swordiebrom Posted July 10, 2019 Author Share Posted July 10, 2019 @Altostrata but if I want to stop,how long should I take the 5mg medicine for? And at what dosage should I stop risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Administrator Altostrata Posted July 10, 2019 Administrator Share Posted July 10, 2019 On 7/8/2019 at 12:58 PM, Altostrata said: If you don't have any symptoms at 5mg, that's good. You may be able to get by with less, or zero, if you taper carefully enough. Your decision what you want to do. You can stay at 5mg lurisidone for life if you wish. You've come a long way from 80mg. If you want to go off 5mg lurisidone, you need to continue tapering very gradually, no faster than 10% per month -- since if you get worse symptoms, that would be very bad for you. You're quite a ways from going to zero. You'd stop at a small fraction of 1 milligram. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
swordiebrom Posted July 12, 2019 Author Share Posted July 12, 2019 On 7/11/2019 at 7:31 AM, Altostrata said: If you want to go off 5mg lurisidone, you need to continue tapering very gradually, no faster than 10% per month -- since if you get worse symptoms, that would be very bad for you. You're quite a ways from going to zero. You'd stop at a small fraction of 1 milligram. But smallest dosage required for lurasidone is 40 mg and for risperidone is 0.75 mg,2 mg. Why is it that the dosage required to stop for both medicine is the same? @Altostrata risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Administrator Altostrata Posted July 12, 2019 Administrator Share Posted July 12, 2019 You go down to a very low dosage, a fraction of a milligram, no matter what drug you're tapering. Some of our people tapering benzos or antidepressants are tapering by hundredths of a milligram. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
swordiebrom Posted July 12, 2019 Author Share Posted July 12, 2019 1 hour ago, Altostrata said: You go down to a very low dosage, a fraction of a milligram, no matter what drug you're tapering. Some of our people tapering benzos or antidepressants are tapering by hundredths of a milligram. That doesn't make sense scientifically, some drug may be more diluted than others which is why therapeutic dosages are different. And in your tapering thread, you say to jump off at 98% of original dose. @Altostrata risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Administrator Altostrata Posted July 13, 2019 Administrator Share Posted July 13, 2019 What is the reason you're arguing with me about this when you don't know how you'll feel on less that 5mg lurisidone? I can't tell you exactly when you'll jump off. At this point, it's hypothetical you'll get down to below 1mg at all. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
swordiebrom Posted July 14, 2019 Author Share Posted July 14, 2019 13 hours ago, Altostrata said: What is the reason you're arguing with me about this when you don't know how you'll feel on less that 5mg lurisidone? I can't tell you exactly when you'll jump off. At this point, it's hypothetical you'll get down to below 1mg at all. isn't there a % based guideline where i can follow?The doctor assured me it's fine to just stop medicine at the lowest dose because that's how everyone has done it before and rarely people get any withdrawal doing that but don't just stop medicine immediately at medium or higher dosage. @Altostrata risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Moderator brassmonkey Posted July 14, 2019 Moderator Share Posted July 14, 2019 The reason for the existence of this site is because of bad information like your doctor is giving you. If you researched what he is saying you would find that well over 65% (some sources say 85%) of people who follow those instructions suffer from a "return of their original symptoms" and have to restart their medication. The "return of their original symptoms" has been proven time and again to be withdrawal. That withdrawal is actually documented in the PDR that the doctors are meant to use for reference. Because the majority of the medical community disavow the existence of ADWD there has been very limited research conducted on it and even less information disseminated. Over the years of working with many thousands of members we have developed a protocol that limits the pain and suffering of ADWD. This protocol is not hard and fast and has to be adapted to each individual. There are no percentages on how to do it and no precise end point to do the last reduction to "0". It is dependent on the person taking responsibility to listen to their body, collect information and make a decision on how they wish to proceed. We offer a variety on information on how to taper psych drugs in general. With the vast number of drugs and combinations of drugs we see, there is no possible way we could collect enough detailed information on every one to make precise recommendations on an individual basis. Maybe in the future it will be possible, but no one, not even the manufacturers of the medications, has the information you're asking for. 20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013. Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks. The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better. Final Dose 0.016mg. Current dose 0.000mg 04-15-2017 "It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general." Stephen Hawking Link to comment
