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Manny78: multiple psychotropic drugs - which one first?


Manny78

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  • Administrator
On 5/2/2018 at 2:04 PM, Manny78 said:

Hello everyone, someone here taking lithium,lamotrigine (lamictal). My mom is taking both but she stopped taking the morning dose month ago.I suspect that she is hearing voices or she is having  deliriums.
Should she resume on her latest dose? She is taking 1 and 1/4 mgs of lithium and 1 lamotrigine pill in the morning. She takes plenur,lamictal,anafranil,zyprexa.

Thanks,

Manny

 

Sorry to miss this. Those are a lot of drugs, do you and your mother go to the same doctor? Please ask your mother to join this site or start an Introductions topic for here.

 

On 9/21/2018 at 2:13 AM, Manny78 said:

Hello. Is anybody doing water titration? I am doing it. I am at 15 mg and  I feeling bad. I started 10 months ago at 20mgs. I am having tremors in my legs. I would like to speak with people with the same experience. 

 

 

On 11/25/2017 at 3:33 PM, ChessieCat said:

....

Q:  Have you had a liver function test done?

 

I have used this interactions checker with these results:

Monitor Closely

  • duloxetine + risperidone

    duloxetine will increase the level or effect of risperidone by affecting hepatic enzyme CYP2D6 metabolism. Use Caution/Monitor.

  • aripiprazole + risperidone

    aripiprazole and risperidone both increase antidopaminergic effects, including extrapyramidal symptoms and neuroleptic malignant syndrome. Use Caution/Monitor.

  • clonazepam + aripiprazole

    clonazepam and aripiprazole both increase sedation. Use Caution/Monitor.

  • clonazepam + risperidone

    clonazepam and risperidone both increase sedation. Use Caution/Monitor.

  • aripiprazole + risperidone

    aripiprazole and risperidone both increase sedation. Use Caution/Monitor.

Minor

  • duloxetine + aripiprazole

    duloxetine will increase the level or effect of aripiprazole by affecting hepatic enzyme CYP2D6 metabolism. Minor/Significance Unknown.

....

 

Manny, did you ever get that liver function test?

 

Do your symptoms follow any daily pattern?  Please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

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.

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23 hours ago, Altostrata said:

 

Sorry to miss this. Those are a lot of drugs, do you and your mother go to the same doctor? Please ask your mother to join this site or start an Introductions topic for here.

Yes,my mother and I go to the same doctor. She doesnt speak English.

 

 

 

 

Manny, did you ever get that liver function test?

 

Do your symptoms follow any daily pattern?  Please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

Hello altotrasta. How are you? No, I haven't done any test to check how my liver is functioning. I don't know a single doctor who will

do it. They all wash their hands. Maybe a holistic doctor. Basically, I don't know what is wrong with me. I feel very tired all the time. I might have adrenal fatigue. I do blood work every 3 to 6 months.  I started reducing on November,27th,2017,the abilify. I had problems with it because the active ingredient(aripriprazol) isn't distributed evenly in the pill, and I was shaving and weighing every pill. So far I was able to reduce 5mgs of abilify out of 20mg. How many mls of water is used to do water titration?  I am doing it with 10mls. I remove 5ml of water and I toss away the other 5ml. I am keeping notes when I reduce. For example, 08/31/18, I drink 5ml,and I toss away 5ml of abilify. 

I take 1 pill of 10mg of abilify by mouth and I take 5mls of water with water titration. My legs hurt all the time. They get better at night. I was getting fasciculations on them now that I reached 15mg of abilify.

 

Right now I take this:

 

Abilify 15mg in the morning

Risperdal 2mg at bedtime

Klonopin 0,25mg at bedtime

Cymbalta 60mg in the morning

Biperiden 4mg in the morning

 

Thank you,

 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator

Manny, what do you mean you don't know of any doctors who will order liver and kidney function tests? Are these included in your blood tests?

 

I don't know if you might have an illness along with too many drugs. You need to see a doctor for that.

 

Here is our topic about Tips for tapering off aripiprazole (Abilify)  it explains water titration.

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.

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Hi,altotrasta.I don't know if they check that on the blood test. I can show you though the blood test.My primary doctor refuses to give me a copy of the results.I should demand them or get a new primary doc.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Moderator Emeritus
8 hours ago, Manny78 said:

.I don't know if they check that on the blood test.

 

The easiest way to find out is to ring up the doctor and ask if it was included in the test.

