I did end up seeing my pdoc the next day. I was escalating at that point.

She increased my nighttime dose, but she prescribes medication to be taken prn (as needed) during the day because the amount I need varies.
She said this sometimes happens with patients who take Seroquel.

Other patients take small doses (usually 50mg) off-label (accepted and widely used by medical professionals but not approved by FDA) prn for sleep.

Kay

Are you able to get a good nights sleep?
bizi

Saturday night: I got very lightheaded and learned the hard way not to take Xanax and 600mg of Seroquel too close together. 700mg for the day.

Sunday: I only needed 650mg to keep me grounded. I was exhausted, but not dull/flat.

I left the house to run errands both days. I only leave the house to go to the grocery store, pharmacy, or doctor so it was a pretty exciting weekend for me :)

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I've been keeping notes:

A couple of days ago I was dismissing symptoms that might be hypomania at 11am until about 2pm.

Until today I've been blaming all my early morning hypo symptoms on anxiety. That is when my anxiety is at its height, but it usually responds to Xanax. It hasn't been responding to Xanax... and it doesn't seem to become clear to me that I'm hypomanic until hours later. I should know better.

I think it's possible that I was just unwilling to admit to myself that those hypo symptoms are going to be there when I wake up everyday.

I took 50mg when I got up. And I just took 50mg more.

Kay

Most nights I sleep pretty well thanks to the Seroquel, but some nights MS sx act up and I lose a couple of hours.

I am glad that most nights you get good sleep.:)
bizi

Just a thought right now. An unpleasant thought...

Because my symptoms have been feeling so much like anxiety lately, could I be slipping into dysphoric hypomania?
Or do mixed episodes only occur during mania?

I wish waves were here to answer your question.....
bizi

My last hospitalization was for dysphoric mania. I'm familiar with the overlap of anxiety/inner tension with manic symptoms, but only at that level...

I've really only been noticing this for the last 2-3 days. Yesterday I only had to take 50mg of Seroquel (650mg/day) along with my regular doses of Xanax, but I had to take 150mg today. It helped, but that put me at my max of 750mg/day. Max for Seroquel is 800mg.

At least I'm not manic, and I'm medicating for all this, but I'm worried that I'm escalating again and I'm going to reach the point where I'm maxed out on Seroquel soon.

I see my pdoc on Wednesday. I'm sure I can hold on until then.

Tomorrow's another day. Hopefully it's more of a 650mg day than a 800mg day.

Kay

Dysphoric Hypomania / Mixed States
 

Hi Kay,

Dysphoric hypomania is written about and is a possibility at any time.
Please see the symptoms and definitions for various categories of experiences, as discussed in this pdf, if interested:

https://www.icgp.ie/assets/10/41D0B4...olar_37-38.pdf

I hope this information helps to answer your question.

I hope Tuesday is a calm day for you.

:hug:
DejaVu

OH, dear god --
That is where I lived for many years:

http://www.mcmanweb.com/bipolarii.html

(The DSM does not appropriately enough address this as far as I am concerned.)

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Anyway, even if you do have it, it might be only be a transition stage for you on a way to a more friendly mood.
Keep your eye on what is happening.

M