Coming off Invega/Xeplion (paliperidone) injections v11

[twinpeaks123]

Can you remind what your dosage and number of injections were ?

I cannot even run for 30 minutes anymore. The little exercise i did do, left my body sore for a long time. I also injured my elbow almost 3 months ago which has not healed. @RisperdalConsta50mg also says that his injuries dont heal. I am concerned about the overwhelming soreness and not recovering as well. @silenthill shared her story yesterday that she got back to running and it gave me some hope. My body is not giving me any hope though.

I too am at the stage where things are not looking good. I am looking for answers too. But you can run for atleast 30 minutes is still good news, especially if you can increase that time in the future.

Risperidone Consta 50mg
Risperidone Uzedy 75mg, so two injections

 

[silenthill]

Yours has to be the quickest recovery i have seen here so far. I was also a long distance runner for 25 years...overnight after invega, the ability to run disappeared...now i run out of breath only after a 100 metres, may have devolped metabolic syndrome, and no motivation. Did your ability to run disappear during first few months?

it did, for the first month or two i had extreme leg pain spreading to my thigh and had to be walked (helped) to the shower, kitchen and other places. one injection only, at 19 years old. cut out sugar, did keto diet for so long, took vyvanse and also smoked weed. took 7 or 8 months to feel 90%. right now it's been 14 months.

 

[jrturp]

Can you remind what your dosage and number of injections were ?

I cannot even run for 30 minutes anymore. The little exercise i did do, left my body sore for a long time. I also injured my elbow almost 3 months ago which has not healed. @RisperdalConsta50mg also says that his injuries dont heal. I am concerned about the overwhelming soreness and not recovering as well. @silenthill shared her story yesterday that she got back to running and it gave me some hope. My body is not giving me any hope though.

I too am at the stage where things are not looking good. I am looking for answers too. But you can run for atleast 30 minutes is still good news, especially if you can increase that time in the future.

I’m sorry that you also have to endure this. My soreness points to tendon issues again so I have to tread carefully and definitely won’t try increasing time on feet until I figure this out. I’ll know more when I go to the doctor next week.

My injections were Risperdal Consta 50mg and Uzedy 75mg.

@silenthill did you also have issues with slow recovery times when you first returned to exercise? How many months did it take for things to go back to normal?

 

[anonymoususer777]

it did, for the first month or two i had extreme leg pain spreading to my thigh and had to be walked (helped) to the shower, kitchen and other places. one injection only, at 19 years old. cut out sugar, did keto diet for so long, took vyvanse and also smoked weed. took 7 or 8 months to feel 90%. right now it's been 14 months.

I Thought you recovered in 6 months. How long did it take to feel 100%? When did you get back to running?

 

[lukeflowz]

Does it get easier as the months go on ? Or do I have to wait until 12 months before I notice any change.

 

[twinpeaks123]

Does it get easier as the months go on ? Or do I have to wait until 12 months before I notice any change.

from reading previous posts earlier, it does seem to get easier as you notice improvements

I would highly recommend waiting 12 months or so, you had 6 shots, so you may have to wait for a bit but it shouldn’t be permanent, realistically most people who took invega here didn’t commit suicide, they recovered and are now living their lives

 

[jrturp]

Does it get easier as the months go on ? Or do I have to wait until 12 months before I notice any change.

Yes, months 5-6 are much easier than months 3-4 for me. I do feel like I’ve hit a plateau though at month 6.

 

[jrturp]

Does it get easier as the months go on ? Or do I have to wait until 12 months before I notice any change.

And months 1-3 are brutal for everyone.

 

[Harmedbypsychward]

is anyone else dealing with excessive weight gain

 

[silenthill]

I Thought you recovered in 6 months. How long did it take to feel 100%? When did you get back to running?

i never said 6 months. if you read my posts i mentioned feeling much better by 7-8 months. i am at month 14 and feel pre-invega. the only benefit i got from this was that i will never trust psychiatry again.

 

[Deleted member 592205]

Vyvanse and similar drugs may be helpful to some people. It really depends on what you are trying to treat. Neither of you guys have any idea what you are trying to treat so you have no reason to use stimulant type medication so let's just rule this one out.

Any doctor giving you a dopamine agonist would be doing you harm. Likely they would be giving you it as a placebo. It doesn't make any sense especially given you don't know what you are trying to treat with it.

