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Taper11: Sizodon / risperidone want to taper


Taper11

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Hello everyone,

 

I have been diagnosed with Schizophrenia after a self injury episode.

 

Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride).

 

It's been 4 months since am on medication. I want to taper off medicines. That's the reason why I joined this forum.

 

Any help is greatly appreciated. Thank you.

 

 

Edited by ChessieCat
added alternate drug names

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

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  • ChessieCat changed the title to Taper11: Sizodon / risperidone want to taper
  • Moderator

Welcome to SA, Taper11.

 

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.

 

Account Settings – Create or Edit a signature.

 

We recommend tapering by no more than 10% of your current dose every four weeks.

 

Why taper by 10% of my dosage?

 

We recommend tapering only one drug at a time.  Otherwise, if problems arise, you won't know the cause.  We also recommend tapering the more activating drug (known as an accelerator) or a neutral drug first, leaving the sedating drug (known as a brake) in place to help sleep to be tapered later.

Thorazine is a sedating brake, while Risperdal is more neutral.  

 

Taking multiple psych drugs? Which drug to taper first?

 

Therefore, unless other factors are involved, Risperdal would be the drug to taper first.

 

The following link is specifically about tapering Risperdal, including how to get the nonstandard doses needed for a 10% taper.  Please read the link carefully.

 

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. 

 

 

 

Add in one at a time and at a low dose in case you do experience problems. Get supplements that are single ingredient (not mixed with other types of supplements).

 

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

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 

Feb. 2021, begin 10%/4 week taper.  Current dose as of Jan. 11, 2022: 5.4mg 

Taper is 71% complete.

 

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

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

Taper is 80% 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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Please someone reply.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

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  • Moderator
20 hours ago, Taper11 said:

Please someone reply.

I've tried to give you the information you need to taper.  Do you have a question?

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 

Feb. 2021, begin 10%/4 week taper.  Current dose as of Jan. 11, 2022: 5.4mg 

Taper is 71% complete.

 

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

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

Taper is 80% 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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  • Moderator Emeritus
On 11/19/2020 at 6:58 PM, Taper11 said:

(2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride).

 

Thank you for creating your drug signature.

 

Please include the Parkin.

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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How do I taper, please reply.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Moderator Emeritus

Gridley has already provided you with this information:

 

On 11/20/2020 at 10:20 AM, Gridley said:

We recommend tapering by no more than 10% of your current dose every four weeks.

 

Why taper by 10% of my dosage?

 

We recommend tapering only one drug at a time.  Otherwise, if problems arise, you won't know the cause.  We also recommend tapering the more activating drug (known as an accelerator) or a neutral drug first, leaving the sedating drug (known as a brake) in place to help sleep to be tapered later.

Thorazine is a sedating brake, while Risperdal is more neutral.  

 

Taking multiple psych drugs? Which drug to taper first?

 

Therefore, unless other factors are involved, Risperdal would be the drug to taper first.

 

The following link is specifically about tapering Risperdal, including how to get the nonstandard doses needed for a 10% taper.  Please read the link carefully.

 

Tips for tapering off risperidone (Risperdal)

 

 

Q:  Have you looked at the links he gave you?

 

After you have looked at the links, please ask specific questions here in your Introduction topic.

 

 

Edited by ChessieCat

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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I have read. I am going to first taper sizodon and then parkin and finally chlorpromizine.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment

Am really afraid and scared. What if I relapse.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Administrator

Hello, Taper11.

 

It's up to you to whether you want to reduce your drugs. It could be your symptoms, such as they are, are controlled by minimal doses. A very gradual taper can help you find a level that works for you. However, under any circumstances, you will need to stay calm and manage any symptoms that come up, whether they are withdrawal symptoms or "relapse".

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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This is what am really afraid of. I am ready to taper but am afraid I'll face withdrawal or relapse. I am somehow able to manage sleep with Chlorpromizine. I can sleep from 10pm to 6am. I don't want my sleep to be affected by tapering.

 

Will there be withdrawal symptoms once I start going on taper i.e. slowly reducing the course of medication.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment

Any help is appreciated. Please can anyone tell me if they faced problems during taper. What are the negative effects you faced. I am struggling here.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Moderator Emeritus

  

On 8/6/2011 at 6:43 AM, Altostrata said:

 

The 10% taper recommendation is a harm reduction approach to going off psychiatric drugs. While it is not a guarantee you will have trouble-free withdrawal, we believe this conservative tapering method will cause harm to the fewest number of people.

In a nutshell, the 10% taper method recommends a 10% dosage reduction every 4 weeks, with the 10% calculated on the last dosage. The amount of decrease is proportionate to the last dosage (not the original prescription) and keeps getting smaller. 

 

 

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

Link to comment

I am going to start tapering 10% from today. 

 

I am on Sizodon 4mg, Chlorpromazine 50mg and Parkin.

 

Wish me good luck. And also please advise anything that I need to know about avoiding withdrawal symptoms.

 

I am fearful of insomnia, restlessness, and negative thoughts.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Moderator

Hi Taper11, and welcome, @Taper11

 

I just got your most recent post moved back here to your Introduction.  Your Introduction page, is the best place to ask questions specific to your case, and to update us.

