Quote:
Originally Posted by still_crazy
I think the seroquel dosage reduction is contributing to this. I think Seroquel has a fairly short half-life, and 100mgs out of a 400mgs daily dose is a 25% cut, from day one. Add in to that Seroquel's effects--sedation, anti-agitation...tranquilizer stuff, basically (when you think about, Seroquel is basically cleaned up Thorazine, for the 21st century...)--and I think it makes sense, intuitively, that dropping the dose of a sedating tranquilizer could contribute to stuff like this.
I'm glad you've cut your dose a good bit. Over the long haul, neuroleptics should be at the LED--lowest effective dose. "Experts" figured that out once the TD lawsuits became a major issue. With the "atypicals," it seems that some doctors have chosen to go back to maintaining people on as much neuroleptic as the patient can tolerate (and sometimes more than that, as evidenced by the continuing popularity of cogentin...), which can actually cause a lot of problems--physical and psychiatric--over the long haul.
I dunno. Anytime psych drugs are reduced, there's a reaction, or at least that's how it's been for me and people I know. Most psych drugs suppress emotions, agitation, etc. to some extent, so when the dose of the drug(s) is cut, all that comes flooding back, plus whatever is going on in the brain.
I hope things get better in your world. My personal advice would be to accept where you are now and just try to get thru it, so you can stay on the lower dose of Seroquel. I know that's easy for me to say (clearly...I'm not living it...), but it does seem that most people do better by either tapering off neuroleptics or managing on the lowest dose possible in their situation.
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Thank you. It's good to see someone agree with where I am coming from regarding my decision to lower the Seroquel a little bit. Since I'm already going through health anxiety on top of this, higher doses of Seroquel scare me. I've been through a lot throughout the year, going from 600 mg to 800 mg, back to 600, down to 400, and now 300 mg. I do not plan to reduce it any further since any less would only work as a sleep medication, when I need more of a stabilization effect without feeling Seroquel's risks outweigh the benefits.
Risk of side effects like TD, twitching (which I had a lot of), a drop in blood pressure, and risk of heart problems is enough to scare me. I know all meds have their side effects, but the lower dose makes me feel more confident. I hope I can manage on this dose. I'm going to give it time and hope my moods level out more, as I adjust.