO the doctor recording this, I am wondering, should Zyprexa/Olanzipine be used as an only sleep treatment??? Or do believe if people are struggling to sleep, there are better medications than using a Anti-psychotic drug to make someone sleep???
What are your recommendations????
I have a older brother who has been on Zyprexa for over 30 years and have been a lot of Evil voices come out of his mouth, since he received his medication. Things have gotten worse as the years have gone by, and has been drinking alcohol mainly beer or booze now and then, which obviously affects his drugs, and also smokes cigarettes with the medication also.
What do you recommend as a doctor that as my older brother, who ignores doctors advice, smokes with his medication, and buys alcohol to make matters worse and our whole family suffers nicotine abuse around our house. I am living here in NZ if you wanted to know where I am commenting from.
Like to hear from you soon.
Matt
This dude doesn't seem to be reading the comments. I won't waste any more time here.
@@joeking433 Hi Joe King, you talking about my comments or were you talking about this man recording this video.
This is alarming news. Zyprexa, and these types of meds Can damage your Brain long term run. Search Peter Breggin, Joanna Moncrieff or Peter Whitaker, These of 3 experts know that these drugs are not doing what the doctors are prescribing to people, and in fact are damaging not just themselves but causing others to suffer their "issues", which is not fair on other family households, if these drugs are not properly communicated or talked over to other family members. This is what Privacy Laws are not doing effectively enough to ensure that when someone is getting a medication from the doctor, other family members are not being informed enough to see if the medication or medicine that family member is taking is the correct medication or dosage of the medication, and is either working for that individual or that person's medication is NOT working properly to the effect of that person's medication. I am more talking about the psychoactive drugs or psychotic drugs many are using today.
Matt
Doctor prescribed olanzapine for insomia with clonazepam. If i take clonazepam 5mg with olanzapine 5mg i couldn't sleep. If i take clonzepam only means i could sleep peacefully .Does Olanzapine will give sleep disturbance?
Get away from that garbage while you still have a chance. It will destroy your life. I PROMISE
@@heisenberg1898im currently withdrawing from 3,5 years of taking that...man its sooo hard...Pls help me man
@@heisenberg1898which garbage??
I live in UK, can you provide second opinions on schizophrenia
Thank you for your comment, and it means a lot that you would consider me for care for a second opinion. I apologize, but I don't have the proper licensing to do so. I hope that you are able to get the care that you need, and getting a second opinion from an academic center in the UK, may be prudent. Sincerely, - Dr. Pagnani
Not to be rude, but every single video. All you people do is repeat the same. Sales pitch over and over. when in truth. You have such a limited knowledge on what these drugs actually do to a human being. You should be put in jail for prescribing them
He has NO idea.
Even his regurgitated text book knowledge is inaccurate!
Olanzapine has been proven in peer reviewed studies to impede REM sleep.
Agreed, I will be using his videos as examples of psychiatric abuse.
What do you know about these medications? You are saying he should be in jail for discussing a medication? What charge? How do you define "limited knowledge"? Any information you do not like means the person stating it has "limited knowledge? How do you determine this? What is your measuring criteria? Wha about "less limited knowledge"? If the MD had "knowledge" what would be be saying instead? You want to throw out the Constitution and arrest people for speech?
@@drn13355
youtube.com/@taperclinic?si=xwOB7DNOEVLpNw7Z
I'm on seroquel and the withdrawal is a nightmare. Could switching to Olanzapine and then getting off of that be easier?
hell no. zyprexa is way worse than seroquel.
I tried it for resistant depression. If it don't cause so much hunger 5mg help a lot with antidepressant. But it cause so much hunger and gain weight. The problem you are always hungry and this make you stress and nervous. So this is bad paradox
I'm sorry to hear that you had so much difficulty with appetite and weight gain with this medication. Some individuals are susceptible to these side effects, while others will not have this side effect. It is good to know that you responded to it (regarding the depression). I recommend discussing your experience and side effects with your provider, as there may be ways that they can decrease the weight gain, or similar options with less risk. Thank you again for sharing, - Dr. Pagnani
Hey. What about possible permanent damage to sex life?
Can i stop olanzapine 2.5 mg
L.D.; u most certainly can stop taking psych meds but do so very slowly (not abruptly). Psych meds (regardless of which med it is & the dosage) has withdrawal-like effects that mimic the (alleged) condition. The manner in how medical/mental health personnel handle withdrawal "symptoms"; there apt 2 provide more meds 4 u which will further aggravate matters. After all; since u r 1 taking these toxic meds, u r the 1 who knows ur body best.
If I lower the dose a little, I will not be able to sleep. This is the most difficult problem I face. This medicine is poison Does anyone have a solution?
Is that a sanatorium old style hospital in the background ?
Great question! It's Johns Hopkins, but I may need to make some history of psychiatry videos in the future (and discuss Kirkbride and similar mental health hospitals). Best, - Dr. Pagnani
I take 20 mg per day . Is it for schizophrenia or depression
What are your symptoms if you don't mind me
@@awais2148 depression . Fear ... And confusion ....I also have some issues within my sexuality. I'm gay .i have internalised homophobia. I also have some symptoms of DP. DR if you know it .
