My husband has been taking meds for schizophrenia for 6-7 months- generics for prozac, zyprexia, and depakote. Been a couple other things here and there for the adverse affects but the others aren’t consistent except for vyvance. I don’t think he has an official diagnosis yet, but his mom has it. He has audio hallucinations and one night when it got really bad (about 2 weeks after starting his regimen), he had a visual hallucination and wasn’t 100% the voices weren’t real… like he knew they weren’t but he still wanted to barricade the door because he was so scared. We took him to the ER, and after that it progressively got better.
So 6 months later, he’s been stable. He recently admitted he still hears faint whispering on the occasion, but he can tune them out and it’s been awhile since the last time. After the ER his psychiatrist drastically upped the dose of the depakote(250 to 750mg) and zyprexia(5 to 15mg) to try and get it under control but he never lowered them after the meds finally took affect. Since they’ve kicked in, he’s barely able to function. We’ve tried modafinil, which did basically nothing. Now he’s taking 20mg vyvance after finding small case studies about helping the negative symptoms. It does help a little, but wears off quickly and the doctor refuses to raise the dose. Outside of when the vyvance is active, he’s a total zombie. He’s barely able to keep awake to the point where he’s close to passing out on the road and risks losing his job. If he doubles up on his dose, he does much better, but then runs out. We’ve conveyed all this to the doctor but he does not offer changing his regimen, raising the vyvance or lowering the depakote or zyprexa. He said sometime after the New Year we could look into weaning him off, but now it looks like that’s not on the table. We don’t feel this can or should continue like this. My husband is becoming more and more depressed but doesn’t want to tell his doctor because he just prescribes more meds or higher doses when we’ve tried in the past. So I guess it comes down to this- is this level of dysfunction okay/normal as far as his treatment goes, or if not, should we be pushing for a regimen change or consider seeing another doctor altogether?