I'm already on twice the FDA approved amount of Seroquel. Unfortunately I do not respond well to drugs and they don't do what they are supposed to do a lot. I'm taking gabapention, topamax, klonopin, valium, huge dose of seroquel, all of which should make me tired and they don't. I'm hoping that I might be able to add Latuda (which would let me be on less Seroquel eventually) but it would be through patient assistance and so I wouldn't get it for a couple of weeks after it was prescribed. I'm also on 1/3rd of my antidepressant to cut down on stimulation. So there is no way I should not be able to sleep but I don't seem to be that affected by the meds.
I think my psychiatrist and I have things worked out so that what needs to be done gets done. If I have to I can see her more but that almost never happens. If she questions what I'm saying she can talk to my therapist (and they do talk sometimes). But I'm pretty good at telling her what is going on and responding if I'm wrong (ie if the AD had gone up and then last night happened I know how to get my blood level down again).
It's so complicated isn't it?
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Originally Posted by jacky8807
I hear you
By taking an A.P. I was able to get a couple hours of sleep but that keeps me in a MUCH safer zone. I don't feel like I am on the urge of "tripping the light fantastic" 
As far as adding the A.D. that's why I think sometimes it is better to see the pdoc in person but mine is only 10 minutes away and yours is quite a drive
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Bipolar 1, PTSD, GAD, OCD.
Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily
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