Seroquel is one of the only drugs that has worked for me. I was on doses up to 1500 mg (nearly double the recommended max). I was on 800-1200 mg for the longest time.
I was really afraid of it because I worked in a psych facility where the psychiatrist used it to snow a lot of the patients. I was terrified that I would be snowed too. My pdoc had me go up very slowly over probably 2-3 months (to maybe 300 mg) and while it helped me sleep I wasn't overly sedated. I was on it with a really high dose of depakote too and still wasn't too sedated. When XR came out I switched to that and it made life a lot better; all the sedation during the day left but I still slept at night.
I was on it for 9 years before it stopped working and I changed to clozaril. I did gain weight on it but also lost about 60 lbs at one point on it.
I found it a good med but not perfect. I'm still waiting for the perfect med  .
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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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