I have BP I and I'd been on 3mg risperdal since I got out of the hospital last year. I put on 30 lbs. I begged my Psych NP to let me try something with less metabolic side effects. We weaned off the risperdal and I started geodon about 10 days ago, real low dose 20mg. I was okay for a bit,,,of course I'd been okay while I was off everything too until I wasn't. (Kind of like it always rains after a dry spell, being okay till you weren't anymore) So anyway I started the geodon. A few days into it, my wife asked me if I was okay. I was a little talky,,not sleeping much yada yada. Then today I got depressed and was hiding from everyone in my closet. I feel out of it, happy and sad at the same time, stupid and smart at the same time, I don't know where I'm going but I'm afraid of where I might end up. I don't know what I want to hear,,maybe like in the movie Harvey, I want to lie under a maple tree in Akron, OH with my head in the lap of a beautiful unknown woman (yes I'm married but it's in the movie), drink cold beer and have her say,"poor, poor thing" for about two weeks.
Maybe you need to go up on the Geodon for it to actually work. The average daily dose was 60 mg twice a day for a total of 120 mg/day, which is 6 times more than what you're on right now. Also, are you taking it with food? The PI sheet says that the absorption is doubled in the presence of food. And the only info I can see on the PI sheet about titration says you can start at 40 mg 2x per day and increase it the next day to 60 mg 2x/day. So if your Psych NP wanted to, they could get you up there in the next 2-3 days, and atypicals work quickly, so if it's just that the dose is too low, you might be doing better in less than a week. Please do NOT change your dose without the approval of your psych NP, though.
Thanks for the reply. I do take it with meals. It's hard for me not to take matters in to my own hands but I never have,,,I think about it but I never have. I'm calling my NP tomorrow to tell her how it's going and I don't think it's going the way it is supposed to. I was on risperdal and was doing really good except for the weight gain.
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