Zyprexa is the antipsychotic most likely to cause weight gain and sedation. The three least likely to are Abilify and two new options which are Fanapt and Saphris. You should speak to his psychiatrist about available options which he might be able to tolerate more though of course each person responds differently to each medication.
If I were you, I would talk to your son's psychiatrist about your son's current treatment plan. Your son's non-compliance is going to continue and he'll continue to relapse. He needs to be started on a medication that he's willing to take everyday, all the time, as that's the most effective way to control his symptoms and prevent him from relapsing. There are many medications available, all of which affect each person differently in terms of side-effects and efficacy.
He's a grown man and you can't force him to take his Zyprexa. If he spits it out or cheeks it, you can't really strap him down and force feed it to him. I'm not sure whether he's still at a point where you can talk to him. If he is, you can explain to him why he needs to take it and how it benefits him. You can also tell him that he'll be going to his psychiatrist to talk about starting a medication that won't cause so many side-effects, but in the meatime time he needs to continue taking his Zyprexa. If his relapse is bad, he might have to go to the hospital again, at which time he might be started on a medication that's more acceptable to him.
I've been in your son's position before and have relapsed. As a result I've learned to take my medication everyday, all the time. I've also learned to communicate with my psychiatrist and tell him when I'm having problems which might cause me to become non-compliant.
I'm not sure if I've helped answer your questions, but I hope something I've said has been helpful.
hi, i really feel for your son and you also.
i agree about meds affecting everyone differently also.
this really needs to be discussed with the psychiatrist as well as a therapist for you and
your son's sake i believe.
he needs to express to someone he can trust what he's experiencing and how he feels
about his entire situation.
he needs a support person also which hopefully he'll get.
i wish you both the best.
I hated zyprexia too. It made me gain 50 lbs and didn't help much. There are other meds out there to try. Tell your son you will help him find something that will help him feel better with less side effects. I take seroquel and lexapro.
Please talk to your son's doctor about either a med switch or long-lasting Zyprexa. There are formulations that can be injected once a month or so of certain antipsychotics if the patient continues to refuse.
The weight gain is common with Zyprexa, so listen to your son't concerns too. This is a tough situation, but together with the psychiatrist you should be able to work something out.
I was on 15mgs of Abilify and 5 mgs of Zyprexa. My got hands got shaky on the Abilify and I was losing sleep on Zyprexa. Now, I am on 10 mgs of each. I am starting the regiment next week. I know it will be better than before because the mgs are balanced.
remember that everyone responds differently to meds :)