I'm a bit stunned.

My psychiatrist emailed me yesterday increasing my base Seroquel XR dose to 700 mg, plus any needed PRN iR. Then a few minutes ago, I see an email from him at 4:30 pm today saying that he thought about my response yesterday, where I then told him about my second recent fall down the stairs, and subsequent injury. He told me to reduce my Tegretol XR by half, that my levels may be too high. Half is 600 mg (I took 1,200 mg). That's a huge quick reduction, I think!

I have blamed Tegretol (carbamazepine) for my past clumsiness a lot, but lived with it because of what it did for me years back. Namely, stopped a long bout of musical hallucinations and disconcerting symptoms that seemed seizure-like. I sure hope they don't return!

I'm obviously a little nervous about the reduction.

I meet with my psychiatrist this Wednesday via video appointment.

I have read that often as Seroquel doses go up, Tegretol levels can go up, too. Oddly, as Tegretol doses go down, the therapeutic worth of Seroquel as a moodstabilizer/antipsychotic often goes up (not down) . The two are not often prescribed together for those reasons, though some, like me, do take them together.

It is possible that my Tegretol level is too high, but I haven't suspected that because I haven't had double vision (diplopia). In the past, I usually experienced that when my Tegretol level was high.