 * * * * * *   PLEASE WATCH THIS VIDEO   * * * * * *

Antidepressant Withdrawal Syndrome and its Management

 

MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

Please DO NOT TAG me - thank you.

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  • Moderator Emeritus
On 9/25/2018 at 5:52 AM, Altostrata said:

Do your symptoms follow any daily pattern?  Please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

Please remember to do this and post them here in your Intro topic.

 * * * * * *   PLEASE WATCH THIS VIDEO   * * * * * *

Antidepressant Withdrawal Syndrome and its Management

 

MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

Please DO NOT TAG me - thank you.

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  • 3 months later...

Hello everyone,is it possible to taper two antipsychotics at the same time,in my case abilify and risperdal? If yes,what percentage? I take 13,8mg of abilify in.the morning and 2mg of risperdal.at night.Thank you,

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Moderator Emeritus

Tapering two drugs at the same time is generally NOT recommended.  If you start to experience difficulties you will not know what is causing them.  You might then updose both drugs because of this.  Then you would need to hold to stabilise.  It may end up taking longer than if you tapered one drug at a time.  One option is to taper one drug down for a while, do a hold to ensure that you are stable and then taper the other drug down for a while and do a hold.

 

taper-more-than-one-drug-at-a-time

Alto:  "Try this only if you know your withdrawal symptom pattern and know how to control your taper with various tapering techniques."

 

taking-multiple-psych-drugs-which-drug-to-taper-first

Alto:  "If you're not having an adverse reaction from the other medications, taper the most activating drug first. This is usually an antidepressant or stimulant (ADHD drug)."

 

Edited by ChessieCat

 * * * * * *   PLEASE WATCH THIS VIDEO   * * * * * *

Antidepressant Withdrawal Syndrome and its Management

 

MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

Please DO NOT TAG me - thank you.

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  • 1 month later...

Hello guys. I went to my psychiatrist today because,my primary doctor won t prescribe me without seeing the psychiatrist.I didnt say anything to him. He said that I need to take this crap because I have a so called  chronic disease. It makes me really mad. I am.tapering abilify on my own with the liquid tritation method, but it seems that I cant get any further.I am stuck at 13,8 mg of abilify.,How do you deal with past experiences,emotions etc? I Know my psychiatrist is lying and I will probe him wrong. I will probe it to myself I can do this.He prescribed me pills for 9 months.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • ChessieCat changed the title to Manny78: multiple psychotropic drugs - which one first?
  • Administrator

Why are you stuck at 13.8mg Abilify, Manny?

 

Looks like you can get all the Abilify you want, at least.

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.

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17 hours ago, Altostrata said:

Why are you stuck at 13.8mg Abilify, Manny?

 

Looks like you can get all the Abilify you want, at least.

Hi,altostrata. I am stuck because i have very bad withdrawal symptoms. I think  I have developed dystonia and akathisia. I started tapering off abilify at 20mg in November,2017  and all what I could remove is 6,4 mg. My hands fingers shake a lot and I have inner vibrations. I think I hit tolerance.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator

Are you still taking all of these? When did the dystonia and akathisia start? What are the symptoms like?

 

How is your sleep?

 

On 9/25/2018 at 1:14 PM, Manny78 said:

Abilify 15mg in the morning

Risperdal 2mg at bedtime

Klonopin 0,25mg at bedtime

Cymbalta 60mg in the morning

Biperiden 4mg in the morning

 

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.

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18 hours ago, Altostrata said:

Are you still taking all of these? When did the dystonia and akathisia start? What are the symptoms like?

 

How is your sleep?

 

 

Yes,I am taking all of that. It started when  when I started to taper abilify. I have contortion movement in my back. Also,akathisia, I need to pace around.My back back is flame as well my legs. My

sleep is broken. I wake up at 3 am, but I fall sleep again.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator

Manny, your doctor is a bad doctor. You are taking too many drugs in a bad combination.

 

You need to find a doctor who will see that you are taking too many drugs. To be honest, I think that drug combination is now causing major problems. It could be causing those symptoms. They could be so serious, you may have to go off some of those drugs rather quickly. You may suffer withdrawal symptoms when you do this.

 

When was the last time you reduced Risperdal? What happened then?

 

What times of day do you take each drug, and their dosages?

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.

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When you say quickly,what do you mean? at what percentage? 

I can't find a doctor who takes me out off these drugs. They are all the same sadly.

Can I stop tapering off abilify and start to taper risperidone 2mg or klonopin 0,25mg? Can I jump from 13,6mg of abilify to 10mg?

