I’m a coffee addict too. Need 2 strong brews a day or I feel moody and agitated. My Pdoc once told me I shouldn’t drink it as it can make symptoms worst and I kinda laughed at him. Been drinking it for years perfectly fine. Even my psychiatric nurse used to take me out for coffee etc.
That said, I try and cut down when I have rough spells and drink red tea instead.
I voted for that because it was true when I was on Olanzapine. I drank about 10-15 cups a day because I was so lethargic from the high dosage of medication they had me on.
But now I am on Lurasidone and it doesn’t knock me out or make me tired like olanzapine did. I am on clonazepam for sleep and that has a tranquilizing effect that lasts into the next day so when I get up I have one large cup of coffee in the morning (a travel mug) and that is usually it, then I switch to tea, or the occasional decaf. Very occasionally I’ll have 2 or 3 cups of coffee during the day.
I love the taste of coffee but now that I am off olanzapine if I drink too much too quickly I get a bit of anxiety so I usually just stick to one cup in the morning to get me going.
When I was diagnosed with paranoid schizophrenia back in 2004 they put me on 40mg at the mental health facility right from the get go. They didn’t even try 10 or 20mg. It was straight to 40mg. I think that is overkill.
I spent 4 years tapering down my dosage, while I was tapering down I was stable until I hit 10mg, then I became psychotic again back in 2018 and was hospitalized, that is when I started to transition to Lurasidone. That means they could have put me on 15mg or 20mg of olanzapine in the beginning and I would have been fine.
The side effects from 40mg were slowly killing me, my doctor kept warning me. But that is all in the past. I’m off olanzapine, I’m on Lurasidone and my weight and health are good now.
The weird thing is I am on a relatively low dose (60mg) of a much weaker antipsychotic (Lurasidone) and doing way better. Go figure.
I think it may have a heavier effect on me if I have been away from it for a while, but then I get used to it and it takes more coffee to achieve the same effect. But for my part it kind of stabilizes. I don’t feel that coffee stops having a effect even if I drink it regularly.