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Learn to recognize early warning signs of recurrence

It is wise to get medical attention early if you think you are heading for an episode of mania. By contacting your doctor early, you can help ensure that you get adequate treatment as early as possible in the course of an episode.

There are many signs and symptoms that a person with bipolar disorder may experience if he or she is heading for an episode of mania. Studies have found that the signs and symptoms listed below are common before an episode of mania.

Sleeping less or lack of interest in sleep
Engaging in impulsive activities
Having racing thoughts
Acting more irritable than usual
Becoming excited easily or feeling restless
Spending recklessly
Extreme change in weight or appetite

Keep a Mood Tracking Diary
A Mood Tracking Diary is a place where you can keep a daily record of information about your mood and how you are feeling. You can share this information with your treatment team and may even choose to show it to a loved one.

It may help you and your health care team determine how well medications and therapies are working for you
It may help you and your health care team recognize early symptoms or triggers of an episode so that you can get medical attention early. It may help you and your health care team recognize factors that cause your mood to change, such as stress and sleep disturbances. It may help you remember to take your medication. Remember, this information is no substitute for your doctor's judgment and advice.

Important Safety Information

SEROQUEL is indicated for the treatment of acute manic episodes associated with bipolar I disorder.

Elderly patients with dementia-related psychosis treated with atypical antipsychotic drugs are at an increased risk of death compared with placebo. SEROQUEL is not approved for the treatment of patients with dementia-related psychosis.

Side effects can occur with all medications. A rare, but serious, side effect that has been reported with this kind of medicine, including SEROQUEL, is known as NMS or neuroleptic malignant syndrome. NMS is characterized by muscle rigidity and fever. Other serious side effects, which have been reported, include tardive dyskinesia (uncontrollable movements).

There have been reports of elevated blood sugar and diabetes associated with the use of SEROQUEL and other drugs in its class. If you have diabetes, or possible risk factors like obesity, or if diabetes runs in your family, you should talk to your doctor about checking your blood sugar before starting SEROQUEL and throughout treatment. If you develop symptoms of elevated blood sugar or diabetes, including excessive thirst, increased urination, overeating, or weakness, contact your doctor. Complications from elevated blood sugar or diabetes can be serious and even life-threatening.

The most commonly observed side effects associated with the use of SEROQUEL in clinical studies were drowsiness, dry mouth, dizziness, constipation, weakness, abdominal pain, sudden drop in blood pressure when standing, sore throat, abnormal liver tests, upset stomach, and weight gain.

This is not a complete summary of safety information. Please discuss the full Prescribing Information with your health care provider.

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I have been on Seroquel for a year now, and since it was such a new medicine at the time, I signed up for their newsletter. In AstraZeneca's latest newsletter, dated 12/22/05, they state that Seroquel is approved for treatment of mania in bi-polar I patients. In the entire year I've been on it, I have yet to read where they recommend it for bi-polar II patients, or the treatment of the depressive side of bi-polar. See for yourelf above, or check out the website - www.seroquel.com

I am very interested in where you found this information, becasue I can't imagine only having to take ONE med for my BP I.

Dolfin