swordiebrom Posted July 15, 2019 Author Share Posted July 15, 2019 @brassmonkeyso whats the average dosage i should stop at? like % based on original dose or something, if theres no baseline, how do people taper, by trial and error? risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Moderator Emeritus ChessieCat Posted July 15, 2019 Moderator Emeritus Share Posted July 15, 2019 When to end the taper and jump to zero? * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
swordiebrom Posted July 15, 2019 Author Share Posted July 15, 2019 11 minutes ago, ChessieCat said: When to end the taper and jump to zero? @ChessieCatthat post doesn't give an average of what dosage people stop their taper. And my psychotic symptoms return after being 6 months off medicine, therefore i am unsure if its withdrawal or relapse risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Moderator Emeritus ChessieCat Posted July 15, 2019 Moderator Emeritus Share Posted July 15, 2019 No there isn't. I was referring you to the topic to help you understand that there is no specific dosage to stop at. BrassMonkey has already stated precisely that in his previous post, which I have quoted below. 13 hours ago, brassmonkey said: There are no percentages on how to do it and no precise end point to do the last reduction to "0". It is dependent on the person taking responsibility to listen to their body, collect information and make a decision on how they wish to proceed. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Nocturna Posted December 29, 2019 Share Posted December 29, 2019 Hey @swordiebrom how are you doing with your symptoms? I'm also at a point where I wonder whether my re-occurance of psychotic symptoms (false beliefs being one of them) is due to relapse or withdrawal from too quickly stopping the AP. It's a very hard question to answer indeed. In the end of 2015, got into a few days of psychosis and got an outpatient appointment with a psychiatrist, a diagnosis of schizo-affective disorder and a 2 month treatment with Risperidone. At the current point in time, my doctor is not convinced anymore in the diagnosis, rather points out depression and anxiety as my main condition, but I'm still taking Abilify as prevention therapy. 2016 - 7.5 mg Abilify; 2017 - 2018 - 2 mg; April 2019 - May 2020 - 5 mg; June - December 2020 - 4.5 - 2.3 mg (-10% / month) -> early 2021 - upped a little bit because of a depressive episode and insomnia March 2021 to Jan 2022 - down to 0.7 mg -> Feb 2023 - another depression+insomnia episode, so up again; added vit. B3, melatonin, L-tryptophan and split the Abilify dose in two May 2022 to Nov 2022 - 2 mg down to 0.75 mg -> middle of January 2023 - insomnia kicked in, some derealizations too; so up to: Jan-April - 1 mg Abilify up to 1.5 mg; added Quetiapin 6 mg for a month, then down to 0 mg Current: staying at 0.5 mg Abilify to stabilize Link to comment
swordiebrom Posted January 25, 2020 Author Share Posted January 25, 2020 Still relatively fine, having some insomnia and anxiety, anyone has any solution? risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
swordiebrom Posted January 25, 2020 Author Share Posted January 25, 2020 On 7/15/2019 at 3:44 AM, brassmonkey said: The reason for the existence of this site is because of bad information like your doctor is giving you. If you researched what he is saying you would find that well over 65% (some sources say 85%) of people who follow those instructions suffer from a "return of their original symptoms" and have to restart their medication. The "return of their original symptoms" has been proven time and again to be withdrawal. That withdrawal is actually documented in the PDR that the doctors are meant to use for reference. Because the majority of the medical community disavow the existence of ADWD there has been very limited research conducted on it and even less information disseminated. Over the years of working with many thousands of members we have developed a protocol that limits the pain and suffering of ADWD. This protocol is not hard and fast and has to be adapted to each individual. There are no percentages on how to do it and no precise end point to do the last reduction to "0". It is dependent on the person taking responsibility to listen to their body, collect information and make a decision on how they wish to proceed. We offer a variety on information on how to taper psych drugs in general. With the vast number of drugs and combinations of drugs we see, there is no possible way we could collect enough detailed information on every one to make precise recommendations on an individual basis. Maybe in the future it will be possible, but no one, not even the manufacturers of the medications, has the information you're asking for. Hi, how do you deal with anxiety and insomnia? risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