 

Which medication are you starting to taper from?  You had mentioned above, wanting to start with the risperidone(Sizodon) and so, I've got the link to tapering that one specifically, quoted below as well.

 

On 11/19/2020 at 12:58 AM, Taper11 said:

Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride).

 

It's been 4 months since am on medication. I want to taper off medicines. That's the reason why I joined this forum.

 

On 11/19/2020 at 4:20 PM, Gridley said:

The following link is specifically about tapering Risperdal, including how to get the nonstandard doses needed for a 10% taper.  Please read the link carefully.

 

Tips for tapering off risperidone (Risperdal)

 

The other link to get real familiar with is Why taper 10% of my dosage?  You'll see that in posts above this one.

 

54 minutes ago, Taper11 said:

Wish me good luck. And also please advise anything that I need to know about avoiding withdrawal symptoms.

 

I am fearful of insomnia, restlessness, and negative thoughts.

 

The best way to avoid or minimize WD(withdrawal) symptoms is a well planned taper.  When we talk about a taper of 10%, that means that you recalculate the 10% based on each previous dosage.  For example:  Risperidone 4 mg X .90(this is the number you multiply your current dose by for a 10% reduction) = 3.6 mg (this would be your first 10 % drop in dose).  And then generally, holding or staying at that dose for 4 weeks, before tapering again.  During that time, you'll need to pay attention, to see if you are having WD symptoms, and when they occur.  Most of us use non-drug coping for symptoms.  You'll see many in the Symptoms and Self care forum. 

I'll pull a couple good links from there now:

Non-drug techniques to cope with emotional symptoms

Important topics about symptoms, including sleep problems

 

My guess is that you are probably having some symptoms from your medications now.  And you'll see, just how you do with a 10% taper of risperidone, and then will be able to adapt the taper, as needed, as you continue.

 

What form of risperidone will you be working with?  You'll see in the link on tapering risperidone, the various ways you can measure and then taper the different forms.

 

And just ask right here Taper11, if you have further questions around your taper.  This, your introduction page, will be the best place to do that, as well as communicate with other members, moderators, and administrators.

Welcome aboard.

 

Best, Love, peace, healing, and growth,

moderator manymoretodays(mmt)

 

 

Started with psycho meds/psychiatric care circa 1988.  In retrospect, and on contemplation, situational overwhelm.

Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time).

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!  Tapered @ 10% every 4 weeks, sometimes 2 weeks to

2016 Dec 16 medication free!!

Longer signature post here, with current supplements.

Herb and alcohol free since 5/15/2016.  And.....I quit smoking 11/2021.  Can you say Hallelujah?(took me long enough)💜

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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I am taking risperidone in the form of tablets. It's a tiny tablet and it's hard to break them to make a 10% taper. I don't want to take it in liquid form.

 

What do I do for insomnia and restlessness?

 

Am unable to bear it. Is this product any good?

 

https://www.amazon.in/dp/B0846JYS62/ref=cm_sw_r_cp_apa_fabc_wmKYFb3829GEZ

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Moderator Emeritus

melatonin-for-sleep

 

It would be better to take melatonin as a single supplement, not a complex.  If you react badly to it you will not know what is causing the reaction.  Many members find B vitamins to be activating, particularly B6 which is an ingredient in the product that you linked.

 

Please also note that it is better to take a small amount.  See Post #1 of the melatonin topic.

 

See also:

 

the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable

 

 

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

Link to comment

Hello,

 

I wanted some information about chlorpromazine. I read that it is used on animals. I am feeling really sacred of it.

 

How do I taper chlorpromizine? It is used as a prescribed sleeping tablet. Please help.

August 2020: Currently on AP 4mg Sizodon (risperidone) at night with 50mg Chlorpromizine (Thorazine / Largactil). I have lots of side effects like tiredness, sleep only for 6 hours, feel weak and shaky all the time.

 

Morning and afternoon I have to take (2x day) 1 tablet Parkin (trihexyphenidyl hydrochloride)

Link to comment
  • Moderator Emeritus
14 minutes ago, Taper11 said:

I wanted some information about chlorpromazine. I read that it is used on animals. I am feeling really sacred of it.

 

It's a drug which is taken by humans that can be used for animals too.  There are many drugs which are used for both humans and animals, including valium & clomipramine (my dog was given both of these), mirtazapine, gabapentin.

 

On 11/20/2020 at 10:20 AM, Gridley said:

 

We recommend tapering only one drug at a time.

 

 

SA recommends tapering by no more than 10% of the current dose followed by a hold of about 4 weeks to allow the brain to adapt to not getting as much of the drug. 

 

Why taper by 10% of my dosage?

 

We do not have a specific tips for tapering topic for chlorpromizine but I did a search and found this post to another member.

 

Altostrata, who made this post, is SA's founder:

 

On 10/10/2019 at 8:33 AM, Altostrata said:

 

Welcome, Anne.

 

It appears you went off 25mg chlorpromazine in May? 

 

While a low-dose reinstatement often helps, 25mg might now be too much for your nervous system, which has been sensitized by withdrawal syndrome. If I were you, I might try 1mg.

 

It's soluble in water, you could make your own suspension, see  


How to make a liquid from tablets or capsules

Using an oral syringe and other tapering techniques 

 

 

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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