have you talked to your prescriber about maybe some less sedating options? There's more than 1 way to skin a cat. I now take 30mgs/Abilify, which is usually the most prescribed (biggest pill they make, at any rate). It does what antipsychotics/neuroleptics/tranquilizers are supposed to do, with far less sedation than many alternatives. Its also now generic.

Taking 2 antipsychotics/neuroleptics/tranquilizers at a time can cause problems for some people. If you feel like it, you can consult The Google. I think there's a cochrane review of antipsychotic polypharmacy. In the meta-analysis, it looks like...it causes more problems but doesn't result in a whole lot of benefits. But that doesn't mean it can't or won't or doesn't help --you-- and --your-- problems. Personally, I do better on a higher dose of 1 of these drugs than I did on varying doses of 2 at the same time.

Other than that...some people (me included) can manage with lower doses of a neuroleptic by using mood stabilizers. I take 2 anti-epileptic drugs, normal dose trileptal and low dose lamictal. If I didn't take these 2, I'd probably be on mega-dose Seroquel or something. I see that you're on Lithium....some people take an anti-epileptic with lithium, apparently (from what little I've read) to good effect.

Other than that....I don't have a whole lotta suggestions, lol. Some people with Bipolar can reduce or discontinue the tranquilizer once the psychotic problems have resolved. I'm not one of those people, but you might be (?) .

Hope things work out well for you.