swordiebrom Posted January 28, 2020 Author Share Posted January 28, 2020 Hi, is there anyone with the same experience? Could you share with me your solution? risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Nocturna Posted January 29, 2020 Share Posted January 29, 2020 On 1/25/2020 at 7:49 PM, swordiebrom said: Still relatively fine, having some insomnia and anxiety, anyone has any solution? Good to hear you're doing fine! When I had insomnia just before my relapse and some occasions after reinstantiating the medicine, what helped me the most was a food additive with melatonin. Took it for a few weeks, it's not addictive AFAIK. Also added to that some magnesium and now I'm attempting to keep up a mindfulness practice (meditation and journaling) - this seems to help with anxiety as well. In the end of 2015, got into a few days of psychosis and got an outpatient appointment with a psychiatrist, a diagnosis of schizo-affective disorder and a 2 month treatment with Risperidone. At the current point in time, my doctor is not convinced anymore in the diagnosis, rather points out depression and anxiety as my main condition, but I'm still taking Abilify as prevention therapy. 2016 - 7.5 mg Abilify; 2017 - 2018 - 2 mg; April 2019 - May 2020 - 5 mg; June - December 2020 - 4.5 - 2.3 mg (-10% / month) -> early 2021 - upped a little bit because of a depressive episode and insomnia March 2021 to Jan 2022 - down to 0.7 mg -> Feb 2023 - another depression+insomnia episode, so up again; added vit. B3, melatonin, L-tryptophan and split the Abilify dose in two May 2022 to Nov 2022 - 2 mg down to 0.75 mg -> middle of January 2023 - insomnia kicked in, some derealizations too; so up to: Jan-April - 1 mg Abilify up to 1.5 mg; added Quetiapin 6 mg for a month, then down to 0 mg Current: staying at 0.5 mg Abilify to stabilize Link to comment
Nocturna Posted January 29, 2020 Share Posted January 29, 2020 On 7/15/2019 at 11:35 AM, swordiebrom said: @ChessieCatthat post doesn't give an average of what dosage people stop their taper. And my psychotic symptoms return after being 6 months off medicine, therefore i am unsure if its withdrawal or relapse In the search for the "withdrawal vs. relapse" topic I stumbled upon the term "supersensitivity psychosis", see https://en.m.wikipedia.org/wiki/Supersensitivity_psychosis It seems to be a not very well researched and controversial topic, but it's interesting, also look at the "further reading" section - I found the 3rd paper, from 2006, as a pdf and it's quite interesting. In the end of 2015, got into a few days of psychosis and got an outpatient appointment with a psychiatrist, a diagnosis of schizo-affective disorder and a 2 month treatment with Risperidone. At the current point in time, my doctor is not convinced anymore in the diagnosis, rather points out depression and anxiety as my main condition, but I'm still taking Abilify as prevention therapy. 2016 - 7.5 mg Abilify; 2017 - 2018 - 2 mg; April 2019 - May 2020 - 5 mg; June - December 2020 - 4.5 - 2.3 mg (-10% / month) -> early 2021 - upped a little bit because of a depressive episode and insomnia March 2021 to Jan 2022 - down to 0.7 mg -> Feb 2023 - another depression+insomnia episode, so up again; added vit. B3, melatonin, L-tryptophan and split the Abilify dose in two May 2022 to Nov 2022 - 2 mg down to 0.75 mg -> middle of January 2023 - insomnia kicked in, some derealizations too; so up to: Jan-April - 1 mg Abilify up to 1.5 mg; added Quetiapin 6 mg for a month, then down to 0 mg Current: staying at 0.5 mg Abilify to stabilize Link to comment
Administrator Altostrata Posted January 29, 2020 Administrator Share Posted January 29, 2020 See Tips to help sleep -- so many of us have that awful withdrawal insomnia Path to Better Sleep FREE online for everyone from the US Veterans Administration Music for self-care: Calms hyperalertness, anxiety, aids relaxation and sleep What is the sleep cycle? Melatonin for sleep: Many people find it helpful Magnesium, nature's calcium channel blocker TV or computer use in evening can disrupt sleep: Bright light signals the brain that it's daytime Non-drug techniques to cope with emotional symptoms Easing your way into meditation for a stressed-out nervous system Music for self-care: calms hyperalertness, anxiety, aids relaxation and sleep Ways to cope with daily anxiety This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
swordiebrom Posted January 30, 2020 Author Share Posted January 30, 2020 I realised that sometime I get too anxious and mumble to myself, also might have some disordered thinking from time to time risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
badmeditator Posted December 17, 2020 Share Posted December 17, 2020 (edited) From: 20 minutes ago, badmeditator said: JAMA Psychiatry Aug 5 2020 Horowitz, Murray, Taylor "Tapering Antipsychotic Treatment" Psychopharmacology (2013) 229:245-252 Wong, Kuwabara et al. "Determination of dopamine D 2 receptor occupancy by lurasidone using positron emission tomography in healthy male subjects" I would not treat "zero" as a goal. I would just run on 1.66 mg for a long time and not stress about taking such a small dose. The pictured table shows D2 receptor blockade as a function of dose, in percent. You came from something like 75% blockade and you're running around 12% today. Give your brain some time, think about going to 1 mg in 12 months. Don't pay attention to all the decimals, I fit a curve and it's all noise after the decimal point. Just to be clear, right column is in percent. Edited December 17, 2020 by ChessieCat added source from member's PM Link to comment
Administrator Altostrata Posted December 17, 2020 Administrator Share Posted December 17, 2020 Please note that Horowitz has said elsewhere that to fit the curve, the jumping-off point might be 1/40 or less of the original dose, which would be 0.125mg relative to 5mg. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