 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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What do the doctors say when they look at all your drugs?

 

Why are you taking biperiden? What effect does it have on you?

 

The Risperdal and Abilify are the most dangerous. I am worried about your reaction to changing Abilify. If I were you, Klonopin would be the last drug to taper.

 

Here are your drug interactions: https://www.drugs.com/interactions-check.php?drug_list=2019-1305,949-2273,233-109,703-357,384-0&types[]=major&types[]=minor&types[]=moderate&types[]=food&types[]=therapeutic_duplication&professional=1

 

Quote

 

risperiDONE ARIPiprazole

Applies to: Risperdal (risperidone), Abilify (aripiprazole)

MONITOR: Agents with anticholinergic properties (e.g., sedating antihistamines; antispasmodics; neuroleptics; phenothiazines; skeletal muscle relaxants; tricyclic antidepressants; disopyramide) may have additive effects when used in combination. Excessive parasympatholytic effects may result in paralytic ileus, hyperthermia, heat stroke, and the anticholinergic intoxication syndrome. Peripheral symptoms of intoxication commonly include mydriasis, blurred vision, flushed face, fever, dry skin and mucous membranes, tachycardia, urinary retention, and constipation. Central symptoms may include memory loss, disorientation, incoherence, hallucinations, psychosis, delirium, hyperactivity, twitching or jerking movements, stereotypy, and seizures. Central nervous system-depressant effects may also be additively or synergistically increased when these agents are combined, especially in elderly or debilitated patients. Use of neuroleptics in combination with other neuroleptics or anticholinergic agents may increase the risk of tardive dyskinesia. In addition, some neuroleptics and tricyclic antidepressants may cause prolongation of the QT interval and theoretically, concurrent use of two or more drugs that can cause QT interval prolongation may result in additive effects and increased risk of ventricular arrhythmias including torsade de pointes and sudden death.

 

 

I am concerned that you have developed a movement disorder from risperidone, aripiprazole, or the combination of the two drugs.

 

Biperiden, an anticholinergic, might be adding to this. From WHO Model Formulary 2008:

 

Quote

 

Biperiden

Injection: 5 mg (lactate) in 1-ml ampoule. Tablet: 2 mg (hydrochloride).

Uses: drug-induced extrapyramidal symptoms (but not tardive dyskinesias) and adjunctive treatment of parkinsonism.

 

 

 

 

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.

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8 hours ago, Altostrata said:

What do the doctors say when they look at all your drugs? I just don't know. My primary doctor when  I was put on the psychotropic drugs said that I probably I would need to take them for the rest of my life. When I asked my psychiatrist about the tremors, he said that it could be the risperdal and the biperiden,but I was taking much less compared to the 30mg of abilify and 9 mg of risperdal I used to take. 

 

Why are you taking biperiden? What effect does it have on you? I take the biperiden for the extrapiramidal effects of the antipsychotics drugs but basically it doesn't work because I have the movement disorders.

 

The Risperdal and Abilify are the most dangerous. I am worried about your reaction to changing Abilify. If I were you, Klonopin would be the last drug to taper.

Which drug would you advice me to taper first? Do I continue with the abilify? I am using the 10 mg abilify disintegrating tablets.what I do is to mix one tablet with 10ml of water and I pull out 0,2ml every time I decrease.

 

Edited by ChessieCat
coloured responses and removed unnecessary quote

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator
14 hours ago, Manny78 said:

When I asked my psychiatrist about the tremors, he said that it could be the risperdal and the biperiden

 

Is this doctor aware of the other 3 drugs you're taking? All of them need to be considered.

 

manny, my feeling is you need to make a big change in your drugs -- you need to go off Abilify or Risperdal altogether, and probably cut Cymbalta in half --  but I'm concerned that if you do that, you would get very sick. This is a change that's best done in the hospital.

 

Can you find another psychiatrist who will help you minimize your drugs?

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.

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18 hours ago, Altostrata said:

 

Is this doctor aware of the other 3 drugs you're taking? All of them need to be considered.

 

manny, my feeling is you need to make a big change in your drugs -- you need to go off Abilify or Risperdal altogether, and probably cut Cymbalta in half --  but I'm concerned that if you do that, you would get very sick. This is a change that's best done in the hospital.

 

Can you find another psychiatrist who will help you minimize your drugs?

