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Manny78: multiple psychotropic drugs - which one first?


Manny78

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Manny78

I have a question for those of you who have akathisia. I am tapering abilify,currently at 8ml.At what rate are you tapering? I am tapering 4% monthly. My symptoms are inner agitation,restless legs,marching or pacing,muscle pain. In addition to abilify 8ml I am taking risperidona 0,86ml, Cymbalta 60mg,klonopin 0, 25mg,and biperiden 4m extended release.

Manny

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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Can the biperiden 4mg extended release broken in half? 

It is not a good idea to break the tablets. Even though they have a score line they are not designed to be broken. Breaking them changes then from extended release to instant release which is very dif

How do I taper them biperiden? Do I take 2 pills of biperiden 2mg non extended release? 

Manny78

I went to the neurologist today. He said that acatisia is a side effect of neuroleptics and that it could go away with decreasing aps or just stay. I kind I expected to hear that. 

 

Can I recover from akathisia and dystonia? It will take me years to come off of all psychiatric meds.

 

 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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  • 4 weeks later...
Manny78

Hi everyone. I am tapering abilify. Now at 7,6ml. Has anyone tried propranolol for akathisia? I am reducing abilify very slowly, 0,2ml every two weeks. I can't cope with this inner akathisia. I read that Propranolol can help but scared to try a need drug. I am taking biperiden 4mg extended release. Should I discontinue biperiden if I switch to propranolol? 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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Manny78

Can anyone explain me what do you understand for tardive psychosis? I can't sleep because I hear voices,and I have inner tremors. I think I have drug induced psychosis. I made a cut 2 days ago with my abilify(April 6th,2021).I also tapered risperidona to 0,80ml on March 23th,2021.Then I went up to 0,84ml on March 27th,2021 and finally back to 0,86ml on April 4th, 2021. I tapered two antipsychotics in a very short time. 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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  • Mentor
Colonial
Posted (edited)

Hi Manny its so nice nice to hear from You again! 🙂

 

More than one drug change in a short period is can be trouble.

You made 4 changes with 2 drugs in only 14 days.

 

I hallucinated bugs in the sink once after dropping too much Paxil.

I also hallucinated technically, by smelling things that were not present from dropping Wellbutrin.

 

Your system is very sensitive, you do know that.

0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21/

 

What happened after March 24th that you increased the Risperdal back up on March 27th after only dropping it 3 days earlier on the 24th?  That probably should have been ok, why did you reinstate all the way back up to the0.86  a week later?

 

If a drop is too much, you can increase but you don't need to go all the way back up to the dose you have been on before.

 

After going back all the way up to the 0.86, only 2 days later, you dropped the abilify on April 6.

That is not a good plan.

You need more time in between changing different medications.

 

What happened after dropping the Risperdal that made you raise it 2 times, and what new symptoms did you get in the past 2 days since dropping the abilify?

 

WD can cause psychosis like issues if your dropping too much med at once

It does not mean you have tardive psychosis from being ON the medication.

 

 

Edited by Colonial

 Starting ds 2 (12.5 CR'S) = 25 MG PAXIL CR 1/21/15: 1 Pill + 10mg liquid (2 weeks) 2/4: 1 Pill + 9mg Lq (3 weeks) 2/25: 1 Pill + 8 mg lq (1 week) 3/4: 1 Pill + 6 mg lq (2 weeks) 3/18/15 1 Pill + 4 mg lq (2 weeks) 4/1/15 1 Pill + 3 mg lq (2 weeks) 4/14/15 1 Pill + 2 mg lq (2 weeks) 4/29/15 1Pill + 1 mg lq (16 days) 5/15/15 1 12.5 mg Pill ONLY (9 days) 5/24/15 12 mgs liquid (8 days) 6/1/15 11mg lq (12 days) 6/13/15 10 mg.  12/3/15 Drop from 8mg to 7.6 (24 days to) 12/27/15 7.2mgs  8/4/16 6.8mgs,  11/1/16 6.4mgs, 2/5/17 6 mgs  4/3/17 5.6mgs, 4/24/17 5.2mg, 6/13/17 4.8mgs, 9/20/17 4.4mgS, 11/23/17 4 mgs, 1/1/18 3.6 mgs, 2/15/18 3.2 mgs. 4/13/18 2.8mgs, 5/11/18 2.4mgs, 6/10/18 2.0 mgs, 8/4/18 1.6mgs,  9/27/18 1.2mgs, 12/24/18 0.8mg, 3/24/19 0.64 mg,(syringe change issue date?) 4/22/19 0.60 mg, 5/24/19 0.60 mg, 7/7/19 0.52 mgs, 8/4/19 0.44mgs, 11/4/19 0.36mgs, 2/1/20 0.28mgs, 3/1/20 0.24mgs (crash April 6)

 

