I would try Clozapine. I do not think you should be at 50% over the FDA approved max dosage for Zyprexa. And Zyprexa is a strong med: if it does not help you even at this humongous dose, then maybe it is not the right medication for you. Clozapine is a last resort medication and you need to go to the lab regularly to continue taking it, but it helps a lot of people. It is worth asking your psychiatrist to order baseline labs for you and then consider putting you on a trial of Clozapine. I suggest going off Rexulti completely to see what Clozapine alone can do for you.