Yeah I'd second maybe asking the pdoc if they have any suggestions on what med to go on to help you get off of ziprasidone. 20 mg is a fairly low dose so it theoretically shouldn't be that hard to get off of. But people have different responses to things, especially with psychiatric meds, so I hear you on the difficulty getting off of it. Are you going on another atypical antipsychotic, or are you just stopping it outright?

Edit: sorry, I didn't realize your dose is technically 40 mg/day. Anyway, my question to you is: are you switching to something else or are you just trying to get off of the ziprasidone for some other reason?