[SorryShaped]

I know, don't change meds without permission.
However, since I restarted prazosin, an antihypertensive used for nightmares, it feels like a ton of bricks on my chest every night until I fall asleep. My pulse has been well above 100 at that point, but my normal resting heart rate with caffeine is 65 I reduced my Seroquel from 600 to 400 last night. It didn't hurt to fall asleep. I slept about the same. I feel very sore from yesterday at the gym but ok otherwise. I know a drop in blood pressure can cause high heart rate and it's very dangerous when the body does that. Seroquel can cause a drop in BP as well. I was briefly on 800mg and was passing out at times with dangerously low BP a couple years ago.
I think I've chosen wisely here. I don't want to bother my provider with this small change. Should I?

[99fairies]

When do you see your Pdoc next?

[99fairies]

I used to mess around with my meds when I was younger. But it always bit me in the ***. I hope your modification is a good move for you and you don't regret it.

[SorryShaped]

Originally Posted by 99fairies

When do you see your Pdoc next?

Feb 6.
I remember the feeling from low BP. This is that feeling.

[Guiness187055]

Just be honest with your pdoc.

[SorryShaped]

Originally Posted by Guiness187055

Just be honest with your pdoc.

Always am. She can look at me and tell what mood/mode/whatever I'm in. I'll keep her.

[xRavenx]

When I am honest with my pdoc, she usually can see where I am coming from and will approve the change that I am requesting, such as lowering my meds when I give her a valid reason. I think having a pdoc that takes your concerns seriously is very important. Your reasons for wanting to lower your medication.

If your pdoc can't understand your needs, then I would question whether to switch to someone else. I hope you have a pdoc who you can trust and be on the same page with. Either way, definitely bring up the fact you switched meds to avoid any potential concerns, such as problems tapering that sometimes catches up with you later on.

I can actually totally relate to your med concerns and have reduced for Seroquel on my own, although I do not recommend it. I have never been on prozasin though. Once I told my pdoc, she allowed me to stay on the lower dose at 400 mg. At 600 mg Seroquel, I would feel my blood pressure drop and almost pass out. Once it was reduced, I was feeling better. I did not have problems tapering down, but that's just my experience. Now, I am down to 300 mg and plan to only increase it to 400 mg if necessary. I no longer ever want to be on 600 mg. It is scary.

[Unhinged88]

They make meds for nightmares??

[SorryShaped]

Originally Posted by Unhinged88

They make meds for nightmares??

Prazosin is an antihypertensive, to reduce high blood pressure, medicine that even in doses as low as 1mg can reduce it eliminate nightmares. I get relief with it. A lot of vets take it. However, it dulls or removes other dreams too, which is why I quit taking it before. But, when I'm shaken all day from the nightmares, I'll lose the other dreams and take the med.

[Wonderfalls]

It doesn't sound like a big deal but I wouldn't wait until your next appointment--I would call him now. The more your psychiatrist (or any doctor) trusts you to keep him on board, the more he will trust your judgement in return. You don't want it to seem like "Oh, by the way,...".

[SorryShaped]

She will be ok with it. She didn't have a problem when I stopped prazosin without telling her. I didn't reduce things to the point of being ineffective, but to reduce probable danger. Seroquel also lowers blood pressure. I felt like a ton of bricks on my chest at that dose. I remember when I had to quit the antihypertensive I was on after I lost weight. I was passing out, but not immediately. I'd make it about far enough to hit my head on something, hard, before EVERYTHING went black. Besides, she's only in on Tuesdays. I could text her, but I don't want to disturb her. She's very busy teaching future mental health nurses, 6 days a week. This way too, I'll know if it makes a difference after a few days.

[SorryShaped]

I think my energy levels could be becoming an issue related to the drop in Seroquel. I only take it at night and only for sleep, and am getting really restful sleep. I lowered my Seroquel dose from 600 to 400 when I started back on prazosin for nightmares my heart rate went really high. I had almost 9 hours sleep last night. It's 2:30 pm and I'm charged! I almost feel that manic energy but I don't feel like using it in a wrong way. The gremlins aren't here. I feel happy. I don't feel out of control at all. I feel connected and not at all on edge or overdriven. I do also have that "we beat the night" feeling but it's because I went all day of my unniversary yesterday and didn't let it really get to me, other than stopping me from approaching a female I was majorly attracted to, in thinking I shouldn't because of the day. Someone else encouraged me to try but I didn't because of a lot of self defeating reasons, most notably the "way out of my league" and "too good for me" reasonings. I maybe should have. Dunno.
I did have a mild manic episode not too far back from now, but overall I kept it under control. I can't afford to spend more money, because I really don't have it. Maybe I'll work it out in the gym later? I'm really excited to be going again. It's the same gym, no changes, but I'm excited every time, like a kid at an amusement park.