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#26
Nov 07, 2017, 10:13 PM
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#27
Nov 12, 2017, 01:27 PM
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Thanks ~Christina. glennk, I have tried zyprexa, abilify, geodon, and seroquel. We are holding off on latuda for now due to the extreme expense and likelihood that I would have to discontinue it if I lose Medicaid for any reason.
I did get in to the pdoc, we have decided to be aggressive since I may have lower life disruption for the coming 5 weeks. So, I am staying on seroquel, coming off lamictal, and then adding pristiq. This is gonna be a white knuckle ride I think. There are sound reasons behind this but it's still a gamble, basically hoping to raise my baseline mood further so that I get more stuff done and go out more, since THAT improves my stability more effectively than meds, if it's maintained.
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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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#28
Nov 12, 2017, 04:14 PM
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Seroquel at 100mg functions as an antihistamine (like Benedryl) even if you're a slow metabolizer. So it makes you sleepy and fights allergies. To get it to work as an antipsychotic you need to be on something like 300 or, better, 400mg or more. It's not known for causing akathisia and at 100mg shouldn't even give you its famous killer appetite. At an AAP dose it gave me terrible muscle and joint pain--which I've never heard of anyone else getting. So any drug can cause any side effect it seems like.
To the poster who takes gabapentin and atavan for akathisia. Cogentin (benztropine) or even better propranolol (a systemic beta blocker) should help more. It also has the advantage that it's only one medicine instead of two and it avoids building up a tolerance to the Atavan. |
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#29
Nov 12, 2017, 04:18 PM
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Seroquel XR was my saving grace.
If Latuda's cost is an issue, there is a program through Sunovion that provides free medication. Your pdoc will have to help with this. |
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#30
Nov 13, 2017, 01:39 AM
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Low doses of seroquel are effective for me because I am a slow metabolizer. Same with a lot of other drugs. Zyprexa 2.5mg has considerable effects both good and bad for example.
I'm gonna see where the pdoc's instinct goes on this one, I had the same thought as her why to try pristiq, but I would have tried to get my mood more stable first, she hopes that if my baseline mood improves more, stability may follow.
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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 |
 glennk
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#31
Nov 21, 2017, 05:20 AM
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Quote:
Have you tried the XR formulation of Seroquel? |
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This is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.|
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