What would you suggest or what have you done in this situation?

If I eat food in the morning, I feel pretty nauseous because I'm not hungry, so I don't eat anything. However, if I don't eat anything and take my meds, I get double vision and my eyes move up and down uncontrollably. Then my balance is off and I start to feel pretty nauseous as a result.

I've tried taking my meds before bed, but lately, they've been keeping me up at night, so I switched them to the morning. And the only way I was able to switch them to morning was by sleeping off the nausea.

So as far as I can tell, I have two options: ask for an anti-nausea medication like Zofran (which I've taken before and works) or take my meds at night with a sleepy med. But I can't stand Seroquel, so I don't want that, and Klonopin interacts with my Ritalin. I could ask the pharmacist, but I'm pretty sure they'd say the same thing or suggest melatonin. And my pdoc: same thing or switch APs, which I don't want.

If I reduce my Rexulti dose from 4mg back to 3mg, then I don't get the nausea, and I don't stay up at night, so that's great. However, when I was on 3mg, I was getting hallucinations everyday multiple times a day despite not being in an episode. That's why my dose was increased.

I don't want another AP since everything makes me far too sedated (i.e., 12 hrs a night) EXCEPT Abilify and Rexulti. But Abilify doesn't work for me. I get depression and lota of hallucinations on that.

[bizi]

Are they thinking you are schizo/affective disorder? What different meds would be treated for this if any?
bizi
I have to take my meds with food inorder for them to work.
just saying.

What med do you think causes your double vision? Rexulti? Or is there a med or meds you didn't mention besides Rexulti and Ritalin? I think that my increased dose of Seroquel XR increased my Tegretol XR level recently to above therapeutic level causing me to have double vision. A small reduction in my Tegretol XR got rid of it.

I'm not a psychopharmacologist or even a doctor, so can't really comment on what you should or shouldn't take when. I've never taken Rexulti or Ritalin, though I know what they are. Why do you take Ritalin? Do you have ADHD or is it to help over sedation?

It seems from your post that you think the increased dose of Rexulti is to blame for some of what you mentioned. I'm wondering if taking some at night and some in the morning could be an option. I'd certainly think the Ritalin dosage timing should be right.

I hope you and your psychiatrist find a helpful solution.

[Wild Coyote]

In your case, I think it may be helpful to take Zofran, as long as there are no adverse side-effects.
I am sorry it's so challenging around meds.
I think of you daily, hoping all is going well.

WC

[pirilin]

Try late afternoon. Or with dinner.

[Unrigged64072835]

I'd get the Zofran. At least you know it works.