Posted by bleauberry on April 21, 2011, at 17:18:30
In reply to Antipsychotic side effects?, posted by sheilac on April 21, 2011, at 16:22:25
My opinion is that normal dosing instructions are only a rough guideline and that the actual dose needs to be tailored to the individual, as judged by the individual's reaction to different doses. The body talks, we just have to listen to what it is saying. In your case it is saying going to 50mg from 25mg is bad. But...it could be down the road maybe 50mg is great....but probably won't go that way with one huge jump of 100% increase from the previous dose. For some of us the body takes longer to adjust, or reacts violently to being tweeked too much too fast, so we have to tone it down by attempting dose increases in smaller steps. 25mg to 30mg for example, accomplished by various methods of making custom sized doses out of the capsules or tablets.
Just a gut hunch, but of all your meds to increase I would probably have my eye on prozac more than seroquel. For bipolar? Yeah. I know that bucks the conventional census. Most clinicians would say an ssri increase would destabilize a bipolar patient. But I've seen them work good when the conventional census meds didn't. Everything in psychiatry is general consensus, opinion, and all of it unproven theory, so each patient, each med, and each dose change is an experiment with an unpredictable outcome. Trial and error is the only way to discover the proper road to be on. Having failures or duds along that journey have to be expected. Sometimes, as in my case, a lot of them.
In any case, I'm all in support of what you are doing I just think that whatever you do needs to be done in much smaller steps. Which means making your own custom sized doses.
poster:bleauberry
thread:983448
URL: http://www.dr-bob.org/babble/20110418/msgs/983457.html