Too soon?

I just got out of the hospital July 2nd. I was put on risperdal which got rid of the hallucinations and suicidal thoughts. My pdoc took me off it recently because it made me too sleepy.

I can feel everything from before bubbling back up and starting again. Is it too soon for the hospital again? Or should I just deal on my own?

Call your pdoc and tell him your symptoms.

I would but he never returns calls and is always booked.

Call him anyway tell the front desk its an emergency

I called and the secretary said he'd call back. Which he never has. And she said for emergencies go to the ER.

Why not go back on the Risperdal, isn't discontinuing it the reason you're starting to feel bad again?

Pdoc could put you on a lower dosage so you're not zombified.

Im lucky my pdoc calls day or night and weekends. Of course he is $220 a visit but I get great care.

I would agree that right now you need to go to the ER or perhaps call the hospital where you were...but once this crisis is over I think you should get a new pdoc. Yours doesn't sound responsive at all.

Exactly what I was thinking.

From her signature, it looks like she's on 2mg, which is considered the lowest therapeutic dose for mania. However, a "non-therapeutic" dose may work just as well as 2mg but with less sedation, depending on how her liver metabolizes things.

IMO, it's worth asking how to counteract sedation as well. Maybe there are options out there besides stimulants/caffeine. Idk... but can't hurt to ask.

You need a new pdoc. This might easily be handled with a tiny med change, not having to go to the ER.

Agree with Franz, get a new doc. When mine wouldn't work with my gp I switched and life has been much better ever since

Sometimes just splitting the dosage into AM and PM works wonders...

I was on a baby dose years ago for rage and hallucinations, 0.5mg helped immensely and non sedating.

Not a psych issue, but I'm diabetic and have to take a long lasting insulin. Doc said take 30 units once a day but it caused lows in the am and high in the PM, split it at 15 morning 15 evening and things are much better. New doc agrees it's a good way to go. Talk to a trusted doc about it.

I agree I need a new pdoc. It's hard though because he's tied in with my T. A tiny med change would take a month. That's how long I go between appointments. I rarely get in before then.

He pulled you off Risperdal and didn't replace it with another med? That is unwise.

If you need to go to the hospital, then go. It's not meant for routine med changes, however.

Glad you got the help you did, hope you can get some relief from your current symptoms.

When do you see T again?

I see my T next week.

Do you mean he took you off the risperdal now or that you were on it nad then off prior to being put back on it in the hospital? Sorry, I'm a little confused.

True. After you get through this crisis, you need to find a new pdoc. I hope you feel better soon.