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Manny78: multiple psychotropic drugs - which one first?

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Manny78

Hi everyone,just an update from me. I spoke with my psychiatrist. He wanted me to take more biperiden for the akathisia but I refused.I got an agreement with him to taper 10 percent per month with my abilify. In four months, he wants me to reach 10mg of abilify from 14mg tapering 1 mg each Month. I AM NOT IN 14MG OF ABILIFY. I AM AT ABILIFY 9,6MG. I will have to keep tapering at my own rate. 


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

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

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Colonial

Hi Manny,

That's great He still thinks it's good to keep going forward with the taper. 

That gives you 4 more months to go at your own pace. Glad your doing okay.

 


 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, 4/22/19 0.56 mg, 5/24/19 0.48 mg, 7/7/19 0.40 mgs, 8/4/19 0.32mgs, 11/4/19 0.24mgs, 2/1/20 0.16mgs, 3/1/20 0.12mgs

 

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...

 

Daily medications:  Paxil, Percocet,  Synthroid, Xanax, Skelaxin

http://www.drugs.com/interactions-check.php?drug_list=1800-1156,72-8506,1572-951,1463-869,440-203,133-54

 

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Manny78

This is the conversation that I had with my psychiatrist:

Psychiatrist: how many mgs of abilify are you taking? Are you taking abilify 14mg?

Me: To cut abilify from 15mg to 14mg looks too much. 

Psychiatrist: In theory cutting 1mg it is not.The worst thing that can happen is to have to up your dose again.There is no problem. Have in mind that you can take up to 30 mg of abilify. To take out 1mg of abilify is real minimum. THE ADJUSTMENTS ARE DONE FROM 5MG TO 5MG (30mg, 25mg, 20mg and so on). In your case we are doing like that(cutting 5mg each time). We are using abilify 1mg/1ml oral solution.

Psychiatrist: you are doing really well with this treatment. We have to count with your opinion.If something goes wrong, we can up your dose. IT IS VERY IMPORTANT TO TAKE THE LEAST AMOUNT OF TREATMENT BECAUSE EVERYTHING HAS SIDE EFFECTS.

Psychiatrist: HOW IS YOUR AKATHISIA? DO YOU HAVE A LOT OF NERVOUSNESS? 

ME: a little

Psychiatrist: I am sure the biperiden helps. Biperiden is a good medicine but causes constipation. 

I want you to taper abilify till you reach 10mgs and take out biperiden. You are going to reduce abilify 1 mg every 10 days.

ME: It is a Lot. 

Psychiatrist: then try to reduce every 10 days abilify 1mg.

ME : I propose to reduce 1mg of abilify monthly. 

Psychiatrist : I don't have no problem with you to taper off 1mg of abilify monthly. I WANT YOU TO BE SECURE WITH YOURSELF. I WANT YOU YO TAPER 1 MG MONTHLY. IN 4 MONTHS YOU ARE IN 1O MGS OF ABILIFY AND WE TAKE OUT BIPERIDEN. 

 

 

 

 


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

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

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Colonial
11 minutes ago, Manny78 said:

IN 4 MONTHS YOU ARE IN 1O MGS OF ABILIFY AND WE TAKE OUT BIPERIDEN. 

 

I'm sorry your in the position of having to feel like to you need to conceal the truth of your dosages to the doctor, if He would be willing to help you come down off the Biperdin now if He knew you've been at or below 10mgs for this long. It's going to be very hard for your doctor to understand your true progress and symptoms, or why what is happening truly is if your presenting one version of reality other than where you really are in your journey.

 

If He thinks you were able to drop from 14 to 10 in 4 months, He's going to have a false notion of what your brain is or isn't able to tolerate. It also may be a problem for your legal case as your trying to present yourself as competent to make your own conditions but if the court interprets it as a sign you can't be trusted it will more issues later.  I agree with you that you should be at lower dosages. I just hope you can straighten all this deception out for your own good before it becomes problematic for you on either a medical or legal front.  I also want to see you happy with a doctor you feel you can trust and are on good terms with. Good luck to you, Friend.


 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, 4/22/19 0.56 mg, 5/24/19 0.48 mg, 7/7/19 0.40 mgs, 8/4/19 0.32mgs, 11/4/19 0.24mgs, 2/1/20 0.16mgs, 3/1/20 0.12mgs

 

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...

 

Daily medications:  Paxil, Percocet,  Synthroid, Xanax, Skelaxin

http://www.drugs.com/interactions-check.php?drug_list=1800-1156,72-8506,1572-951,1463-869,440-203,133-54

 

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Manny78

@Colonial, I have another appointment with a different psychiatrist on Tuesday. Hopefully I can tell her that  I am at 9,6ml of abilify. They use(psychiatrist, Psychologist and ex users of the psychiatric system ) the open dialogue method used In Norway. You are with them and you talk about your anything you wish to talk. I don't know if they will prescribe me medication. I understand the danger to get caught in this game of lies and more lies. 

 

http://developingopendialogue.com/open-dialogue-finland/

 


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

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

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Colonial

That's wonderful that you have an appointment Tuesday!

I hope you feel comfortable with them and they are able to help You!

You have come a long way so I know you are strong enough to do this! 🙂

Let us know how things go if you want.

 


 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, 4/22/19 0.56 mg, 5/24/19 0.48 mg, 7/7/19 0.40 mgs, 8/4/19 0.32mgs, 11/4/19 0.24mgs, 2/1/20 0.16mgs, 3/1/20 0.12mgs

 

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...

 

Daily medications:  Paxil, Percocet,  Synthroid, Xanax, Skelaxin

http://www.drugs.com/interactions-check.php?drug_list=1800-1156,72-8506,1572-951,1463-869,440-203,133-54

 

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Altostrata
On 10/18/2020 at 1:27 PM, Manny78 said:

....

ME : I propose to reduce 1mg of abilify monthly. 

Psychiatrist : I don't have no problem with you to taper off 1mg of abilify monthly. I WANT YOU TO BE SECURE WITH YOURSELF. I WANT YOU YO TAPER 1 MG MONTHLY. IN 4 MONTHS YOU ARE IN 1O MGS OF ABILIFY AND WE TAKE OUT BIPERIDEN.

 

First, Manny, I want to congratulate you on speaking up for your own plan. You did an excellent job.

 

It was probably hard for you, but you can see -- the psychiatrist changed his mind. The rest was frustrating, but still, you got what you wanted.

 

How does this psychiatrist plan to help you taper? Is he prescribing a liquid? Is he prescribing compounded capsules with smaller amount of Abilify?

 

On 10/18/2020 at 2:30 PM, Manny78 said:

@Colonial, I have another appointment with a different psychiatrist on Tuesday. Hopefully I can tell her that  I am at 9,6ml of abilify. They use(psychiatrist, Psychologist and ex users of the psychiatric system ) the open dialogue method used In Norway. You are with them and you talk about your anything you wish to talk. I don't know if they will prescribe me medication. I understand the danger to get caught in this game of lies and more lies. 

 

http://developingopendialogue.com/open-dialogue-finland/

 

 

This doctor sounds like a much better doctor for you. You might explain you are willing to stay on the minimal amount of drugs that are effective for you, but you've been taking too much for a long time and you have found you need to taper very gradually.


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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