@@awais2148 i have depression. Confusion. And fear anexity.
And some symptoms of DP DR .
@@awais2148 depression.
Anexity.
Confusion.
Exhausted.
Fear ..
DP DR .
asking*
Have you ever seen low dose olanzapine help patients with anxiety disorders?
Yes it does I have 1 30mg a day and it helps me greatly
@@simonbaker3379 I thought the maximum dose was 20 mg per day...
You trip so hard you don't even know that you took Zyprexa. You forget because your memories are imaginary. You could have conversations with friends that you knew from high school and you can sit there for two hours having a conversation with this good friend of yours from high school, only to realize two hours later that you never even knew this person and that this person never even was in your room. You were just talking to the wall but you were hallucinating an entire human being with whom you had an intelligent conversation.
Thank you for sharing your experiences. If someone ever has this kind of reaction, it's incredibly important to speak to their provider right away. With that said, I've never had a patient have this type of experience (although, it certainly is possible). I hope that you are well, Sincerely, - Dr. Pagnani
@@RittenhousePsychWorst idea is to speak with a provider in that case. They diagnose you with schizophrenia, what may cause you to lose your rights, and up the dose. Or worse, perform a rapid switch to another "medication" which leaves you with brain damage, or just add another neuroleptic on top of it.
Slowly taper is the key.
Most psychiatrist have ZERO clue, what they are doing.
I highly recommend to do a warning clip that people shouldn't coldturkey the drugs or rapid switch. A friend of mine (no psych history, was doing therapy instead of jailtime) coldturkeyed and had a massive withdrawal psychosis which caused him to commit suicide. More warnings about withdrawal problems would be highly appreciated. Thank you.
@@RittenhousePsychWorst idea is to speak with a provider in that case. They diagnose you with schizophrenia, what may cause you to lose your rights, and up the dose. Or worse, perform a rapid switch to another "medication" which leaves you with brain damage, or just add another neuroleptic on top of it.
Slowly taper is the key.
Most psychiatrist have ZERO clue, what they are doing.
I highly recommend to do a warning clip that people shouldn't coldturkey the drugs or rapid switch. A friend of mine (no psych history, was doing therapy instead of jailtime) coldturkeyed and had a massive withdrawal psychosis which caused him to commit suicide. More warnings about withdrawal problems would be highly appreciated. Thank you.
@@RittenhousePsychI have heard of Many Many people having this experience. Look up antipsychotic medication side effects.
You might want to follow the taperclinics to learn a thing or two about psychiatric medications too. 🥂
For me it's like I practice alot for future conversations, I don't Hallucinate but I have manic bipolar, it keeps me down in a normal state.
Can't sleep without it
How is your sleep now
@@tanvirhussain3044 still the same, today i went to doctor and he prescribed me melatonin.. Have to see whether it helps
@@Justifiedsinner220 what dose are you on? I have tried 3 times to come off 2.5mg. I hate the weight gain. Horrible drug.
@@tanvirhussain3044 still the same
same man this med is shit
Sir, I'm a schizophrenia patient and unmarried 34 years old. Doctor gave me amisulpride 200 mg and olanzapine 10 mg twice a day for last 2 months.
Now I am feeling absence of morning erection and when I tried to erect my penis it's don't get hard.
Please suggest me how to reverse ed and get morning erection....
Thank you for watching and sharing!
While I could never give you specific information on how to treat your condition and symptoms, it is very important for anyone with sexual dysfunction to have a full workup by their primary care provider. It's important to make sure that there aren't other factors (like high cholesterol, diabetes etc) that could be playing a role.
Medications can certainly cause sexual SE's, and individuals would need to always weigh the risks and benefits with their provider of their medication regimen. Some medications may be more (or less) likely to cause sexual side effects, but if those medications do not adequately treat psychosis, then a medication with more side effects may be warranted. If a workup from someone's primary is negative for another cause for the sexual side effects, and if someone's providers assess that it is safe, using medications like viagra, levitra, cialis could be warranted.
There are supplements that some individuals use, but there can be interactions with medications, and I'd recommend asking your provider directly about any over the counter remedies.
Again, none of this is direct advice, just information to discuss with your providers! Thank you again for sharing, - Dr. Pagnani
Sorry but "treatment" actually AGGRAVATES PSYCHOSIS!!!!! 2 say that a "medication w/more side effects may be warranted" 2 "treat" PSYCHOSIS is so ignorant. This "antiquated" mentality is a clear example where the side effects DO cause/compound psychosis. Pardon me if this sounds "patronizing" but so does being told that mental health conditions REQUIRE MEDICATION!!!! In other words; medication is a "1st/only" resort as "treatment".
Say, “doctor”… have you taken this crap yourself to justify your beliefs, or …oh hell no. I’ll bet you haven’t. If it’s so safe, why not? Huh?