Yeah, being a CYP2D6 poor metaboliser, a lot of meds (seroquel included) build up in my body much more than most people. This is true for about 10% of people depending on race. It's why 100mg is plenty for me. 2.5mg zyprexa is a solid dose for me, to the point where I got major side effects and a strong therapeutic effect from a dose so low insurance has tried to cut me off more than once, saying it couldn't possibly be doing anything.
CYP2D6 makes a huge difference in med response.
Anyway, my default baseline when not cycling is moderate to severe depression. Here are the atypicals I've tried.
zyprexa: great for stability. aside from the first time on it, does nothing for depression
abilify: immediate agitation, very bad reaction.
geodon: on it for a month, felt surly and mean.
seroquel: among the best substances I've tried for depression, but I am very unstable.
SIGH.
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Bipolar II ultrarapid cycling + ADHD-PI, both treatment resistant af
zyprexa 2.5 / dexedrine 10 / valium 3 :: CYP2D6 poor metabolizer
currently trialing meds one by one with a great pdoc after 20 years of fail
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