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Re: Seroquel XR 200 » Kenya

Posted by yxibow on April 7, 2009, at 15:52:30

In reply to Seroquel XR 200, posted by Kenya on April 7, 2009, at 15:25:34

> Hi!

Welcome.

> So, my pdoc just prescribed this. I've read so many horror stories about weight gain and metabolism slowing just from googling it today. I really don't think I should take it.
>
> My pdoc has met with me twice for about 10 minutes each time and decided to tell me that he thinks I'm bipolar.


For one, I totally disagree,

Perfectly entitled


two - why the heck would he tell me that (I was a little offended),


Well, you did go to a doctor for a diagnosis -- that is an opinon ?


I mean he has to observe you and make some learned conclusion -- if you think that the session was too short, well you can go to a doctor that does 45 minute sessions but not a lot of HMOs/etc will pay for that, that might have to be out of pocket. You're entitled to that, its a second opinion, or a third opinion.

You're also entitled not to have a doctor, but I wouldn't suggest it if you observe something that concerns you.


And, yes, sometimes there is a feeling of offense, but there are a lot of diagnoses out there -- I think the offense comes from the stigma of mental illness, or maybe the offense comes from "Why would I be [x] illness....it doesn't seem like me."

and three - I have worked really hard to lose a good deal of weight.

That I can understand, taking Seroquel off-label myself.


> Also, my dad (an olympic swimmer/diver - always an athlete) has had heart problems his whole life. I'm afraid with the heart disease history in my family and my own weight issues, this medication might hurt more than help. Does anyone have any thoughts about this?


If you don't have heart disease and you're fairly young at the moment, its not a -known present- risk factor, its just something to consider about.

The weight issues can be maintained better if you start off at the first time of taking a medication with such a liability by a concerted effort of a weight plan (limiting calories to only a certain amount) and plenty of exercise.


Also, did you discuss other medications such as Lamictal before considering or adding Seroquel ?


There are other atypical APs... Seroquel carries a risk burden like several of weight factors but it carries much lower side effects otherwise (EPS and tardive issues).

-- best wishes

-- Jay

 

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