I do have prn Seroquel regular to take if I start to get manic. I also have Ativan, which I have taken for anxiety, severe agitation, or an extra boost to help me sleep. These medications were provided to me by prescription from my psychiatrist as prns. He has informed me how many max I'm allowed to take without having to call him. Often my husband is the person who encourages me to take these prns. If I have taken all of my allowed prns, and still have serious escalation of mood issues, I then call my pdoc. Having these prns has also helped me stay out of the hospital. I agree hospitalizations are expensive, so I try to avoid them whenever possible.

To those interested in prns, please talk to your doctor. I would not take extra medications unless my pdoc allowed it.