![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by hundredhugs on May 17, 2004, at 10:02:25
I had a Manic episode awhile back and it is time to wean me off the antipsychotics and the episode is over and I am stable now. I am under a tremendous amount of stress and not sleeping well and we are weaning off the antipsychotics. I didn't mention the not sleeping well or the stress to the pdoc, I didn't think of it until later. I am on 4 mg of risperdal and 15 mg of abilify. she decreased the risperdal by 1 mg thursday. I had problems with paranoia and auditory hallucinations to the point i was scared. Can weaning off anitpsychotics cause this? Or do you think it is stress and sleep related or both? I appreciate you input.
Thank you very much
Hundred Hugs
Posted by SLS on May 17, 2004, at 10:27:20
In reply to Psychoses from weaning off antipsychotics??, posted by hundredhugs on May 17, 2004, at 10:02:25
> I had a Manic episode awhile back and it is time to wean me off the antipsychotics and the episode is over and I am stable now. I am under a tremendous amount of stress and not sleeping well and we are weaning off the antipsychotics. I didn't mention the not sleeping well or the stress to the pdoc, I didn't think of it until later. I am on 4 mg of risperdal and 15 mg of abilify. she decreased the risperdal by 1 mg thursday. I had problems with paranoia and auditory hallucinations to the point i was scared. Can weaning off anitpsychotics cause this? Or do you think it is stress and sleep related or both? I appreciate you input.
Have you experienced these symptoms before? Have they occurred in the past as symptoms of previous manic episodes?
Perhaps it is *not* time to wean you off of antipsychotics. Unless you can substitute the antipsychotic with a mood-stabilizing drug from a different class, I don't think your system will allow you to discontinue the Risperdal right now. This would be especially true if you are currently experiencing an increase of psychosocial or physiological stresses. I hope someone will correct me if I'm wrong, but I don't know that there is a medical precedent indicating that there is a rebound psychosis produced by the discontinuation of an antipsychotic that will resolve on its own without further treatment. I don't think that your emerging psychotic symptoms will go away by themselves.
- Scott
Posted by Sebastian on May 17, 2004, at 12:29:01
In reply to Psychoses from weaning off antipsychotics??, posted by hundredhugs on May 17, 2004, at 10:02:25
I think you are weaning off too fast! Increase the dose a little stay there for a while, when you feel totaly normal again, decrease. I'm trying to wean off zyprexa 10 mg dose. I'm at 7.5 now, and I've been here for 6 months. Took 10 mg for over 5-6 years or so.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.