Hi altostrata.Yes,my doctor knows that I am taking  five medications,but he won't  do anything to change it.When I did blood work,he said my transaminases were high and the meds I take could be a factor.He never said I need to come off.They're playing with my health both my primary doctor and my psychiatrist.They don't give  a damn. I can't go to a detox center or hospital because there is none. It is too expensive and they would get you out too fast.Maybe I can get a second opinion,but knowing all what I know I am afraid of.all doctors are the same. 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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I'm sorry , Manny. You are taking a dangerous and probably unnecessary combination of drugs.

 

High transaminases indicate possible liver damage. Your other symptoms may also be serious side effects of the drugs. A responsible doctor would put you in the hospital and have you at least quickly discontinue Abilify or Risperdal and possibly reduce Cymbalta. Being in the hospital is important in case you have severe withdrawal reactions.

 

While I believe that minimizing your drug burden as soon as possible is important, I cannot tell you to quickly stop taking your drugs on your own. It is dangerous.

 

I'm not sure how the health system works in your country. You might have to appeal to your primary care doctor's and psychiatrist's supervisors and demand to be assigned to someone else as the drug combination is causing liver damage and possibly a movement disorder. You need to find medical help right away. Can you go directly to the hospital and ask to  be admitted?

 

 

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

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Hi,altostrata. If I get admitted in a hospital,it wouldn't be to get off of drugs. They sent you there to take more drugs.basically,they get you off of drugs in three weeks.they play with you. It happened to me when I came from the USA.I was on cold turkey from valium, and they put me to geodon and klonopin. I starting having tremors because I had never been in an antipsychotic. I can try a private psychiatrist to see if he can help me.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • 5 months later...

Anyone knows how to taper biperiden? I was told to stop taking it and to reduce my abilify or risperidone. Thank you. Manny

 

Please dont delete my post or ban me. I was asked by the administrator,altotrasta, to go to the hospital for help with my psychotropic drugs. I tapered abilify to the point of 10 mgs. I developed  inner tremors.I stopped tapering abilify in may 2019.

 

As today I take the following meds:

Abilify 10mg,risperidone 2mgs,cymbalta 60mgs,klonopin 0,25mg and biperiden 4mg.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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1 hour ago, Manny78 said:

Anyone knows how to taper biperiden?

 

It's the usual 10% per month, Manny.

 

If you're showing signs of liver damage and movement disorder, YOU MUST GET MEDICAL HELP. Why can't you discuss this with a doctor?

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

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This is the advice I was given by other doctor:

´I have to admitt that it seems to me you are on too many drugs and that those tremors could be a neurological side effect of one or more of your medications (achatisia, tardive dyskinesia, parkinsonism or chronic dystonia).

It seems there is not evidence to support the prescription of two antipsychotics (altough this is common practice), and in the case that this were a temporary option, I don`t consider the combination of ariprazole+risperidone the best option. May be if you could stop one of them this would help with the tremors. On the other hand, I tend to use akineton (biperideno) just for acute dystonias, not as a long term treatmente, because the cognitive disfunction it can cause among other anticholinergic side effects.

Another point would be to check accurately any pharmacological interactions with other drugs of common use, like statins for reducing cholesterol or omeprazol for gastric protection. Another very easy option to try to minimize metabolic interactions, would be to shift rivotril (clonazepam) to lorazepam, that does not interfere with the liver metabolism. Finally, I don`t know why you are taking duloxetine, but like any other antidepressant, it should not be prescribed for long periods, and it has an important risk to produce withdrawal symptoms. Another posibility would be to have a pharmacogenetic test done (Amplichip or others ) to know if you have a metabolic deficiency that makes the medication less effetive or gives you serious side effects.
I have checked the metabolic interactions of your treatment and it seems a priory that the metabolic liver path 2D6 is saturated, which means that some drugs are interacting with others and this could affect the efficacy of your treatment.
I am sorry for all this technical talking, but in summary my advice would be: try just one antipsychotic (if still necessary), stop Akineton (biperiden), try to discontinue antidepressants if you are not feeling depressed and shift clonazepam (rivotril) to lorazepam.
Of course this is only a theoretical hypotesis and you have to keep in mind the serious risk of relaps or withdrawal symptoms, so, again, please, get in contact with your psychiatrist to discuss all these issues.¨

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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Hello everyone. I am asking for advice for my mom. My mom is taking lithium 400 mg(1 and ¼,0,1 and 1, ¼),Anafranil 75mg (0,0,1),Lamotrigine 25mg (1,0,1) and zyprexa 15mg (0,0,1). She just stopped taking her meds for 1 or 2 weeks (early june), and she is having severe back pain now.

