some doctors give provigil, nuvigil, ritalin, amphetamines, wellbutrin, etc., to help with sedation. i think there are some very new, on patent atypical tranquilizers that are supposed to cause less weight gain than the older generation...saphris, latuda, rexulti, vryalar, etc. i dont have any idea if those are an option for you or not, just thought id mention it.

oh, the other option i guess would be a carefully selected, reasonably dosed older/conventional tranquilizer. perphenazine did well in a big head to head trial comparing it to the 'atypicals'. some people report good results and OK tolerability with loxapine or navane. i think the older drugs got a bad reputation because it was standard practice to put people on 20mgs of haldol per day, and that was (and is) almost always way, way too much.

ok. hope your doctor can help you out here. good luck to you.