Came back from the pdoc

I went to see my psychiatrist earlier today, she said that I can lower the Risperdal down to 1.50 mg from 1.75 mg starting tonight. She said that I should remain on an antipsychotic and my target dose of Risperdal will be 1 mg - if all goes well.

She mentioned if I wanted to try Saphris, she told me that Latuda could aggravate my anxiety and so would Abilify - I declined on the Saphris, so she just told me to remain on the lower doses of Risperdal.

She also refferred me to a dietician but when I called him, he did not accept my insurance - so I will try to find someone else, maybe get a refferal from my family doctor

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I’ve been told by pdocs that the threshold for treating psychotic disorders is 3 mg of Risperdal. Are you free of psychotic symptoms?

Thank you so much @Vertigo for posting this! You have no idea how much you have just helped me. I will forever be grateful. I have had horrible anxiety for weeks as I was upping my latuda! It’s caused me to be suicidal! My pdoc is getting a piece of my mind!!!

Hey Greg - what do you mean by threshold

I dont know @samples32, my pdoc mentioned that Latuda can increase anxiety - Yes I would have a talk with your doctor if your anxiety increased after taking Latuda - but everyone reacts differently to these drugs

My anxiety tripled and he knew it! I told him I was cutting and suicidal! He prescribed me xanax instead of getting me off that stuff.

How long has your anxiety been acting up? Sometimes it takes time to get used to a med - but yeah I would talk to your doctor and let him know what is up

I’ve always had anxiety, but, it got worse after I started latuda in November, so 4 weeks ago he raised it! It’s only gotten worse.

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Congrats on the dosage lowering, by the way!

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Thanks, lets see how it goes - crossing my fingers

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Not only did I have severe anxiety, my blood pressure was through the roof, as was my heart rate. I begged to be taken off of it and was told I had to give it a chance to work and they raised it instead, I was told that I cannot go jumping from one med to the other, it takes time to adjust.

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I mean 3 mg is USUALLY the target dose for Risperdal. At >2 mg you will see an improvement in psychosis.

No I am not currently actively psychotic - I guess if my mania is in check I should be ok.
I am withdrawing - a bit sensitive, and just adjusting in general to a less medicated state, but this is to be expected.
Risperdal is such a potent antipsychotic that 2 mg has been used to control psychosis successfully in schizophrenia.
Her main concern is controlling my mania - as long as I dont get full blown mania, my psychosis should be in check.
I am also on a mood stabilizer - Lamictal which helps control manic episodes to a certain degree.
Lower doses - even at 1 mg have been used to control/prevent mania in bipolar patients

Latuda is known to be activating. I took it for a few days and it just made me angry and anxious as hell. It’s better for people with stronger negative symptoms. I like my Geodon and xanax and propanolol, it’s all sedating and brings me down from my natural state of rage and psychosis to a much less symptomatic and level headed person. I have to drink caffeine to go berserk, I used to just drink Gatorade and then go do insane workouts back before I was on Geodon.

I saw my Pdoc yesterday and he kept me on the same old and even suggested lowering the propanolol but I need 80mg extended release to keep from having tremors (akathisia) and it also keeps me from having as intense fits of rage. Actually once it’s been an hour since I take it, my fits of rage just stop. My Pdoc knows about all my crap, he knows I get fits of rage sometimes but that I understand them and deal with them. I had an episode after waking up restless at 1am a few days ago and he wrote something about it on my file, mumbled a numeric code actually.

I don’t experience mania, never have. I’ve studied it in school and it sounds really shitty, that and I had a lady friend who was bipolar and manic, but she liked it. She had bipolar NOS. My sister was diagnosed with bipolar type 2 but she was on steroids and my mom and I think she just has cyclothymia. Mania would make me one ■■■■■■■ demon straight from hell, my psychosis made me paranoid and hateful enough. That feeling is the feeling of power but it becomes painful trying to exhaust myself and rest. It drove me to drink heavily and then I got sick of booze and turned to medication. My negative symptoms are mainly being asocial and introverted, which is a stark contrast to my healthy self who cannot stand being alone for long. These days I am extroverted and doing well.

I still experience some symptoms, hallucinations and delusions mainly late at night, like extremely late, like past midnight if I am somewhere that isn’t much fun. If I am enjoying myself and having some drinks, I can do nights like that, but I get paranoid and symptomatic if I am not stimulated at those hours. Good conversation and or good drinks keep me good when I stay out super late.

It’s a bit of a problem with kids my age, they tend to be immature and just be idle and get high and drunk and aren’t fun to talk to for the most part, some drunks are lots of fun through. I love being with disinhibited people, especially family and friends, but plastered and retarded drunk kids are not fun.

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