Before this my mom (march 6,2019) was taking lithium (1 and ¼ twice a day),anafranil 75 mg (0,0,1),lamotrigine 100 mg (0,0,1) and zyprexa 5mg (0,0,1).

 

She was taking to the hospital on June 19,2019, where she was discharged with the diagnosis of severe depressed disorder with psychotic symptoms and treatment of lamotrigine 25mg (1,0,0),lithium 400 mg (1,0,0 for two days)at the 3rd day (1,0,1 ½), anafranil 75 mg (0,0,1) and zyprexa 5 mg (1,1,1).

 

Later her psychiatrist (june 27th,2019), made these changes, lithium 400 ( 1 and ¼ twice a day),Anafranil 75mg (0,0,1),Lamotrigine 25mg (1,0,1) and zyprexa 15mg (0,0,1).

 

She went to her gp yesterday, and he give her ketoprofen 25 mg which is not supposed to be taken in conjunction with the lithium. She did a cold turkey and she was reinstated not even to the same dose she was before.Any suggestions on what she can do? I am afraid she will have to wait many months to get a little better. She has artrosis on her back too.

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator
On 9/11/2019 at 4:49 AM, Manny78 said:

This is the advice I was given by other doctor:

´I have to admitt that it seems to me you are on too many drugs and that those tremors could be a neurological side effect of one or more of your medications (achatisia, tardive dyskinesia, parkinsonism or chronic dystonia).

It seems there is not evidence to support the prescription of two antipsychotics (altough this is common practice), and in the case that this were a temporary option, I don`t consider the combination of ariprazole+risperidone the best option. May be if you could stop one of them this would help with the tremors. On the other hand, I tend to use akineton (biperideno) just for acute dystonias, not as a long term treatmente, because the cognitive disfunction it can cause among other anticholinergic side effects.

Another point would be to check accurately any pharmacological interactions with other drugs of common use, like statins for reducing cholesterol or omeprazol for gastric protection. Another very easy option to try to minimize metabolic interactions, would be to shift rivotril (clonazepam) to lorazepam, that does not interfere with the liver metabolism. Finally, I don`t know why you are taking duloxetine, but like any other antidepressant, it should not be prescribed for long periods, and it has an important risk to produce withdrawal symptoms. Another posibility would be to have a pharmacogenetic test done (Amplichip or others ) to know if you have a metabolic deficiency that makes the medication less effetive or gives you serious side effects.
I have checked the metabolic interactions of your treatment and it seems a priory that the metabolic liver path 2D6 is saturated, which means that some drugs are interacting with others and this could affect the efficacy of your treatment.
I am sorry for all this technical talking, but in summary my advice would be: try just one antipsychotic (if still necessary), stop Akineton (biperiden), try to discontinue antidepressants if you are not feeling depressed and shift clonazepam (rivotril) to lorazepam.
Of course this is only a theoretical hypotesis and you have to keep in mind the serious risk of relaps or withdrawal symptoms, so, again, please, get in contact with your psychiatrist to discuss all these issues.¨

 

Did this doctor offer assistance in tapering? If so, you should confer with him. You need to take charge of minimizing your drugs, Manny. We can only give suggestions, we can't do the tapering for you.

 

Please re-read this topic for our prior comments.

 

On 9/17/2019 at 10:58 AM, Manny78 said:

Hello everyone. I am asking for advice for my mom. My mom is taking lithium 400 mg(1 and ¼,0,1 and 1, ¼),Anafranil 75mg (0,0,1),Lamotrigine 25mg (1,0,1) and zyprexa 15mg (0,0,1). She just stopped taking her meds for 1 or 2 weeks (early june), and she is having severe back pain now.

Before this my mom (march 6,2019) was taking lithium (1 and ¼ twice a day),anafranil 75 mg (0,0,1),lamotrigine 100 mg (0,0,1) and zyprexa 5mg (0,0,1).

 

She was taking to the hospital on June 19,2019, where she was discharged with the diagnosis of severe depressed disorder with psychotic symptoms and treatment of lamotrigine 25mg (1,0,0),lithium 400 mg (1,0,0 for two days)at the 3rd day (1,0,1 ½), anafranil 75 mg (0,0,1) and zyprexa 5 mg (1,1,1).

 

Later her psychiatrist (june 27th,2019), made these changes, lithium 400 ( 1 and ¼ twice a day),Anafranil 75mg (0,0,1),Lamotrigine 25mg (1,0,1) and zyprexa 15mg (0,0,1).

