Why does my heart race when I stand up?

A psychiatrist’s consult needs to make a determination whether your psychosis is substance abused induced or if it may signify a more serious mental illness, like schizophrenia. A psychiatrist can conduct a comprehensive assessment and steer you in the right direction for treatment. I suggest that you see a psychiatrist who specializes in psychotic disorders.

It is crucial not to overstep the stipulated dosage or mix it with other drugs. If you're up after taking it, your insomniac problems may be due to some other factors that may be holding you back from getting the sleep you need. I would suggest discussing it with your doctor and possibly trying a different medication or adopting some other approaches to get your sleep back to normal. 

It seems that you may be going through a type of depersonalization. That means that a person can observe life like an outside spectator from the viewpoint of seeing himself/herself acting. It can be associated with anxiety, stress, and other mental health issues as well. It is highly advised to communicate with someone you trust or a counselor about how you feel. They will be able to provide you with coping mechanisms. Besides, resting well, eating properly, and take a couple of breaths or practising mindfulness can also be beneficial to keep your mind at peace. 

Trifluoperazine treats certain health conditions, but it can interact with Vitamin B complex, increasing the risk of side effects like dizziness and drowsiness. Consult your doctor before taking them together to ensure safety.

Please talk to a psychiatrist. They may help you to overcome this issues

Tranquilizers are medicines used to relax the body and mind and calm them down. These are the best choices for the treatment of anxiety and insomnia and sometimes muscle relaxation. Some of the side effects are drowsiness, dizziness, and confusion. Memory loss is one of the side effects that could occur, particularly when using the drugs for a long period with high doses. Besides these, it is important to be careful with the doctor if you feel any adverse symptoms.

A common side effect of mirtazapine is weight gain. Talk with your doctor before you reduce your dose. They might recommend a strategy to decrease the dose gradually so that you won't have withdrawal symptoms. It is dangerous to quickly change your dose; therefore, it is necessary to do it carefully under the supervision of your doctor. 

It's positive you made yourself vomit to re­move meds from your body. Since you took the­m earlier today, you can still have your usual dose­ tonight. Just watch for odd signs like feeling dizzy, ve­ry sleepy, or heart be­ating differently. If anything see­ms bad, talk to a doctor.