You want dopamine system working as normal. An agonist is not working as normal. It will downregulate dopamine receptors, won't restore normal signalling & will cause harm. Binding is also more complex than just affinity. RisperdalConsta had 2 shots of risperidone 17 months ago & his receptors are no longer antagonized. Regardless if his receptors were still antagonized an agonist would not be the way to counteract this & would only cause harm. What are you trying to treat and what is your theory behind suggesting a dopamine agonist?

And so, what can help to restore the receptors balance? If not a dopamine agonist?

 

[Deleted member 592205]

Why do you think the receptors being unbalanced are the issue? What are the symptoms you are trying to treat?

Altered state of consciousness (being under some drugs alterations likely), altered perception, cognitive decline, memory loss, sexual disfunction, no response to stimuli such nicotine and caffeine, unable to feel tiredness, tinnitus, …..

 

[InvegaAnon]

Harmonies give me frission again. I was usually getting them from drops and crescendos and satisfying lyrics and whatever the hell Chappel Roan is doing.

 

[InvegaAnon]

i'm not really on bluelight like that anymore so if anyone needs someone to talk to pm me and i'll give you my discord or other social media

@lukeflowz Here's a supportive person who recovered. Maybe you should talk to her. I would, but I realized if someone committed suicide even after I talked to them, I would blame myself and the anxiety that I had anything to do with it or the thought that I didn't do enough would eat me alive.

 

[paranoid android]

you have to edit it out of your post too. but yeah it's really a bad place to make any mention of methods, Especially currently after losing a member so recently and while so many posters are distraught by this. @paranoid android Are you a mod here & can you remove mentions of methods here.

Please report anything like that immediatly that bis totally against the rules and flat out dangerous

 

[Deleted member 592205]

I asked chatGPT

It's saying that you want to see these guys not dickhead psychiatrists. Real doctors who are going to try to rule out physical causes for illness.

• Neurologist for cognitive and sensory changes
• Endocrinologist for hormonal/metabolic issues (thyroid, adrenal, sex hormones) (The blood tests may rule this one out)
• General check-up including bloodwork, brain imaging (MRI), and possibly EEG

Essentially while you are in the ward the 1st course of action is to get bloodwork done. In order of importance
1. Thyroid panel – most likely treatable contributor
2. Vitamin B12, folate, vitamin D – deficiency can explain multiple neurological symptoms
3. Sex hormones and prolactin – especially if sexual dysfunction persists
4. Basic metabolic and kidney/liver function – ensures safe medication use and rules out metabolic contributors
But just get all done. Hopefully it's only thyroid, that's treatable and easy.

Spoiler: More blood tests

1. Thyroid function​

Check for both hypo- and hyperthyroidism, including autoimmune causes:

• TSH (thyroid-stimulating hormone) – primary screening test
• Free T4 – active thyroid hormone
• Free T3 – especially if T4/TSH are borderline
• Thyroid antibodies (TPO-Ab, Tg-Ab) – for autoimmune thyroid disease

2. Vitamins and minerals​

Deficiencies can cause cognitive decline, fatigue, and neurological issues:

• Vitamin B12 – deficiency can cause memory loss, neuropathy, and tinnitus
• Folate (B9) – supports cognitive function
• Vitamin D – deficiency can worsen fatigue and mood
• Magnesium – important for nerve function

3. Metabolic & endocrine panels​

• Blood glucose / HbA1c – rule out diabetes or hypoglycemia contributing to fatigue/cognition
• Electrolytes – sodium, potassium, calcium, etc., for CNS function
• Liver function tests – metabolic and drug clearance check
• Kidney function (BUN, creatinine) – affects toxin clearance and CNS health
• Sex hormones (if sexual dysfunction is significant) – testosterone, estradiol, LH, FSH, prolactin

4. Inflammatory / autoimmune markers​

• C-reactive protein (CRP) – general inflammation
• ESR – another inflammation marker
• ANA / autoimmune panel – if autoimmune causes are suspected

5. Optional / targeted tests​

• Homocysteine – can indicate B12 or folate metabolism issues
• Iron, ferritin – iron deficiency can affect cognition and fatigue
• Cortisol / adrenal function – if unusual fatigue, sleep, or stress responses

Spoiler: Early conversation

It sounds like you’re describing a cluster of neurological and physiological symptoms that are quite serious. Let’s break them down carefully:

• Altered state of consciousness & perception changes → Could indicate effects on the brain’s neurotransmitter systems, possibly due to drug use, neurotoxic exposure, or neurological disease.
• Cognitive decline & memory loss → Suggests possible damage or dysfunction in areas like the hippocampus or frontal lobes.
• Sexual dysfunction → Can be related to hormonal imbalances, neurological issues, or chronic substance effects.
• No response to typical stimulants (nicotine, caffeine) → Suggests altered receptor sensitivity in the brain; the usual excitatory pathways aren’t working as expected.
• Inability to feel tiredness → Indicates dysregulation of the sleep-wake cycle or neurotransmitters like melatonin, orexin, or adenosine.
• Tinnitus → Often linked to auditory nerve or central nervous system dysfunction.

When these symptoms occur together, they may indicate:

1. Chronic substance-induced neurological changes (from drugs, medications, or toxins).
2. Neurodegenerative or autoimmune disorders affecting the central nervous system.
3. Severe metabolic, endocrine, or hormonal imbalances.
4. Chronic brain inflammation or infection.

This is not normal and could be dangerous. Even though it might be tempting to self-diagnose, only a neurologist or other qualified physician can properly evaluate this. They may run:

• Blood tests (hormones, toxins, vitamins)
• Neuroimaging (MRI, CT)
• EEG or other neurological assessments

Given that these symptoms include altered consciousness, cognitive decline, and inability to respond to stimuli, it is urgent to seek professional medical attention as soon as possible.

Key points about Risperdal Consta:​

• It’s a long-acting injectable antipsychotic (risperidone).
• Each injection slowly releases the drug over about 2 weeks.
• It is metabolized and cleared from the body over a few weeks; after 17 months, the drug itself should be completely gone.
• Common side effects while active include sedation, sexual dysfunction, metabolic changes, movement disorders, and sometimes tinnitus.

What this means for your current symptoms:​

• It is extremely unlikely that the risperidone injections are directly causing these symptoms now, because they were only two injections 17 months ago.
• Persistent symptoms like altered perception, cognitive decline, inability to feel tiredness, lack of response to caffeine/nicotine, sexual dysfunction, tinnitus are not typical long-term effects after such a short course so long ago.
• This suggests another underlying neurological, endocrine, or psychiatric cause might be at play.

Urgency and next steps:​

• Some of the symptoms you listed (altered consciousness, cognitive decline, abnormal response to stimuli) can be serious and need urgent evaluation.
• Recommended medical evaluation:
  • Neurologist for cognitive and sensory changes
  • Endocrinologist for hormonal/metabolic issues (thyroid, adrenal, sex hormones)
  • General check-up including bloodwork, brain imaging (MRI), and possibly EEG

Bottom line: The Risperdal injections from 17 months ago are almost certainly not the direct cause. These symptoms are concerning and need urgent professional assessment.

Thoughts on vyvanse

• Vyvanse addresses some ADHD-like cognitive and attentional symptoms, but it does not treat underlying neurological damage, metabolic disorders, or chronic post-medication effects.
• Given your history of altered perception, cognitive decline, lack of response to stimulants, and other serious neurological symptoms, starting Vyvanse without a full evaluation could mask dangerous symptoms or worsen them.
• Interaction caution: If any residual effects from Risperdal Consta or other medications exist, stimulants can sometimes worsen tension, anxiety, or heart issues.

Bottom line​

• Vyvanse might improve alertness, attention, and some cognitive functions if your symptoms are related to ADHD-like deficits.
• It is very unlikely to fix or reverse memory loss, altered consciousness, sexual dysfunction, or tinnitus caused by serious neurological or metabolic issues.
• Medical supervision is essential—especially given your unusual response to other stimulants (nicotine, caffeine) and persistent serious symptoms.

Thoughts on dopamine agonist:

• Cabergoline mainly affects prolactin and dopamine pathways. So symptoms caused by high prolactin (e.g., sexual dysfunction, low motivation) may improve.
• Symptoms like persistent cognitive decline, altered perception, or abnormal stimulant response may only partially improve if they are dopamine-related; otherwise, they need further neurological evaluation.
• Side effects: nausea, dizziness, hypotension, heart valve issues (rare at standard doses), and rarely impulse-control changes.

Bottom line​

• Cabergoline is most likely to help sexual dysfunction and possibly motivation if prolactin was previously elevated.
• It is unlikely to resolve tinnitus, severe cognitive decline, or abnormal stimulant responses.
• Given your complex symptom profile, cabergoline could be considered only under careful medical supervision after lab tests (especially prolactin, dopamine-related hormones, and cardiac evaluation).

Tl;dr it's saying you want to see a Neurologist, Endocrinologist and have a general check up including bloodwork, brain imaging (MRI), and possibly EEG.

I asked it a few other things and one thing it said about the tinnitus was "Thyroid, vitamin B12, or other imbalances can contribute to tinnitus." got me thinking, Has this guy had his thyroid checked?
So i asked it "could it be a thyroid issue"
1. How thyroid dysfunction can affect your symptoms

2. Why thyroid could be relevant for you​

• You have a combination of cognitive, metabolic, sexual, and sensory issues.
• Thyroid hormones affect almost every organ system, including the brain, cardiovascular system, and auditory pathways.
• Some symptoms — like inability to feel tired, altered perception, and tinnitus — could be explained by hyperthyroidism, but cognitive slowing and memory loss could point to hypothyroidism.

3. How to check​

A simple blood test can check thyroid function:

• TSH (thyroid-stimulating hormone) – most sensitive for overall thyroid function
• Free T4 and Free T3 – active thyroid hormones
• Sometimes thyroid antibodies if autoimmune thyroid disease is suspected

4. Key points​

• Thyroid issues are treatable and reversible, unlike some structural brain causes.
• Given your complex symptom profile, checking thyroid function is a low-risk, high-value step before pursuing more invasive or risky treatments.

At this point it offered "If you want, I can make a table mapping all your symptoms to possible causes — thyroid, neurological, drug effects, and neurotransmitter issues. This would make it very clear which symptoms might improve with thyroid treatment vs which need other interventions."

Legend / Notes​

• Likely contributor
• Possible contributor, less likely
• Very unlikely contributor

Key Takeaways​

1. Thyroid dysfunction could plausibly contribute to almost all your symptoms, especially fatigue, cognition, sexual function, and tinnitus.
2. Neurological or CNS causes are a major concern, given persistent altered consciousness, cognitive decline, and abnormal stimulant responses.
3. Past Risperdal injections are unlikely to be causing ongoing issues 17 months later.
4. Neurotransmitter imbalances (dopamine/norepinephrine) may contribute to sexual dysfunction, cognition, alertness, and stimulant insensitivity.

This table can serve as a roadmap for a doctor, showing which areas to test first: thyroid labs, neurological imaging, and neurotransmitter/hormonal evaluation.

But yeah fingers crossed on Thyroid problems/vitamin deficiencies instead of Neurological or CNS.

I will told them to check my tyroid

 

[Deleted member 592205]

See if they will do all 4. Thyroid doesn't explain it all, Hypothyroid would explain all of it other than imsomnia though. But if it's just Hypothyroid & Imsomnia then you're in luck.
And just because you have hypothyroidism doesn't rule out other issues, so check all bases and rule out as much as you can.

They said they already look about thyroid and there is nothing wrong

 

[Deleted member 592205]

Spoiler: Should he stay in the psych ward or go see a doctor

Let’s break this carefully into testing, specialists, and care setting.

---

1. Tests to consider after thyroid evaluation​

Once thyroid labs are done (TSH, Free T4/T3, antibodies), next steps depend on the results and your remaining symptoms:
If thyroid is normal or corrected but symptoms persist:

Test / Evaluation	Purpose
Vitamin B12, folate, vitamin D	Detect deficiencies causing fatigue, cognitive decline, sexual dysfunction, neuropathy
Sex hormones + prolactin	Evaluate sexual dysfunction, possible dopamine/prolactin imbalance
Basic metabolic panel, kidney & liver function, electrolytes	Rule out metabolic contributors to CNS symptoms
Neurological imaging (MRI brain) or EEG	Investigate cognitive decline, altered perception, tinnitus
Hearing/auditory testing (audiogram, ENT consult)	Evaluate persistent tinnitus

---

2. Specialists to see​

Depending on test results and symptoms:

Specialist	Why / When to See
Endocrinologist	If thyroid, sex hormones, or prolactin are abnormal, or if multiple endocrine issues are suspected
Neurologist	For cognitive decline, altered perception, tinnitus, or abnormal stimulant response
ENT (audiologist/otolaryngologist)	For persistent tinnitus
Primary care / internal medicine	For coordination of labs and monitoring overall health
Psychiatrist	If mood, attention, or behavior issues persist; also to guide safe use of stimulants, MAOIs, or other CNS-active medications

Important: In your case, many of your core symptoms (memory loss, altered consciousness, tinnitus, lack of stimulant response) are neurological/metabolic rather than purely psychiatric.