 

She went to her gp yesterday, and he give her ketoprofen 25 mg which is not supposed to be taken in conjunction with the lithium. She did a cold turkey and she was reinstated not even to the same dose she was before.Any suggestions on what she can do? I am afraid she will have to wait many months to get a little better. She has artrosis on her back too.

 

Manny, your mother is also on a complicated mix of drugs. It's very difficult for us to counsel people who aren't able to post for themselves, reporting symptom pattern and so forth.

 

I would have your mother see the same doctor you saw who identified the polypharmacy, and ask him for assistance in minimizing your mother's drugs.

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.

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Hi,altotrasta. I  spoke with this psychiatrist on a post he made in mad in America: psychiatric drug withdrawal in Spain. The only problem I have is that he is in zamora (Castilla y León). I am in other region,A Coruña (Galicia).He said he would try to find a colleague in Galicia that would help me out with my taper. I will discuss my mother case with him.

 

I will let you know how this turns out.Until now,I have the other psychiatrist who I am trying to change him.

 

 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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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Anyone here taking biperiden 4mg? My psychiatrist wants me to start tapering it on alternative days. One day, I take 1 pill,the second day I take half pill and keep doing that for 6 to 8 weeks.what do you guys think? In addition, I take abilify 10mg,risperidone 2mg,cymbalta 60mg and klonopin 0,25mg. I was tapering abilify  but I stopped it, possibly to resume it again. I had very bad inner vibrations and I haven't tapered since may,2019.

Thank you,

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Moderator
26 minutes ago, Manny78 said:

My psychiatrist wants me to start tapering it on alternative days. One day, I take 1 pill,the second day I take half pill and keep doing that for 6 to 8 weeks.what do you guys think?

 

We don't recommend tapering by alternating doses.  It causes the amount of the medication in your bloodstream to go up and down, battering your nervous system, and makes withdrawal worse.

Your brain likes stability, to be treated gently.  It is ideal if you can accommodate it to lower and lower dosages. Move it slowly down a ramp by gradually decreasing dosage by an amount it may hardly notice. SA recommends tapering by 10% of your current dose with a hold of at least 4 weeks before your next decrease.
 


 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.  Current Valium dose as of Feb 22, 2022: 4.8mg 

March 22, 2022: hold at 4.8 and shift to Imipramine taper

Taper is 74% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of May 17: 10.5mg 

Taper is 86% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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In what order would you taper my medication? 1)Antipsychotics, 2)antidepressant,3)benzo,4)biperiden.

How do I taper biperiden 4 mg extended release? Can I cut the pills in tiny pieces?

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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A psychiatrist that I know wants me to start reducing risperdal at 0,5mg every 6-8 weeks.I am at 2mg,so it would be,2mg,1,5mg,1mg,0,5mg,and 0mg.Is this too much?Can I get liquid risperdal?

 

Thank you,

 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • 3 weeks later...

I made a cut of risperidone from 2 mg to 1,75mg. Is this a large cut? I use Risperidone 1 mg pills.I cut with a knife 0,25mg.

Thank you, 

 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Moderator

That would be 13%.  The recommended 10% would be 1.8mg.

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

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Thank you, brassmonkey. 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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  • Administrator

Manny, it sounds like you've gotten some help. Please let us know how you're doing.

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

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Hello Altostrata. This doctor wants to help me out,but I don't agree with his tapering plan. He wants me to taper risperdal going from 2Mg to 1,5mg and hold on for 6 to 8 weeks in that dose.  I am tapering at 13% for 2 months. I don't like math.

 

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;7,4ml April 18th,2021;7,2ml May 4th,2021;7ml  May 26th,2021;6,8ml June 6th,2021;6,6ml July 5th,2021;6,4ml July 21st,2021;6,2ml July 31st,2021;6ml August 13th,2021;5,8ml August 31st,2021;5,6ml September 16th,2021;5,4ml October 1st,2021;5,2ml October 15th,2021;5ml Nov 1st, 2021;4,8 ml Nov 13th,2021;Abilify 4,6ml November 28th,2021;Abilify 4ml December 10th,2021;Abilify 3,8ml January 1st,2022;Abilify 3,6ml January 15th,2022;Abilify 3,4ml January 28th,2022;Abilify 3,2ml February 15th,2022;Abilify 3ml February 28th,2022;Abilify 2,8ml March 12th,2022

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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