I have decided Not to go up to 4 mg of Risperdal, I upped it to 3.5 mg and I am still experiencing Euphoric Manias and frankly I am enjoying them too much!
I feel fabulous, I usually have the irritable mixed dysphoric type manias, Have not felt this Euphoric in a while Have been feeling more Spiritual as well -
I really dont think 4 mg of Risperdal will stop my Highs, If 3.5 mg does nothing for the Manias I have been experiencing, I doubt 4 mg will do the trick, plus I dont want to go that high on my dose - 4 mg is the maximum dose I have been on before, too many side effects at this dose.
I will enjoy this manic ride till I see her in 2 weeks, if the Manias get out of hand, I will call her before my next appointment with her - How Exhilerating!!! 
I really ought to be on a tried and true Mood Stabilizer along with my antipsychotic, when will she get this!!!??
Hows your sleep patterns been lately? As pretty much sleep seems to be the key with controlling mania.
Envy the energy you probably have at the moment and wish I could syphon some of it off you atm.
Most SZ meds are used with BP and vice versa. So can’t see why you want to push specifying mood stabilizers.
Curious also as to why you hadn’t made a plan of attack long before this with your pdoc? ie asking when to up doses, when to get help etc. Saves a great deal of time and heart ache in the long run.
@Wave I hope you don’t crash and burn. 
The plan was to go up to 4 mg of Risperdal, that was the plan - I mean how many psychiatrists discuss future medication alternative plans with their patients? Not many.
The problem or issue is that I have increased my Risperdal dose to 3.5 mg and it has done very little to nothing in slowing down my fast cycling mood shifts.
I seriously doubt that 4 mg will put a sudden stop to my accelerated manic shifts - Yes I need a Mood stabilizer to go a long with my antipsychotic. Sometimes antipsychotics alone are not enough to slow down rapid cycling - sometimes a Mood stabilizer that is geared towards quelling down mania is necessary. When I was on Depakote and Tegretol, I was Not cycling.
It seems that Lamictal, my mood stabilizer that I am on now, helps depressive episodes, not mania so much.
I have bipolar disorder and requires the use of mood stabilizers along with an antipsychotic.
It is obvious to me that the Risperdal has sopped working as a mood stabilizer, and I really dont want to go up to 4 mg, this will increase my side effects.
Mania is a problem, but what is really a bigger issue, is the rapid cycling leading into these manic shifts - Only mood stabilizers can really address this
@Wave, this is not good. Mania can have a negative effect on your life. I highly suggest you call your pdoc and get this worked out.
Greg, I decided to go with the plan - my pdoc said to go up to 4 mg of Risperdal, so I have decided to increase the dose to 3.75 mg today - took it already, and I will be at 4 mg by tomorrow or the following day - decided not to play with fire, this can get ugly really fast, if I am not careful.
I will see how I do at 4 mg in a couple of days, but if their is No improvement, I will call her immediately - and then see what she has up her sleeve. Not going to ■■■■ with this - you are right - @firemonkey is correct, their is a chance that I will crash and burn!
i was on max dose of respiridone in hospital…absolutely terrible side effects.
was on citalopram at same time as well which i think both helped.
i think as long as youre in sight and can notice changes then you will be fine
I’d be careful about those highs. I’ve gotten in the most trouble when I was on a manic high. I’m not going to try to tell you how to run your life. I’m just telling you how it is with me.
Glad you are listening, at least. I’d hate to see the consequences if you went improperly medicated. Call your pdoc if the 4mg dose isn’t working, once you get there. I’m on your side, man. Hang in there!
I remember my first med. it was respirdal. Did absolutely nothing for psychosis and I got extremely tired on it. Just could not function. I’m in a similar boat as you except I think I’m going up down too quick. You should see someone before it goes downhill.
@Daisy79 Yes I am a rapid cycler also , I go up and down and mixed quickly.
I am seeing a psychiatrist ish, I will call her in a couple of days while I am on 4 mg, if things dont improve - thanks
One of my coping skills with mania and a safe play is only do extravagant things with art or music that cost very little money.
Otherwise I end up in a pile of trouble
The lows are way more debilitating than the highs. The higher the high the lower the low
That’s the part I hate the most.
I crashed down tonight - Yeah I am cycling up and down and sideways