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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Jeroen on December 17, 2006, at 9:07:00
hi, i took 100 mg once at night for 20 days and felt myself, but i got withdrawal effects, because i think i didnt take enough,
i am now taking 300 mg at PM, only once a day again, will this be ok?
this stuff works the first day, like zyprexa, but then 20 dyas nothing, and kicks in... weird isnt it?
SHOULD I TAKE 400MG PM instead of 300 mg PM isnt 300 enough?
Posted by UgottaHaveHope on December 17, 2006, at 11:45:24
In reply to Seroquel is 300 mg enough for psychosis - schizoph, posted by Jeroen on December 17, 2006, at 9:07:00
My doctor told me I could take up to 400 mg for anxiety. She said when people take more than that, that's when it's for psychosis, etc.
I would call your doctor's office and ask the doc to call you back.
Posted by Phillipa on December 17, 2006, at 11:48:33
In reply to Re: Seroquel is 300 mg enough for psychosis - schi, posted by UgottaHaveHope on December 17, 2006, at 11:45:24
Jeroen definitely call your doc. Good luck. Love Phillipa
Posted by yxibow on December 18, 2006, at 1:28:46
In reply to Seroquel is 300 mg enough for psychosis - schizoph, posted by Jeroen on December 17, 2006, at 9:07:00
> hi, i took 100 mg once at night for 20 days and felt myself, but i got withdrawal effects, because i think i didnt take enough,
>
> i am now taking 300 mg at PM, only once a day again, will this be ok?
>
> this stuff works the first day, like zyprexa, but then 20 dyas nothing, and kicks in... weird isnt it?You may be experiencing the positive effects of initial sedation from the medication than the longer term antipsychotic benefit.
> SHOULD I TAKE 400MG PM instead of 300 mg PM isnt 300 enough?I would agree, ask your doctor.
Seroquel is a drug with a wide range of dosing, and its generally discovered that a number of people can take it all at night. I know someone who takes about 400mg for psychotic depression, so its really about finding the right dose, the minimum effective dose so side effects are minimized as well. There's no need to go higher if all it does is give side effects and sedation but not particularly more relief. On the other hand, there are people who take more than 800, and I have at one point done so (not for psychosis.) though I don't now.
-- tidings
Posted by Jeroen on December 18, 2006, at 4:39:25
In reply to Re: Seroquel is 300 mg enough for psychosis - schi » Jeroen, posted by yxibow on December 18, 2006, at 1:28:46
hi, i'm scared since, this med works and i havent felt myself in long time
Posted by UgottaHaveHope on December 18, 2006, at 12:31:09
In reply to im scared, posted by Jeroen on December 18, 2006, at 4:39:25
> hi, i'm scared since, this med works and i havent felt myself in long time
Please describe in more detail. This is good news, isnt it?
Posted by Jeroen on December 18, 2006, at 12:43:51
In reply to Re: im scared » Jeroen, posted by UgottaHaveHope on December 18, 2006, at 12:31:09
feel tired..., my heart seems weird, feel sedated, still i know this med cures me at 100 mg but i dont think it's enough, anyway i am going to try 225 mg, is this enough? anyway i am going to increase upto 300 mg very slow
Posted by laima on December 18, 2006, at 13:41:16
In reply to feel tired..., my heart seems weird, posted by Jeroen on December 18, 2006, at 12:43:51
Jeroen, why not tell your doctor what is going on and see what he or she says? They would know best of anyone whether or not increasing so much is a good idea.> feel tired..., my heart seems weird, feel sedated, still i know this med cures me at 100 mg but i dont think it's enough, anyway i am going to try 225 mg, is this enough? anyway i am going to increase upto 300 mg very slow
Posted by Jeroen on December 18, 2006, at 13:58:34
In reply to Re: feel tired..., my heart seems weird » Jeroen, posted by laima on December 18, 2006, at 13:41:16
i forgot to mention i also have TD from geodon after 3 weeks, i think the SQ helps control
Posted by Phillipa on December 18, 2006, at 18:50:08
In reply to i also got tardive dyskinesia, posted by Jeroen on December 18, 2006, at 13:58:34
Still there Jeroen? Love Phillipa
Posted by yxibow on December 18, 2006, at 20:19:08
In reply to i also got tardive dyskinesia, posted by Jeroen on December 18, 2006, at 13:58:34
> i forgot to mention i also have TD from geodon after 3 weeks, i think the SQ helps control
Are you absolutely sure you got TD and not EPS from Geodon? Has your doctor given you an AIMS test. That's very important. TD does not normally develop after 3 weeks -- I know you've mentioned it before, but TD means Tardive, as in late. I would encourage you to ask your prescriber about an AIMS exam.
TD and EPS are kind of on a timeline and I do worry about it myself at times, but I've been on Seroquel for 3 years and I present some odd EPS symptoms but generally people who are aware of TD initially and don't have to be told, do not have it. This was studied by Wirshing and Wirshing and they continue to do work on movement disorders and antipsychotics. It would be very rare to develop a massive condition after 3 weeks.
Now on the other hand, I can say that Risperdal did cause a very minor twitch in a finger that is still there but its a much stronger medication. It would behoove to get a complete evaluation so you don't have to worry either way. If your doctor believes it too, I trust you, I'm not trying to say it isn't.-- best wishes
Jay
Posted by Honore on December 19, 2006, at 21:53:12
In reply to Re: i also got tardive dyskinesia » Jeroen, posted by yxibow on December 18, 2006, at 20:19:08
I'd have to agree with yxibow on two important things, Jeroen.
First, you don't have tardive dyskinesia, but you might have an early warning sign that it's possible to develop it, ie ExtraPyramidal Symptoms (EPS)-- ie movements or tremors.
Second, you need to get that checked out as soon as possible by your pdoc or prescribing physician. It's important to discontinue the medication(s) that might be causing the EPS, if you have it, so as to prevent its developing.
I hope you do follow up.
Honore
Posted by yxibow on December 20, 2006, at 23:25:39
In reply to Re: i also got tardive dyskinesia, posted by Honore on December 19, 2006, at 21:53:12
> I'd have to agree with yxibow on two important things, Jeroen.
>
> First, you don't have tardive dyskinesia, but you might have an early warning sign that it's possible to develop it, ie ExtraPyramidal Symptoms (EPS)-- ie movements or tremors.
>
> Second, you need to get that checked out as soon as possible by your pdoc or prescribing physician. It's important to discontinue the medication(s) that might be causing the EPS, if you have it, so as to prevent its developing.
>
> I hope you do follow up.
>
> HonoreI would just add that I didn't make a statement that he did or did not have a movement condition but its not uncommon for doctors who aren't familiar with the protocol to take AIMS exams baseline and every 6 months for a patient on a neuroleptic. Nonetheless, yes, he should have a statement from his doctor and what among many choices the doctor can attempt to amend a condition if it exists.
-- tidings
Posted by Honore on December 21, 2006, at 23:19:41
In reply to Re: i also got tardive dyskinesia » Honore, posted by yxibow on December 20, 2006, at 23:25:39
Hi, yxibow.
I should have been a little more clear-- I also don't know that Jeroen has or doesn't have anything-- I just meant that if he does have something, it's extremely unlikely that he has TD. That was your point, which was well-taken.
My wording wasn't precise-- but I wanted to reaffirm that it's important to follow up- in case there is a problem of that sort-- and also to reaffirm he didn't need to assume that irreversible damage had occurred, which could cause unnecessary anxiety.
Thanks,
Honore
This is the end of the thread.
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