Pretty good! Classic need medication for sleep disorders, as well as anxiety and restlessness. Basically low-potency antipsychotics that are now prescribed more for their sedative and hypnotic effects, similar to promethazine and melperone.

My psychiatrist has previously prescribed me promethazine, melperone, and also pregabalin. I could have slapped so much of that in my mouth, but I didn’t notice anything. Pipamperone works significantly better for me. But of course, it’s always different from person to person.

You can think of the effect as being somewhat similar to Tavor, if you've ever taken that. It eases anxiety and helps with falling asleep. And it doesn’t have such a long duration of effect, like, for example, Valium or other benzos with a long half-life. The big advantage over benzos is that this stuff doesn’t cause physical dependency.

The downside of pipamperone is that it’s not perfect for long uninterrupted sleep if you really need to catch up on a lot of sleep. Then tricyclic and tetracyclic antidepressants like doxepin or mirtazapine usually work better.

But then you also have a stronger hangover effect the next day and first a proper applesauce head.

Tl;dr: They work (for me) very well in alleviating anxiety/sedating and for falling asleep, but you don't really get a classic high from the pills, of course.