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  • TDS Moderators: AlphaMethylPhenyl | paranoid android

Mental Health psychiatry in general and the use of neuroleptics

I'm stuck on 10mg haloperidol, it helps me mentally but I would like to go back to 6mg daily because I want to reduce the chances of developing tardive dyskinesia

Withdrawal begins 36 hours after my last dose and it is just as bad if not worse as benzo withdrawal especially since a lot of docs don't believe it's a thing. Severe anxiety and complete insomnia. I told my psychiatrist about it and he's like hmmm. Then said I don't have to take haldol if I don't want to but offers zero help or support in getting off or reducing dose.

So yeah if I make any attempt to reduce dose I would have to bombard myself with benzos, alcohol, and maybe opiates too and I would certainly become dependent on those too and have to go through withdrawals from those. Especially because the withdrawal from antipsychotics is more protracted than a benzo or opiate wd.

I took 10mg olanzapine for a year and came off cold turkey without experiencing any withdrawals but haloperidol is obviously a different monster. The WD makes me completely non functional.

Sucks man
 
@Conky have you tried switching to a different AP then withdrawing from that? Maybe you need a substitute?

If your doc is OK with you going off haloperidol, surely they'd also be OK with some substitutions which might be easier to stop?
 
I don't think any of the atypical agents would be effective because they only bind weakly to dopamine receptors wheras haloperidol binds tighter than dopamine itself. This causes the receptors to become hyper sensitive when the dopamine blockade is reduced. Putting me at risk of a psychotic break plus various movement issues.

Risperidone gives horrible akathisia and olanzapine and quetiapine cause massive unremitting metabolic damage. Never tried them in ketosis though. Clozapine is also bad for weight but at least it has unique properties including some possible GABAergic activity. The only good news is that I take 10 1mg haldol pills at night so it would be easy to make 10% reductions as needed.
 
Conky said:
I'm stuck on 10mg haloperidol, it helps me mentally but I would like to go back to 6mg daily because I want to reduce the chances of developing tardive dyskinesia

Withdrawal begins 36 hours after my last dose and it is just as bad if not worse as benzo withdrawal especially since a lot of docs don't believe it's a thing. Severe anxiety and complete insomnia. I told my psychiatrist about it and he's like hmmm. Then said I don't have to take haldol if I don't want to but offers zero help or support in getting off or reducing dose.

So yeah if I make any attempt to reduce dose I would have to bombard myself with benzos, alcohol, and maybe opiates too and I would certainly become dependent on those too and have to go through withdrawals from those. Especially because the withdrawal from antipsychotics is more protracted than a benzo or opiate wd.

I took 10mg olanzapine for a year and came off cold turkey without experiencing any withdrawals but haloperidol is obviously a different monster. The WD makes me completely non functional.

Sucks man
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Sorry man.....Haldol-that is horror.They use this shit to punish some"bad behaving"patients in madhouse here..All of them was scared about such possibility.As for withdrawls-yes all neuroleptics&antipsychotics had such....after some time brain adapt to function with this meds and abruptly quitting them led to very bad and scary mental and physical states.....it could be not fall in category"withdrawl"by some docs.,but is real shit forsure.I do not know what to advice u....because i was take this only in medical settings for week or two.Sorry to hear that......it sucks.u got my support,which is useless i know that,but i am feeling bad about ur situation
 
Snafu in the Void said:
The metabolic change of olanzapine was very temporary for me. Maybe worth trying just to detox?
Click to expand...
I'm doing a slow taper. I can't afford to show up at work in bad withdrawals especially since I showed up on a day off after taking 40 pressed bars and they called ambulance and almost got put in psych ward.

I literally just went down to 9mg daily last night and so far so good. I will stay on this dose for 4-6 weeks to allow my brain to adjust.
 
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