Take one: Risperdal Consta

Well, my pdoc pretty much dumped me. He moved to another city and can’t take patients from mine anymore, and sent me back to my GP.


My GP is more of a person whisperer than my pdoc. Seriously. 

I’ve also lost a lot of weight. I’m hovering around the 95lb mark. Not good. So my gdoc and pharmacist and I worked together to find a new medication combo. So here it is:

Risperdal CONSTA: 25mg IM every 2 weeks, to replace Piportil depot and Topamax 400mg. Currently tapering down Topamax. At 200mg. Getting my appetite back.


It’s a weird milky white substance. It’s not thick or painful though.

Cipralex 20mg.

Cipralex logo

Clonazepam 1.5mg.


Ritalin 40mg.


Artane 5mg PRN.


So that’s my new combo.

So far so good.

I started the Risperdal CONSTA today. It’s got quite a complex put-together-syringe system. Dr B wasn’t in to give it to me, but another doc at his practice was, Dr Z. His eyes nearly bugged out when he opened the instructions, but he had a sense of humour about it and laughed, and said I was putting him to work. “One of these complicated things, isn’t it?”


Easy enough, eh?

He got the Risperdal into the syringe (which is a strange, milky solution, but not as thick as the Piportil, and needs a smaller needle) and gave me the shot in my “bum” as he calls it, which is pretty much painless, a needle prick and a slight sting from the actual Risperdal itself, and then an ache for a couple minutes from the solution, then nothing. No swelling, no redness, nothing.


Then he had to clean up. He offered me the instructions as a “souvenir” and I laughed and said he should keep them as one for him, and write that he conquered Risperdal Consta on it.


I wasn’t sedated immediately like from the Piportil. I was sedated later in the day, but I’ve been sleeping like shit this week, so it was probably a combination of overdoing it and slight sedation from the injection. I napped most of the afternoon after going out with my mom, woke up feeling alright, made myself some supper, and now I’m knitting, watching some TV and chilling out. Tomorrow I’m going riding.

No side effects so far. My mind isn’t working in overdrive. Risperdal Consta takes about 3 weeks to fully kick in, but I am going through a pretty major med change, so I’ll let you know what happens. I met with my worker this morning. She’s trying to get me in with a decent tdoc, covered by my insurance! I have a dentists appt on Monday, ughhh.

Horse show next week.


I hope I can adjust my sleeping patterns so I sleep at night and am up during the day. I kerfuffled that up pretty badly. Whoops. This week has been odd.

My mood? Great. Not manic, not depressed. Just right. A bit up.

My weights been a concern. And the breakthrough mania on 400mg of Topamax. Ugh. Dopamax. Maybe I’ll get my word-finding skills back, so I don’t stop halfway through a sentence trying to think of the word “door” or “key” or something anymore.

Less meds is good. Less painful shots (on studies, patients rated Risperdal Consta 11/100 for pain. I give it 1/100 for pain) are good. Piportil gets 5/100, if that. Good doctors are good. My gp, Dr B, is still busting his ass trying to find me a new pdoc. He’s got my meds under control, so I may not even need one.

I saw an obgyn about my painful periods (when I have them, I haven’t had a period since February, due to weight loss, I lost almost 60lbs in 7 months) and had a.. thorough pelvic exam and all sorts of tests.. well, I have endometriosis. He said its sort of fortunate I don’t have periods right now. So I may be getting a partial hysterectomy. I already have my tubes tied. He respected that I don’t want hormones. He was very thorough, respectful, and explained things thoroughly. He gave me his time of day, unlike the last obgyn that wrote a script for Depo that “stops your period and has no side effects”. I walked out.


Go fuck yourself telling me to “Relax.”

Funny: Once i was so tense I broke two plastic speculums. Should I put that in a personals ad?

I had an MRI on my shoulder, rotator cuff. It was at 6:45am, I had to be there at 6:10am. Believe it or not, my first MRI and I fell asleep. I wasn’t nervous. It was kinda comfy in there. I’m small, 5’3 and 95lbs, how the fuck do they get anyone bigger than me in that tube? I had lots of blankets and pretended I was being shot into space and dozed off. I like small spaces. I feel safe. It was loud, I zoned it out, and I was tired, and then it was over. I’ll show you the pics when I get the disk.


What mine probably looks like. MRI’s are neat.

Here’s a pic of me jumping my pony for the first time, bareback. That’s trust. She’s not wild and crazy. She’s a sweetheart. I heart her.


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