---

3. Staying in a psych ward​

• Pros: Safe environment, 24-hour monitoring, access to psychiatric medications if acute agitation, risk of self-harm, or severe mood disturbance is present.
• Cons in your scenario:
  • If psychiatrist has not seen you for a week, treatment planning is stalled.
  • Your symptoms (cognitive decline, altered perception, tinnitus, fatigue, abnormal stimulant response) may not be psychiatric in origin, so staying in a psychiatric ward may not address the underlying causes.
  • Extended stay without active evaluation can delay proper medical care (endocrine or neurological).

Bottom line:

• A psychiatric ward is not necessarily the right setting for your main symptoms if you are medically stable and there is no acute psychiatric risk.
• The priority should be medical evaluation: thyroid, vitamins, hormones, neurological assessment.
• A primary care doctor or hospital admission for medical workup might be more appropriate if access to specialists is needed.

---

Recommendation​

1. Get thyroid labs (TSH, Free T4/T3, antibodies).
2. If abnormal → endocrinologist. If normal, proceed to:
   • Vitamin panel (B12, folate, D)
   • Sex hormones/prolactin
   • Neurological workup (MRI, EEG, ENT for tinnitus)
3. Coordinate with primary care for referrals; psychiatric support only if mood/behavior symptoms are present.
4. Consider moving out of psych ward if medically stable and acute psychiatric care is not required, so you can access the appropriate specialists.

The fun fact is that outside the psych ward, in these lasts 17 months, every doctor Who i spoke with, tought i was delusional and i had psychiatric issues, and they always refered me to a psychiatrist, they don’t belive me.

Inside this psych ward, ironically, i found the only doctor who belived me and want to figure out what the hell happened to my SNC after risperidone injections, and this doctor told me i have no mental diagnosis and i’am completely normal, and my sympthoms are linked to something neurological and not psychiatric.

So I have to stay in this psych ward to keep in touch with the only doctor who belived me and want to help me, even if I don’t have any mental illness diagnosis..

 

[Matthew01]

Vyvanse and similar drugs may be helpful to some people. It really depends on what you are trying to treat. Neither of you guys have any idea what you are trying to treat so you have no reason to use stimulant type medication so let's just rule this one out.

Any doctor giving you a dopamine agonist would be doing you harm. Likely they would be giving you it as a placebo. It doesn't make any sense especially given you don't know what you are trying to treat with it.

You want dopamine system working as normal. An agonist is not working as normal. It will downregulate dopamine receptors, won't restore normal signalling & will cause harm. Binding is also more complex than just affinity. RisperdalConsta had 2 shots of risperidone 17 months ago & his receptors are no longer antagonized. Regardless if his receptors were still antagonized an agonist would not be the way to counteract this & would only cause harm. What are you trying to treat and what is your theory behind suggesting a dopamine agonist?

The doctor herself suggested dopamine agonists and they want to use it for him after the PET exam,the national library of medicine also states it can be used to treat the effects of antipsychotics. We're trying to damage caused by the antipsychotics

 

[Matthew01]

I asked chatGPT

It's saying that you want to see these guys not dickhead psychiatrists. Real doctors who are going to try to rule out physical causes for illness.

• Neurologist for cognitive and sensory changes
• Endocrinologist for hormonal/metabolic issues (thyroid, adrenal, sex hormones) (The blood tests may rule this one out)
• General check-up including bloodwork, brain imaging (MRI), and possibly EEG

Essentially while you are in the ward the 1st course of action is to get bloodwork done. In order of importance
1. Thyroid panel – most likely treatable contributor
2. Vitamin B12, folate, vitamin D – deficiency can explain multiple neurological symptoms
3. Sex hormones and prolactin – especially if sexual dysfunction persists
4. Basic metabolic and kidney/liver function – ensures safe medication use and rules out metabolic contributors
But just get all done. Hopefully it's only thyroid, that's treatable and easy.

