When I started taking Geodon and had the charming side-effect of "urge incontinence"--meaning when you feel the urge to pee you can't control yourself long enough to get to the toilet--my psychiatrist immediately went up dramatically on the dosage. I want to say it was from 80mg to 120mg. The problem completely went away.
Later when I was taking 2 doses a day and getting so sleepy at work that I had to go out to the car in the parking lot for an hour nap, this psychiatrist FINALLY (after I lost the job) suggested that I take the whole 120mg at bedtime. I've not had to take a mid-morning nap since.
I have been taking Geodon for 2 years now. I have tried on 5 or 6 occasions to taper it off. I do fine for the first 3 weeks or so, then I begin feeling worthless, as though I'd better achieve something notable fast so I won't feel so bad. I rely on Geodon to allow me to work and take care of my college-age kids. Otherwise I'm in bed flipping channels compulsively to distract myself from how I feel.
I guess that on balance I'm grateful for the drug. Check with me when tardive dyskinesia sets in!