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boudicaa: tapering off risperidone


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I am seeking advice about tapering off of Risperidone. I am a medical doctor (the irony), and my doctor informed me I can go straight from 1mg Risperidone to 0 mg but my experience of coming straight off was that I still had difficulties with withdrawal effects for weeks afterwards, mostly tingling in my legs and head and insomnia. After about 4-5 weeks the agitation was so bad that I resumed the Risperidone (I did not know that it would be worth resuming at a lower dose, again the guidance was not there). I would appreciate some advice about how to go about this when my medical team do not believe in tapering. I am seeking out an alternative provider to try to get some support generally but wanted to discuss here too.


I have taken Zopiclone and Lorazepam occasionally as adjuncts but was always concerned about their addictive qualities so have not included below as they were quickly stopped.

My history is as follows:

- 10mg Aripiprazole 3 weeks March 20 2020 - April 17 2020
- 15mg Aripiprazole 1 week April 17 2020 - April 24 2020 (had bad akathisia so was switched)
- 2mg Risperidone April 24 2020 - July 3 2020
- 1.5mg Risperidone July 3 2020 - July 17 2020
- 1mg Risperidone July 17 2020 - August 7 2020
- 0 mg Risperidone August 7 2020 - September 10 2020 (under the advice of my doctor)
- 1mg Risperidone September 10 2020 - Present

Edited by Gridley
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  • Moderator

Welcome to SA, Boudicca.


To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.  You can just pick up the history that's in your post, click on the link below,  paste, then press "save."  The history will then appear beneath all your posts.


Account Settings – Create or Edit a signature.


We recommend going much lower than 1mg before jumping to zero, as your experience validates, somewhere in the area of 0.05mg or lower.  


As a basic tapering protocol, we recommend tapering by no more than 10% of your current dose every four weeks.  


Why taper by 10% of my dosage?


The following link is specifically about tapering Risperidone, including how to get the very small doses you'll need as you decrease from 1mg.  Is liquid Risperidone available in the U.K.?  That would be the easiest way to taper down from 1mg.  If you switch to the liquid, you'll need to do a crossover from tablet to liquid before starting the taper, such as half tablet and half liquid for a week or longer to allow your system to become accustomed to the liquid.

A small caveat: while most people do fine on the liquid, some do not.  If the liquid isn't available (or you don;'t do well on it), there are other methods, described in the link, to taper down from 1mg, including using a compouding pharmacy to make your doses and using a digital scale to weigh powder made by crushing your tablet.


Tips for tapering off risperidone (Risperdal)


We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 


Magnesium, nature's calcium channel blocker 


Omega-3 fatty acids (fish oil) 


Add in one at a time and at a low dose in case you do experience problems.


This is your Introduction topic, where you can ask complete your drug signature, ask questions and connect with other members.  We're glad you found your way here.




Edited by Gridley

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 of 18.75mg Valium  

End 2021  year 1 of taper at 6mg

End 2022 year 2 of taper at 2.75mg 

Current dose as of Feb. 25, 2023 2mg

Taper is 89% complete.


Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Taper is 87% 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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  • ChessieCat changed the title to boudicaa: tapering off risperidone

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