Question: i am on 5.75mg risperdale 40mg cipralex and 300mg bupropion.i started bupropion in december 2012 with 150mg & i increased it later to 300mg.cipralex i started years before 2012, i increased it gradually from 10mg to 20 to 30 to 40mg.i started risperdale in april 2005 and i was in 5.75mg in december 2012.i started to gradually decrease it to 2mg and i started to feel psychotic symptoms then i increased it to 5.75mg gradually,my body more or less tolerated the increase from 2mg to 5.75 mg nicely cause i was used to taking risperdale 2005 to 2012.the only side effect that i have for a second time is itchiness,i guess it ll stop in time.now i like to decrease bupropion to 150mg for the next 10 days and replace it by 15mg mirtazapine after that.should i drop the cipralex to 30mg or should i stay on 40mg cipralex .my paranoia started in 1999 my depression started in 2000.i am 31.

i understand now that query means question.i am scared of the feasible fatal qt prolongation that may be caused by taking cipralex mirtazapine risperdale together. is it frequent? does ecg assist to predict how likely it is.is 40mg cipralex 5.75mg risperdale & 15mg mirtazapine safe to take together,40mg cipralex is high
risperdale i am able to tolerate up to 5.75mg some persons that are in a more severe psychosis may take as far as 8mg twice daily.mirtazapine 15mg is the starting dose,cause u are a psychiatrist I need ur advice.

when my symptoms started in 2000(depression) i had suicidal thoughts sadness,boredom,inability to enjoy studying my lessons,later the suicidal thoughts were eliminated by taking medications.the sadness is also eliminated.yet i have loss of concentration obsessional thought that later developed to listening my thoughts followed by hearing voices,i have slowed thinking since december 2012,i started hearing voices since i started to decrease the risperidone from 5.75 mg to 2mg since december 2012,so I increased it back since may 2014.for the cipralex increasing from 30mg to 40mg didn't make any change.starting bupropion in december 2012 was accompanied by decreasing risperidone so depression started to be replaced by psychosis and there is some overlap between the two so my depression also started.I have a psychiatrist yet he isn't nice he told me to decrease risperdale in december 2012 and made me suffer.before december 2012 i was in a different outpatient resident clinic .i saw several residents changing every 4 or 6 months they were less experienced than him yet they were nicer than him.they honestly told me that risperdale though it is more sedative than abilify it is more effective ,the psychiatrist I saw after december 2012 said i disagree.an honest nice resident,Dr Li had told me that abilify when taken alone isn't as effective as risperdale,my experience approved that risperdale is more effective at least for me.interms of effectiveness i read that mirtazapine is the most effective.according to ur advice i ll decrease bupropion to 150mg and then stop it and start mirtazapine 15mg ,i could decrease cipralex gradually to 20mg

so next 10 days

i ll take bupropion 150mg cipralex 30mg risperidone 5.75mg
next 10 days i ll take

cipralex 20mg mirtazapine 15mg and risperidone 5.75mg

and wait for a month and if no change in crease mirtazapine to 30mg.I am getting a new psychiatrist in August yet I am vacationing in the states in July.is there a stimulant that i could take to avoid sedation during school time so I may study,i meant a stimulant that isn't addictive that doesn't have serious sideeffects or serious interactions or that doesnt aggravate acid reflux of the stomach

i have only 20 mg pills of cipralex at home ,i used to take 2 of them to make the 40mg,the tablets have groove yet cipralex couldn't be chewed so i am afraid breaking the 20mg into 2 to take 1 and a half tablet to make a 30 mg couldn't assist me ,cause i guess breaking a tablet is same as chewing it so if i drop from 40mg of cipralex to 20mg before staying on 30mg is that too abrupt of a decrease in doseage.

interaction wise bupropion and mirtazapine taken together are less serious than mirtazapine and cipralex, what if i stop cipralex gradually and take 150mg bupropion and 15mg mirtazapine.