[...]
On the other side, there are members here take double the dose of antipsychotics as usual before drinking SN
[...]
You mentioned people saying to double the risperidone dosage. If you are in fact referring to
this post,
BPD_LE was
only saying to double that person's
particular dose to bring it up to her own recommended antiemetic dose of
4–6mg. She didn't mean for everyone to blanket double whatever dose they happen to be on.
I don't know her experience or rationale, but her recommendation is
4–6mg of risperidone to provide antiemetic effects. This dose is certainly within the dosage limits as per the diagram below, so there wouldn't be any inherent problem with taking the
4–6mg, such as overdose or adverse side effects.
I understand she has since passed away and so can not provide further clarification. Her
specific wording was:
4-6mg of Risperidone. Depending on what your current daily dose is.
If I had to second-guess her intent, I'd say while she regarded
4–6mg as the dose range that provided antiemetic effects, she also wanted the increase from the member's normal dose to the antiemetic dose to not be so drastic as to cause unwanted side effects, so:
- The user taking 3mg was recommended to double to 6mg (high end of the antiemtic dose range).
- If the user had been taking 2mg, then she quite possibly would have recommended doubling it to 4mg (low end of the antiemetic dose range).
- And if they had only been taking 1mg, she would probably have suggested either quadrupling the dose to 4mg, or gradually titrating the dose upwards from 1mg to 2mg to 3mg to 4mg, for example. See the diagram below for instructions on gradual titration.
BPD_LE certainly seems experienced in pharmacology, but I don't know her specific reference for giving
4–6mg as the antiemetic dose. But in the absence of any other information to hand, and with that dosage being within the safe range, I don't see any harm in it.
Note that you should still run all of your currently taken medications (as well as any recreational drugs, alcohol and SN itself) through the Drugs.com Interactions Checker to check for any possible interactions. If there are any medications that are listed as interacting with Risperidone, note that any side effects from this interaction are liable to increase if you raise your dosage of Risperidone.
Hope all this helps at least somewhat.
– Autumnal