I was on 2MG of risperidone and then went down to 1, then the voices came back. So my pdoc started me back up to 4 MG until the voices subsided and we were talking about tapering down a little but they’re starting to come back. And I’m still on 4 which is a high dose.
Should I go up to 6? My doctor has suggested in the past going up or putting me on multiple antipsychotics and I don’t want to be on a cocktail. @Ninjastar I think you’ve mentioned before how we can desensitize if we go too low.
I understand you might not want to be on a cocktail, but if the doctor thinks it’s the best option for managing your symptoms, I think you should reconsider.
Sometimes symptoms come and go. Have you experienced stress or insomnia lately, or something that might temporarily worsen your symptoms?
I have insomnia sometimes. That’s when the voices started talking again.
Lack of sleep means less strength for your brain to resist the symptoms, and it causes stress, so it’s natural that the voices would worsen a bit during those times.
I hope it sorts out for you soon
4 is not a high dose. I am on 15mg risperidone.
I’m kind of in the same situation I’m 200mg of seroquel and 20mg of zyprexa, and this combination isn’t working.
Why don’t you want to go on a cocktail? They’re great!!! They put me on one when I was in the hospital and it helped me.
I take rexulti and saphris and it’s working out pretty good for me right now. Don’t be discouraged if you have to take a “cocktail”. Just do whatever it takes to get better and stay better.
The reason doctors sometimes prescribe two different meds at a low dose instead of one at a high dose is because people generally experience fewer side effects on two low doses. Don’t be afraid of a cocktail. Ask your doctor what course of action he would recommend.
The problem with increasing risperidone is that it is one of the worse atypicals in terms of extrapyramidal symptoms and prolactin elevation. A high dose might not impact you badly now but down the road you may get tardive dyskinesia from the cumulative effect of a complete dopamine blockade for a long time. There are meds which are easier in terms of eps like clozapine or quetiapine and these meds aren’t much less effective for psychosis than risperidone. Seroquel can actually be quite calming just from its effects on adrenaline release in the brain. I would consider adding a low dose of one of these meds or switching over to one of them entirely. Remember, they’re sedating but you might build up a tolerance to them over time. They can also help you regulate your sleep cycle.
Well ive figured out apart of my problem. Nicotine and caffeine. Im in a similar position as you. I say this in a positive way. Let the pdoc do what he/she thinks is best at first. I mean he asks me what i want to take. I cant do thast anymore.
Know where tob draw line 4thhou4th
@Om_Sadasiva is that a shot or tablet? I am on the tablet.
I’ve been on risperidone three times first two times worked but third was terrible I was very anxious, hallucinations, delusional and very emotional and my doctor at the time wouldn’t increase or change meds.
Ability never helped.
Fanapt didn’t help either
Latuda helped at first but I kept getting symptoms worse and worse each time then increased until finally I am now on the highest recommended dose.
Invega I was on the pills shot and latuda and still had severe symptoms.
The last doctor put me on haldol instead of invega and he kept on having to raise the dose.
tablet 1516467787655566
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