I saw my pdoc today...

I had been slowly tapering off Gabapentin for several months because it's an anti-convulsant and I was on such a high dose. But I came off the last of it (300mg) a couple of days before I was discharged from the psych hospital 8/2. I honestly didn't think 300mg was a big deal. Apparently the psychiatrist didn't either.
I thought when I was discharged that I had reached my baseline, but I was still hypomanic and I'm obviously still struggling with that.

Pdoc said this was "excellent information."

Rather than bump me up to 800mg of Seroquel, she's going to keep me at:
600mg at bedtime with 50-150mg prn during the day

and add:
300mg Gabapentin at night

Technically, I'll be on 4 mood stabilizers, but I guess I have been for 7-8yrs.

I don't know how it will interact with Seroquel, but:
300mg was not an issue when I was on Abilify, and I was taking 2400mg of it when I was on 1800mg Lithium, 400mg Lamictal, and 200mg Topamax.
So my body obviously has a high tolerance for it.

If taking it with 600mg of Seroquel becomes a problem, I can take it during the day instead.

If it works, I imagine my Seroquel dosage will need to be adjusted. Or at least I won't need as many prns.

I am experiencing dysphoric hypomania, and have been taking 750mg of Seroquel for the last 3 days.

Thanks again for sharing your experience, Mari. I had factored out the Gabapentin

Kay