Spoiler: More blood tests

1. Thyroid function​

Check for both hypo- and hyperthyroidism, including autoimmune causes:

• TSH (thyroid-stimulating hormone) – primary screening test
• Free T4 – active thyroid hormone
• Free T3 – especially if T4/TSH are borderline
• Thyroid antibodies (TPO-Ab, Tg-Ab) – for autoimmune thyroid disease

2. Vitamins and minerals​

Deficiencies can cause cognitive decline, fatigue, and neurological issues:

• Vitamin B12 – deficiency can cause memory loss, neuropathy, and tinnitus
• Folate (B9) – supports cognitive function
• Vitamin D – deficiency can worsen fatigue and mood
• Magnesium – important for nerve function

3. Metabolic & endocrine panels​

• Blood glucose / HbA1c – rule out diabetes or hypoglycemia contributing to fatigue/cognition
• Electrolytes – sodium, potassium, calcium, etc., for CNS function
• Liver function tests – metabolic and drug clearance check
• Kidney function (BUN, creatinine) – affects toxin clearance and CNS health
• Sex hormones (if sexual dysfunction is significant) – testosterone, estradiol, LH, FSH, prolactin

4. Inflammatory / autoimmune markers​

• C-reactive protein (CRP) – general inflammation
• ESR – another inflammation marker
• ANA / autoimmune panel – if autoimmune causes are suspected

5. Optional / targeted tests​

• Homocysteine – can indicate B12 or folate metabolism issues
• Iron, ferritin – iron deficiency can affect cognition and fatigue
• Cortisol / adrenal function – if unusual fatigue, sleep, or stress responses

Spoiler: Early conversation

It sounds like you’re describing a cluster of neurological and physiological symptoms that are quite serious. Let’s break them down carefully:

• Altered state of consciousness & perception changes → Could indicate effects on the brain’s neurotransmitter systems, possibly due to drug use, neurotoxic exposure, or neurological disease.
• Cognitive decline & memory loss → Suggests possible damage or dysfunction in areas like the hippocampus or frontal lobes.
• Sexual dysfunction → Can be related to hormonal imbalances, neurological issues, or chronic substance effects.
• No response to typical stimulants (nicotine, caffeine) → Suggests altered receptor sensitivity in the brain; the usual excitatory pathways aren’t working as expected.
• Inability to feel tiredness → Indicates dysregulation of the sleep-wake cycle or neurotransmitters like melatonin, orexin, or adenosine.
• Tinnitus → Often linked to auditory nerve or central nervous system dysfunction.

When these symptoms occur together, they may indicate:

1. Chronic substance-induced neurological changes (from drugs, medications, or toxins).
2. Neurodegenerative or autoimmune disorders affecting the central nervous system.
3. Severe metabolic, endocrine, or hormonal imbalances.
4. Chronic brain inflammation or infection.

This is not normal and could be dangerous. Even though it might be tempting to self-diagnose, only a neurologist or other qualified physician can properly evaluate this. They may run:

• Blood tests (hormones, toxins, vitamins)
• Neuroimaging (MRI, CT)
• EEG or other neurological assessments

Given that these symptoms include altered consciousness, cognitive decline, and inability to respond to stimuli, it is urgent to seek professional medical attention as soon as possible.

Key points about Risperdal Consta:​

• It’s a long-acting injectable antipsychotic (risperidone).
• Each injection slowly releases the drug over about 2 weeks.
• It is metabolized and cleared from the body over a few weeks; after 17 months, the drug itself should be completely gone.
• Common side effects while active include sedation, sexual dysfunction, metabolic changes, movement disorders, and sometimes tinnitus.

What this means for your current symptoms:​

• It is extremely unlikely that the risperidone injections are directly causing these symptoms now, because they were only two injections 17 months ago.
• Persistent symptoms like altered perception, cognitive decline, inability to feel tiredness, lack of response to caffeine/nicotine, sexual dysfunction, tinnitus are not typical long-term effects after such a short course so long ago.
• This suggests another underlying neurological, endocrine, or psychiatric cause might be at play.

Urgency and next steps:​

• Some of the symptoms you listed (altered consciousness, cognitive decline, abnormal response to stimuli) can be serious and need urgent evaluation.
• Recommended medical evaluation:
  • Neurologist for cognitive and sensory changes
  • Endocrinologist for hormonal/metabolic issues (thyroid, adrenal, sex hormones)
  • General check-up including bloodwork, brain imaging (MRI), and possibly EEG

Bottom line: The Risperdal injections from 17 months ago are almost certainly not the direct cause. These symptoms are concerning and need urgent professional assessment.

