The fight over D2 receptors

I’m waiting for a call back from my pdoc on this… but I thought I would ask you guys too. I’m on invega 100mg (just down from 150mg) and vyvanse 70mg (the max legal strength). so a full agonist and an antagonist where D2 receptors are suspected to be one of the main issues causing loss of contact with reality and cognition deficits in schizophrenics… what I find myself feeling is not a harmonious balance, but just getting all the negative effects of each. my thinking is this, I’m now dependent on vyvanse, so when I try to stop I get clang association and looking for codes and general psychosis (guessing due to sedation from withdrawal)… would weaning off vyvanse slowly to eventually be off completely cure this state I’m in of confused thinking, psychosis, and tug of war of sedation and stimulation? in other words, will getting off vyvanse only serve to benefit me? I was originally taking vyvanse for motivation enhancement, but over time I believe it just makes me feel uncomfortable and psychotic (though mildly just enough for some good Wall staring and feeling scared).

Im taking a dopamine supplement, at first I was getting slight benefits but then took too much and ended up becoming psychotic. Are you getting any benefits now from the stimulant vs before taking it?

I was originally diagnosed with ADHD and depression. so I was on Adderall for 6 months before getting a schizophrenic diagnosis. my doctor took me off the amphetamine when I was admitted to the psych ward for two weeks and I went through the withdrawals there, I left and was feeling sad that I didn’t have my amphetamine. so I think I just kept bugging him about it until he said “ok fine” and he gave me Dexedrine 45mg. for the first few months it gave benefit. but then came psychosis over time. the motivation left. it’s been a process of being on and off of a stimulant of some kind for 4 years now. generally I go off and after a few weeks or months do better. but then I go off all meds eventually due to lack of insight, I go back on meds, can’t take the sedation (probably because they use to put me on the max dose of whatever AP) and so I beg them for a stimulant and things again go really well for a month or two, but then again the motivation leaves and is replaced by mild psychosis and apathy.

I feel if my invega dosage is slowly lowered to 50mg or maybe this new 100mg will be good enough, then I won’t feel so sedated and in zombie mode, thus won’t need the stimulants.

I think it’s finally time for me to quit the stimulants for good and stay insightful and stay on my meds at these lower doses.

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