Did your dose reduce over time?

Those of you who were symptom free on medications, did your doses reduce over time?

And, how long before you reduced your dose successfully?

I am on Haldol 7.5 mgs and Abilify 30 mgs. I would like to take minimal Haldol over time, as there is rick for TD. I am free of symptoms on this combination. Was wondering how long before I can try to reduce the Haldol?

The doctor said it is a low dose of Haldol (30 mgs is the maximum) and it is very unlikely that TD will happen on a low dose. I doubt what she is saying is true, though, as I have read all the bad things about Haldol, especially when it comes to TD,.

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How long since your last episode and how bad was it?

I am on 10mg aripirazole (abilify) only. Was put on 15 mg but after 6 months since the last relapse I succesfully tapered off. I am stable and kicking. I am able to hold down a part-time job (currently looking for one).

Not everyone is the same though. Don’t take radical decisions on your own. Always follow doctor’s prescription.

Well, my situation is that this medication (haldol) was added to the mix very recently. Abilify wipes out the voices completely, even at 20 mgs. But, I was getting thoughts…and no other medication was seeming to work on the thoughts, so a doctor tried Haldol recently and it worked.

I am not trying to reduce the doses myself, just getting a sense of how long it may take to reduce it to a much lower dose or perhaps do away with it altogether.

I remotely know someone who takes a high dose of haldol (dunno how much exactly) and he feels sedated all the time, barely able to move or think. He hasn’t developed TD though, even after 4 years.

Intrusive thoughts are annoying, I know first hand.

How functional are you on this med combo?

Completely functional. I work 6 days a week. No problems.

The combination is working fine - I am just getting sleepless nights because of the risk for TD.
;
Plus I have zero side effects from this combination.

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Mostly over the past ten years as therapy and supplements helped reduce my need for the meds.

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You were on a higher dose of Haldol than you are now on?

The first few years they pretty much carpet bombed me with older style APs. I shook, I cramped, I drooled, and I spent the larger part of my day sleeping. When I was awake I ate too much and just sat in front of a screen.

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So, at what point would you say your life turned around?

You are on Geoden and Haldol from what I remember. Did the Geoden make the difference? Or, was it sheer will on your part?

I was on the Haldol shot for a good while, and they were starting to reduce my dose. I discovered that if I took ephedrine, drank a lot of coffee, and did moderate exercise I could amp myself up pretty good. I got a little too high and ruined a family get together and got sent back to the hospital. A word of caution - you can get pretty manic when they reduce your dose. Don’t blow it.

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Takes an answer I don’t have time for right now, will try to get to this after work.

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Okay, I was doing horrible at the beginning and I had an extremely poor prognosis. I had given up hope (well, medical professionals took my hope from me), and I was very suicidal. Came close to snuffing myself on a few occasions. What saved me was AA. I had joined AA because of my alcoholism shortly before the SZ hit. Now the thing about AA members, they don’t care what other problems you have. If you’re a drunk, they’re there for you. And they’ll drag you out and make you keep doing things.

They kept me going when I would have completely shut down. Most importantly, it was AA that gave me hope again. From Alcoholics Anonymous, Chapter Five: How it works:

“There are those, too, who suffer from grave emotional and mental disorders, but many of them do recover if they have the capacity to be honest.”

That sounded pretty good. I decided I would try and see how much I could recover. I mean I couldn’t read more than a paragraph at that point and being in a room full of people for an hour was pretty triggering. Showering? Not without help.

I committed to getting better. I didn’t know how much better was possible, but it had to be a step up from where I was at that time. I stopped screwing around with my meds. I stuck with meds I didn’t like through the side-effects and kept taking them anyhow. I stopped lying to my doctors out of fear of being hospitalized (odd thing, they are actually LESS likely to hospitalize you when they can tell you’re being honest). I tried all of the things the doctors told me to do. I tried pushing myself as well. I set very small goals and when I hit them I tried for a tiny bit bigger goal. I eventually became organized enough to keep a journal again and I have been ever since.

Over time I started to stabilize and they dialed back my meds. I was in this community and people were mentioning CBT. I couldn’t find it where I lived, but I was able to buy books on it and try it out on my own. It helped. I mean it really helped and my meds got dialed back more. I also got put on better meds. As the fog from the meds cleared I was able to do even more therapy and more self-improvement.

The person I am here now is the result of three decades of pushing myself with self-improvement. I don’t stop because as I keep telling others, schizophrenia is relentless. You won’t win unless you’re even more relentless.

Fight. Back. Every. Day.

It wasn’t any one thing so much as a lot of things, sticking with anything I found that gave me an edge (being faithful about meds, diet, exercise, sarcosine, Amyloban, CBT, conventional therapy, etc.), keeping my recovery journals and – most importantly – working towards a positive, recovery centric attitude. Even if I fail today I trust that what I learn takes me a step forward towards my next success and that’s OK. Failure is progress and progress is good. With that fear and anxiety gone it’s easier to take the risks I need to push my recovery forward.

Hope this helps.

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What do you do, if you don’t mind me asking?

I fight back.

However, I am totally reliant on the medications it seems. My situation is that Abilify wipes the voices out but not the thoughts. This is the case since a couple of years. I have tried many medicines but they seem to work for awhile and then they stop working. So, in between I relapse into having thoughts. Yet, for more than a year and a half, I have been trading stocks. It means relearning math, programming, etc…working 6 days a week…if I were to get better for a prolonged period, I may apply for an Actuarial job. I need a couple of years, though, as I think I can do better in trading stocks over time than as an Actuary (plus, a couple of years to be more consistently better health wise).

I was diagnosed in 2010. Until 2019 it was a rough ride. I was on Clozapine, and sleeping 12 hours, drooling all night, etc, etc…Also, I was on Clonazapem and the doctors had no clue why I had no sex drive in that period…I couldn’t follow what was happening on television. My working memory, ability to sustain a conversation, listen to someone speaking was non-existent. I was not in a position to work, to marry, etc. I persisted, however, and finally decided to get rid off the Clonazapem which I was taking 2 mgs daily for 7 years. It is tougher to get off than alchohol they say. My sex drive has since reverted, I can follow what is happening on television, I can drive, etc, etc…I need just some stability from my medication combo to remain on track and perhaps even go on to marry and stuff.

Yes.

From 15mg abilify

To 10mg

To 5mg

Now at 2.5mg

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Really nice post man :+1:

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