badmeditator Posted December 17, 2020 Share Posted December 17, 2020 37 minutes ago, Altostrata said: Please note that Horowitz has said elsewhere that to fit the curve, the jumping-off point might be 1/40 or less of the original dose, which would be 0.125mg relative to 5mg. I am too new to know what is meant by the term "jumping off point." I looked for a paper that gives the D2 saturation curve for lurasidone. I found the second referenced paper, which gave me the 5 points with arrows against them. I discarded the rightmost one because I didn't like it. Note the standard deviations, they are super high. Note also that they looked at 4 patients only, all male. I could not find better data, so I ran with what I had. You seem to be saying that the D2 saturation curve depends on the original dose. Could you explain how? I am asking for information, not fighting. I fit a hyperbolic curve to the 4 points, m is 82.9 and k is 9.5. I'm starting at 35 mg, but the curve should be the same for everyone. The dots are the waypoints I picked, they are more conservative than the 10% saturation reduction steps recommended, for reasons that aren't important.. I claim that since OP is taking 1.6 mg, s/he is running around 12% D2 saturation right now. That is down hugely from where s/he started. I'd be super happy if I could get down to 12% from where I am taking 35 mg today! Link to comment
Administrator Altostrata Posted December 18, 2020 Administrator Share Posted December 18, 2020 The reference to 1/40 of the original dose is based on the dosage response curve. Horowitz estimates about 1/40 is low enough occupancy to safely go to zero. You can see where 0.125mg is very much lower than 7% D2 saturation. He believes 12% occupancy is significant enough to cause withdrawal symptoms if you quit at that point. I have written him asking him to clarify this last step in a taper. Many people want to know, @brassmonkey for example! This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
badmeditator Posted December 18, 2020 Share Posted December 18, 2020 I think he's saying you can totally discontinue at 2.5% of the orginal dose. That's your stopping point, which will be a great day. I totally agree that you should try to get below 5%, and maybe further, before stopping. Problem is that each step is months and months. Link to comment
swordiebrom Posted September 16, 2021 Author Share Posted September 16, 2021 Currently decided to stay on 40mg lurasidone antipsychotic and its helping my illness a lot. Have not relapse in two years and is currently in college studying computer science If you experience psychotic symptoms multiple times after stopping antipsychotics, it may be your underlying mental illness rather than the withdrawals risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
swordiebrom Posted September 16, 2021 Author Share Posted September 16, 2021 This made me realised that I probably have to stay on lurasidone or other antipsychotic long term to stay in remission Don't stop your antipsychotics if you experience psychotic symptoms after coming off it after a while risperidone 5mg on 17 december 2017 4mg from 15/1/2018 3mg from 23/1/2018 2 mg from 27/3/2018 fluoxetine 20mg started 15/12/2017,stopped 15/1/2018 1/1/2019 80 mg lurasidone 2/1/2019 40 mg lurasidone 3/1/2019 stopped 29/5/2019 20 mg lurasidone 7/6/2019 10 mg lurasidone 27/6/2019 5 mg lurasidone 30/11/2019 2 mg lurasidone 30/12/2019 1.66 mg lurasidone Taking 40mg lurasidone and its helping a lot, don't stop your antipsychotic if you suffer from psychotic symptoms Link to comment
Nocturna Posted September 16, 2021 Share Posted September 16, 2021 32 minutes ago, swordiebrom said: Have not relapse in two years and is currently in college studying computer science Woohoo, congratulations! Stay healthy and creative 😉 I find computer science to be a very fulfilling profession, also generally well paid and many companies accept reduced working hours, which can help you manage stress (which is super important). Also, going off meds is probably good, but staying far away from psychosis is definitely more important, and to me a not so high dose of my antipsychotic has helped me manage life on my own when I was living abroad (which boosts confidence). Good luck with the studies and feel free to DM me for some job finding tips if you wish. 🤞 In the end of 2015, got into a few days of psychosis and got an outpatient appointment with a psychiatrist, a diagnosis of schizo-affective disorder and a 2 month treatment with Risperidone. At the current point in time, my doctor is not convinced anymore in the diagnosis, rather points out depression and anxiety as my main condition, but I'm still taking Abilify as prevention therapy. 2016 - 7.5 mg Abilify; 2017 - 2018 - 2 mg; April 2019 - May 2020 - 5 mg; June - December 2020 - 4.5 - 2.3 mg (-10% / month) -> early 2021 - upped a little bit because of a depressive episode and insomnia March 2021 to Jan 2022 - down to 0.7 mg -> Feb 2023 - another depression+insomnia episode, so up again; added vit. B3, melatonin, L-tryptophan and split the Abilify dose in two May 2022 to Nov 2022 - 2 mg down to 0.75 mg -> middle of January 2023 - insomnia kicked in, some derealizations too; so up to: Jan-April - 1 mg Abilify up to 1.5 mg; added Quetiapin 6 mg for a month, then down to 0 mg Current: staying at 0.5 mg Abilify to stabilize Link to comment
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