Seroquel

it's ok. i know it's not the greatest idea

i'm probably not going to take seroquel tonight. i got agitated and had hypomanic suicidal thoughts after i took it. the same thing happened before when i took seroquel, but at the time, i just thought it was a coincidence. now i think it's actually a nasty side effect

I thought that you slept a long time while taking it and that is why you lowered the dose.
Are you saying that you got suicidal lately?
You know your body best...I am sorry that you rapid cycle.
(((((HUGS)))))
bizi

Yes, it gave me lots of sui thoughts that raced through my head. They were violent thoughts as well, but they were not depressing in nature. They just arose from agitation.

I said I was going to take the seroquel, but I ultimately didn't do it because of the sui thoughts. I kinda put two and two together and decided not to take it. I don't want to touch it anymore.

I am sorry that you are having suicidal thoughts.
((((HUGS))))

Are you going to call your pdoc tomorrow? for some other type of AP?
maybe a small dose of zyprexa could help you?
bizi

Well, I saw my pdoc on Friday and we talked about upping my Abilify dosage to the max to help prevent (hypo)mania. Same with upping my Lamictal to the max. He knew I was hypo at my appointment (and this was before I even took Adderall).

We didn't up my Abilify dosage yet because we're working on upping my Lamictal from 300 to 400. For some reason, I quickly develop a high tolerance to meds even though I'm not that big. So I have 0 clue why my tolerance is so high.

If I took Zyprexa, it would probably have to be a big dose, but I know he doesn't like to prescribe new meds over the phone. He prefers an in-person appointment. My next appointment is on the 27th.

again I am confused. I thought the abilfy was activating????
lamictal doesn't really help with hypomania, I think it is useful for its' antidepressant qualities.
maybe you can call to get a sooner appointment?
2 weeks away can get you into trouble.
bizi
sorry it is so hard for you....
((((HUGS))))
bizi
good night

hi. I don't like seroquel. I take 30mgs/Abilify, which is I think the highest a lot of doctors will go. I was briefly on 35mgs daily while introducing an antidepressant, to keep me from freaking out over the first couple weeks.

Point is...at the higher doses, Abilify has calmed me down, but it doesn't really "activate" me or do a whole lot to reduce depression. It doesn't make depression any worse or cause depression, though, which is huge.

I personally don't like the idea of 2 antipsychotics going at the same time. Now and then I'll take 2mgs risperidone with some gabapentin at night, just to soothe the agitation that's left over from the daily medications. That's about it. Its not a long term solution, and taking 2 antipsychotics at the same time can make some side effects worse.

Hope things get better. Have you ever tried Ritalin or Focalin? Those work better for me, especially on Abilify.

Yes, it is activating, but very slightly. I become hypo when the dose increases, but then it wears off once I adjust.

My pdoc is hesitant about adding a secondary AP. He wants to play around with what I already have to see if he can do something about my mood, I guess.

He's done a good job of preventing depressions. Now it's just the hypo/mania we have to work on. But the problem is that Abilify is mainly for depression just like Lamictal.

Ideally I would like to try something like Haldol, but my pdoc said a couple appointments ago that "we only prescribe atypicals in this office".

Haldol :-(

I guess if you're more (hypo)manic, that kinda makes sense. There are other older antipsychotics that aren't as bad as Haldol, though. Loxapine or perphenazine. I've taken perphenazine in a hospital setting, and it wasn't terrible. Haldol, though--wow. That one shut me up.

I hope you find something that works for you.

Nope, no Ritalin or Focalin. My pdoc doesn't want me on any stimulants until I become stable. That's why I'm on Strattera, even though it's utterly useless.

My pdoc wants me on 30mg of Abilify, but we're adjusting my Lamictal dose first, I guess. Then if I'm stable after these 2 dosages are maxed out, I get a stimulant.

Ritalin and Focalin sound nice, but I would like to try Vyvanse actually. I've heard a lot of BP people say that it doesn't throw them into mania like Adderall does. (Some people obviously still become manic off Vyvanse, but I've read a lot of great things about it from BP people.)

I wonder if 2 APs may be necessary, only because Abilify fails to prevent my upswings. It's great at stopping those downswings, but I need something for my upswings too.

I used to be depressed 75% of the time, 20% (hypo)manic, and 5% mixed... but now it's more like 30% depressed, 65% manic, 5% mixed. So it's changed.

I've never heard of Loxapine or Perphenazine before, but I'll look into them - thanks. But I'll have to change pdocs if I want either of them, as my pdoc does stick to his policies very well.

hey. sorry, didn't mean to come across as some know it all. Its just that Haldol is The Rough Stuff. Even with the older tranquilizers, there are better options, in terms of tolerability.

My Pdoc didn't phrase it the same as yours but she won't prescribe the typicals either. I guess they would have too many side effects for me so we just stay away. We've tried so many atypicals though- that's why she wants to start me on Rexulti in January.

Hi, ..I'm new to the forum and was wanting to post ssomething..The Dr. has me on:
400mg Seroquel
300mg Lithium
200mg Toprimate
30mg Paxil which i stopped taking about a year ago.
.5mg Klonopin .. I usually take 1.5mg

I take this every morning.
Anyone have any input on this?
Thanks!

Why are you taking triple the prescribed Klonopin?

The Dr. Prescribes me 90 a month .. And has me take them as needed.

Sleep is my main problem. I never ever get a full nights rest.

You take 400mg Seroquel and don't sleep? If I were you I would move to taking the Seroquel at night.

Elianza, seroquel can make you really sleepy. It's probably better to take it at night.

I understand But its my bi polar medicine..(?) Would it matter(?) And Lithium, alongside, is, if not worse & had that same affect. That's when I FIRST. started taking them. I don't get that drowsey feeling anymore...

It should still help your sleep to take it at night. It won't matter as far as the AP benefits are concerned.

Thanks a lot y'all for yall's input. Going to take what y'all said into consideration and try taking my meds At night instead and see if that works any better. Ive tried trazedone, .. Everything. Nothing seems to work as for as getting 'a good nights sleep.' Thanks again!

300mg is not an antipsychotic. At that dose it's anti manic properties are not due to it's anti-dopaminergenic properties. It's solely due to it's sedative properties. You can reduce the dose but you're basically just reducing an anti depressant with very powerfull sedative properties, because seroquel is an antipsychotic only from 400mg and up.