Thoughts on vyvanse

• Vyvanse addresses some ADHD-like cognitive and attentional symptoms, but it does not treat underlying neurological damage, metabolic disorders, or chronic post-medication effects.
• Given your history of altered perception, cognitive decline, lack of response to stimulants, and other serious neurological symptoms, starting Vyvanse without a full evaluation could mask dangerous symptoms or worsen them.
• Interaction caution: If any residual effects from Risperdal Consta or other medications exist, stimulants can sometimes worsen tension, anxiety, or heart issues.

Bottom line​

• Vyvanse might improve alertness, attention, and some cognitive functions if your symptoms are related to ADHD-like deficits.
• It is very unlikely to fix or reverse memory loss, altered consciousness, sexual dysfunction, or tinnitus caused by serious neurological or metabolic issues.
• Medical supervision is essential—especially given your unusual response to other stimulants (nicotine, caffeine) and persistent serious symptoms.

Thoughts on dopamine agonist:

• Cabergoline mainly affects prolactin and dopamine pathways. So symptoms caused by high prolactin (e.g., sexual dysfunction, low motivation) may improve.
• Symptoms like persistent cognitive decline, altered perception, or abnormal stimulant response may only partially improve if they are dopamine-related; otherwise, they need further neurological evaluation.
• Side effects: nausea, dizziness, hypotension, heart valve issues (rare at standard doses), and rarely impulse-control changes.

Bottom line​

• Cabergoline is most likely to help sexual dysfunction and possibly motivation if prolactin was previously elevated.
• It is unlikely to resolve tinnitus, severe cognitive decline, or abnormal stimulant responses.
• Given your complex symptom profile, cabergoline could be considered only under careful medical supervision after lab tests (especially prolactin, dopamine-related hormones, and cardiac evaluation).

Tl;dr it's saying you want to see a Neurologist, Endocrinologist and have a general check up including bloodwork, brain imaging (MRI), and possibly EEG.

I asked it a few other things and one thing it said about the tinnitus was "Thyroid, vitamin B12, or other imbalances can contribute to tinnitus." got me thinking, Has this guy had his thyroid checked?
So i asked it "could it be a thyroid issue"
1. How thyroid dysfunction can affect your symptoms

2. Why thyroid could be relevant for you​

• You have a combination of cognitive, metabolic, sexual, and sensory issues.
• Thyroid hormones affect almost every organ system, including the brain, cardiovascular system, and auditory pathways.
• Some symptoms — like inability to feel tired, altered perception, and tinnitus — could be explained by hyperthyroidism, but cognitive slowing and memory loss could point to hypothyroidism.

3. How to check​

A simple blood test can check thyroid function:

• TSH (thyroid-stimulating hormone) – most sensitive for overall thyroid function
• Free T4 and Free T3 – active thyroid hormones
• Sometimes thyroid antibodies if autoimmune thyroid disease is suspected

4. Key points​

• Thyroid issues are treatable and reversible, unlike some structural brain causes.
• Given your complex symptom profile, checking thyroid function is a low-risk, high-value step before pursuing more invasive or risky treatments.

At this point it offered "If you want, I can make a table mapping all your symptoms to possible causes — thyroid, neurological, drug effects, and neurotransmitter issues. This would make it very clear which symptoms might improve with thyroid treatment vs which need other interventions."

Legend / Notes​

• Likely contributor
• Possible contributor, less likely
• Very unlikely contributor

Key Takeaways​

1. Thyroid dysfunction could plausibly contribute to almost all your symptoms, especially fatigue, cognition, sexual function, and tinnitus.
2. Neurological or CNS causes are a major concern, given persistent altered consciousness, cognitive decline, and abnormal stimulant responses.
3. Past Risperdal injections are unlikely to be causing ongoing issues 17 months later.
4. Neurotransmitter imbalances (dopamine/norepinephrine) may contribute to sexual dysfunction, cognition, alertness, and stimulant insensitivity.

This table can serve as a roadmap for a doctor, showing which areas to test first: thyroid labs, neurological imaging, and neurotransmitter/hormonal evaluation.

But yeah fingers crossed on Thyroid problem with vitamin B12 deficiency instead of Neurological or CNS.

The doctor wants to give him a PET exam, she's not a dickhead, she actually believes him and chatgpt is not right all the time. It even didn't mention use of dopamine agonists to treat the effect of antipsychotics from the library of medicine site