Original Wellbutrin Dose: 6 months from 9/14 to 3/2015, 300 XL 3/15/15: Half to 150 XL ( severe symptoms started on day 12) 4/16/15: 125mg   for 20 days to: 5/6/15:   100mg  for  15 days to: 5/21/15    75mg  for  10 days to: 6/1/15:  56.25mg      13 days to: 6/13/15: 37.25mg    7 days to: 6/20/15  28.12mg   14 days to: 7/4/15  18.75mg, 7 days to: 7/11/15; RAISE BACK TO: 28.12 to 8/14/15: 18.75mg  20 days to :9/3/15 : 12.5mg, 8/4/16 9mg 1/9/17: 8.5mg 2/8/17 8mg, 3/9/17: 7.6  4/9/17  7.2  5/27/17 6.4 6/24/17 5.8, 8/1/17 5.0, 8/29/17 4.2mgs, 10/2/17 3.5mgs, 12/28/17 2.5mgs, 2/27/18 1.7mgs,  4/19/18 0.8 mgs, LAST DOSE: 6/11/18:  3 YEARS, 2 MONTHS, 27 DAYS...

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Manny78

Hi Colonial.Nice talking to you back again. I thought I could handle the risperidona cuts.I wanted to hurry up my taper but I made a mistake stopping the abilify first and resuming the risperidona. I should have waited and not tapered both in a such short time frame. Every time I take abilify I get akathisia sxs. Before they were outer akathisia and now I have inner aka. 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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Manny78
6 hours ago, Colonial said:

Hi Manny its so nice nice to hear from You again! 🙂

 

More than one drug change in a short period is can be trouble.

You made 4 changes with 2 drugs in only 14 days.

 

I hallucinated bugs in the sink once after dropping too much Paxil.

I also hallucinated technically, by smelling things that were not present from dropping Wellbutrin. 

I had auditory hallucinations. It is not the only time it happened. I have had them when I try to sleep. 

6 hours ago, Colonial said:

 

Your system is very sensitive, you do know that.

0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21/

 

What happened after March 24th that you increased the Risperdal back up on March 27th after only dropping it 3 days earlier on the 24th?  I was having outer akathisia really bad. I couldn't walk too much. I had wd sxs like back,hips,and leg pain. 

 

That probably should have been ok, why did you reinstate all the way back up to the0.86  a week later?

 

If a drop is too much, you can increase but you don't need to go all the way back up to the dose you have been on before.

I didn't know. 

6 hours ago, Colonial said:

 

After going back all the way up to the 0.86, only 2 days later, you dropped the abilify on April 6.

That is not a good plan.

You need more time in between changing different medications.

 

What happened after dropping the Risperdal that made you raise it 2 times, and what new symptoms did you get in the past 2 days since dropping the abilify?

 

WD can cause psychosis like issues if your dropping too much med at once

It does not mean you have tardive psychosis from being ON the medication.

 

 

 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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Manny78
Just now, Manny78 said:

I had auditory hallucinations. It is not the only time it happened. I have had them when I try to sleep. 

I didn't know. 

 

 

1 minute ago, Manny78 said:

I had auditory hallucinations. It is not the only time it happened. I have had them when I try to sleep. 

I didn't know. 

 

New sxs are inner agitation or inner akathisia . I have chest vibrations. I don't know if I should go back to 7,8ml since it is the 3rd day on abilify 7,6ml. 

Abilify from 20 mg to 10 mg-Nov.29,2017 to March.24,2019; Abilify 10 mg March.24,2019 to Sep.26,2020; 9,4ml Sep.27,2020;9,8ml Sep.29,2020;9,6ml Oct.17,2020;9,4ml Oct.30, 2020;9,2ml Nov.15,2020;9ml November 25th,2020;8,8ml December 16th,2020;8,6ml December 30th,2020;8,4ml January 13th,2021;8,2ml February 2nd,2021;8ml February 25th,2021;7,8ml March 17th,2021;7,6ml April 6th,2021

Cymbalta 120 mg Jun.28,2011; 90mg Feb.19,2013 to Jun 5,2014;60 mg Jun.5,2014 to present

Klonopin 1,25 mg Jan.3,2016; 0,25mg Nov.28,2017 to present

biperiden extended release 4mg April.25,2008 to Feb.6,2009;Jun 24.2011 to present

Risperidone 2mg May.4,2017 to Dec 6.2019

Risperdal 1,5mg 12/06/19; 1,75mg 12/08/19; 1,5mg 12/20/19; 1,75mg (0,018g) 12/26/19

Risperidone 1,75ml 1/8/20; 1,70ml 1/18/20; 1,62ml 1/30/20; 1,54ml 2/29/20; 1,44ml 5/6/20; 1,42ml 5/7/20; 1,40ml 5/18/20; 1,30ml 6/1/20; 1,25ml 6/11/20; 1,12ml 7/5/20; 1ml 7/21/20; 0,96ml 8/16/20; 0,875ml 8/18/20; 0,86ml 8/28/20; 0,80ml 3/24/21;0,84ml 3/27/21; 0,86ml 4/4/21

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