Ren...also, btw, question? must it be an AP or would you try alternatives? none of those drugs are great for the brain and its tissue.
And do you know if there is any specific and definable biological, physiological cause of the tics? The more I know the better any chance of my being capable of assistance:)
What I'd be inclined most to do, is to try and drop the AP, without actually not collecting the scripts for it, that way everything is, and remains, at your discretion entirely, and not your doctor's choosing, that way he may not choose an outcome or method of reaching a given outcome that you are not prepared to tolerate.
If it doesn't work out, then re-add the stuff at whatever dose you originally started on, as long as it is not greater than what you are on now. Since you only take 5 mil, a very small dose compared to what might be used to turn schizophrenics from psychotics into vegetables or to incapacitate an acutely violent fruitbin in a psych ward when the crowd of burly men and/or skinhead women with voices that sound like a loud-hailer chewing powdered bullets and glass shards who make the butch-est bulldyke lesbians look like willowy, uber-feminine supermodel girls with an anorexia problem so severe they eat only once every other decade (
)***and (the straitjacket-bearers) who's one and only contribution to femininity is the lack of possession of a Y-chromosome and not being in fact not biological life at all but in fact, a disguised android controlled by algorithms in lieu of personality sensu stricto.
Then I am of the inclination to think that you could easily drop the haldol entirely at once, or if you don't feel comfortable, then half it for a few days first, and then do so, or even do it by knocking quarters off, taking a few days in between each time if you are extremely sensitive and feel through personal familiarity with how the noxious muc...errr...drug, sorry, ahem:P affects you personally. Likely as not though you should be able to do it with absolutely minimal side effects.
You may or may not wish to lower (in the short term only) the moclobemide, but it shouldn't be needed, but only in the case of dopaminergic rebound effects from the removal of the haloperidol that are perceived as unpleasant by you. BUT, only if it A-happens and is B-not pleasant. That said, it shouldn't make a difference much, because moclobemide is an inhibitor of the type A isoform of monoamine oxidase, and MAO-a metabolises primarily serotonin and noradrenaline, paying much less attention so to speak, to chewing up dopamine and spitting out the pieces whilst with MAO-b its mostly DA this isoform is interested in munching on.
As for my meds, just took some pantoprazole, a proton-pump inhibitor (decreases stomach acid secretion), along with pramipexole, a dopamine agonist, gabapentin-for neuropathic pain, which does not respond well to opioid painkillers, cimetidine-again for my guts, for acid reflux and I take it for a dual reason: I originally was scripted its close relative, ranitidine but had my doc change the rx to cimetidine, for unlike ranitidine, cimetidine is a reasonably strong substrate&inhibitor of hepatic cytochrome P450-3A4 and CYP-P450-2D6, enzymes that metabolize and destroy morphine and oxycodone, so the cimetidine enables a given dose of either painkiller to both hang around in the body longer, in greater quantities and in essence, work harder, more bang for the same buck. My GP was most surprised to hear me making that suggestion, because he had no idea about the existence of that little trick, he gave me a look of total surprise, and asked me why I was telling him to change from ranitidine to cimetidine, because generally speaking the two drugs are regarded as being functionally identical, and surprise turned to astonishment as I explained to him my reasoning for the change. That was kinda hilarious, but it was good that I was able to educate him and pass on some of my knowledge in a way that could be used to help other patients of his in the future.
He was like 'how on EARTH did you know THAT; *I* had no idea you could even DO that!!!; and then went on to first fill the prescription asked for, and then change my regular repeats so cimetidine would be on them in the future from then on and ranitidine would be replaced. It works nicely, actually, makes my morphine (and to a lesser extent, oxy) both last a fair bit longer and take considerably greater effect, cracking the whip and yelling 'get the fuck back to work, bitches, who said you could rest you pair of lazy maggots! *THWACK!*
Quite a funny appointment, and from then on, its definitely done the job, not only for my stomach, for which ranitidine worked, but to drive my painkillers like a pair of slaves in the poppy-plantation like an overseer with his whip.
And should I indulge in drinking and eating those perennial favourite treats of mine, tinned grapefruit segments in grapefruit juice, and cartons of grapefruit juice with the pulp and the bits left in the juice, those contain flavonoids, terpenoids and such that serve as not just an overseer and his whip, but an entire squad of particularly foul-tempered, brutally sadistic overseers with not just whips but electrified cattle-zapper shock prods, whipping zapping, shocking, jolting and tanning the backsides of the poppy-plantation slave-workers and giving mr.morphia and mr.oxy not a minute of rest, so that the plantation owner (me, in other words) can sit up on the porch of his cabin with his feet up on his soft, comfy leather sofa with a cold glass of ale and a smoke, and rest all day, aside from when he needs either drop a log, piss, put food in his mouth, hike through the woods, or of course, and this is when rest is as scarce a commodity as its ever going to get, head on into his pride-and-joy, namely, his lab in order to work upon whatsoever of his personal projects as the mood may take him in any given moment:autism:
