Steve, thank you so much for your input! I don't know much about Seroquel at all. I don't mind the weight gain, as long as it's under 15lbs, as I've lost a lot of weight in the last year. I am worried about falls, but I haven't gotten light-headed yet. I have an emergency alert system though.

My original idea was to go up to 400mg at bedtime but then I figured adding a dose during the day would be better because I am sleeping well but WAY too high during the day...
It feels like the Seroquel was wearing off as I was weaning off the Abilify. And these aren't XR tabs. And I figure I had the syncope episode with XR caps.

I think 150 is too much at once, especially during the day, no matter how high I am. So, I just took 50mg at 7:30. If I'm still too high at 9, I might take another 50 as long as I'm not zombified.

I will let you know how it goes...

Kay

This sounds right kay. Here is hoping that you have some relief.
bizi

I took 50mg every 45min.
I did take 150.
So far, I do not feel sedated at all.

I was very tired when I woke up this morning, so I didn't take any Seroquel. My symptoms started increasing once I got out of the shower, but they never rose to the degree that they had been at before.

I had an appointment with pdoc this morning....
Yesterday was proof that Seroquel is working.
I guess I just needed enough in my system.
The plan just needs a little tweaking:

400mg at bedtime for now
50-100mg as needed in the morning

I'll have to fill 2 different prescriptions, but since I found a new pharmacy and coupons, this will not be cost-prohibitive.

------

I met with my case manager yesterday and she's very, very nice.

I've filled out paperwork so that she, my PCP, psych, my husband and sister can communicate with one another regarding my care should the need arise (it has before). But communications with my therapist are restricted.

Why?
I've had 5 appointments with pdocs since I was released on the 2nd following a 10day stint in the psych ward. I've lost count of the phone calls.
2/2 hospitalizations in the last 8 months for mania....
BPI, not BPII.

I'm in one of those rather euphoric, high-functioning hypomanias at the moment. Not depressed.
I'm being realistic, practical, and planning. Not for the inevitable, but for the "what if's."

Kay

Hi Kay,

I found myself smiling while reading the post just above.

You are doing such a great job at making sure your support network is in place and operational. It's such a pleasure to see you taking such good care of yourself.

I admire the way you are making a place for your husband-- to increase his understanding and a way for him to offer you support. Many spouses want to understand and want to help out, and are shut out by the way the system is set up.

Very nice job!

I hope you have a fun weekend!


DejaVu

I took 400mg Seroquel for the first time last night but had a hard time falling asleep- probably because I was wound up because I didn't take anything during the day.

I just took 100mg "prn" this morning.

HI, Kay.

"As needed" -- so Seroquel this morning.

That is fabulous about signing the docs for everyone to be on the same page if you need them to be.

I hope you are feeling confident about your wellness.

Mari

I took the 100mg this morning, but I'm still flying high. And Xanax, don't forget that Xanax.

Tomorrow's plan:
Start out with 100mg am, add 50 an hour later if the 100's not doing the trick.
Then, we'll see what happens from there.

I think I'm wearing out the phone lines at pdoc's office, but I'll call again if I'm still a raging bull at 150/400.

---

Mari,
I'm not feeling confident about my (general) wellness at all. This episode has gone on WAY too long. And I'm also in the middle of a MS relapse to boot.
I'm just trying to maintain the best level of control I can, while I'm able, and plan now for the times I can't.

If/when I become unwell and can't make my own decisions, it's just so much easier to bypass all the red tape.

I'm fairly confident in Seroquel though. I think things will improve greatly once we get the dosing right.

Kay

I've had problems sometimes rarely sleeping after taking 600Mgs of Seroquel. I have OCD also. Sometimes the thoughts don't want to stop,but for the most part I sleep after taking the meds. I take a little Xanax,and Luvox for the OCD. It's all so hard to figure out. BF

Kay,

It feels like it has gone on too long but things have the strong possibility of being on the right path.

I am happy to hear that you have confidence in Seroquel

Good luck Sunday.

Mari