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-   -   I love my new pdoc (Closed at OP request) (https://www.neurotalk.org/bipolar-disorder/237695-love-pdoc-closed-op-request.html)

Mari 07-18-2016 03:58 PM

I emailed the pdoc to request liquid seroquel:

Quote:

The side effects are too much brain fog. I am home from work right now but I am barely managing small tasks like laundry.

Let her sort it out.


M

Mari 07-18-2016 06:02 PM

email from pdoc
 
This is what her auto-generated reply was.
Does anyone understand this?

Quote:

You will normally get a response within 24 hours, but on weekends and holidays it might take longer.
Patients: please remember this service is only for brief communications regarding your current treatment.
To address new problems or change in treatment you must set an appointment. For emergencies call the office or go to the nearest ER.
For appointments and refills you must call the office, or leave a message here only when you can't contact the office.
Dr. ***** will not give appointments or call pharmacies except in an emergency.
M

Mari 07-18-2016 08:02 PM

Her email:

Quote:

I don't think there is liquid but I will see what can be done and let you know

bizi 07-18-2016 09:33 PM

It is a very confusing auto response.
Just what is the message center for????
I have used it to request my lab values results.
That is about it.
But for refills appointments I have always called into the office.

I hope that they are responsive to your needs.
bizi

OhKay 07-19-2016 07:00 AM

I can understand why you are having a hard time functioning… the sedative effect of seroquel can be very hard to tolerate. This must be especially difficult for you because you are so sensitive to meds :hug::hug::hug:

I assume you are already taking it at night, so changing the timing is not going to help you out.

A lot of practices have blanket policies because patients make extraordinary requests at times. Good providers will usually work with you regardless of those policies. It sounds like your new pdoc is willing to work with you.

Your pharmacy probably doesn't carry seroquel in liquid form, but most will order meds they don't have in stock for you. I hope that the liquid form comes in a concentration that will work for you.
This won't help for the pills you've already split, but you can try asking your pharmacist to cut your seroquel in half for you. I remember a pharmacy tech telling me that when I asked for help looking for a new pill cutter. I'm sorry I didn't remember that sooner :hug:

It's better if you take the Seroquel every day, but it also works as a PRN, so if you skip a day, you will still get some benefit from the drug on the days you do take it, but it will be harder to build up a tolerance that way.

I hope that your pdoc is able to sort things out for you, and you feel better :hug::hug::hug:

Mari 07-19-2016 02:47 PM

Risperdal comes in 1mg/1ml
 
Here is what she sent today:

There is no liquid for Seroquel. However, a similar medication used in children and adults has liquid form. Risperdal comes in 1mg/1ml, and while it is impossible to determine the exact equivalence between medications, I would say that 25 mg of Seroquel would be approximately equivalent to 0.25 ml of Risperdal. Liquid medications are usually more expensive or not covered by insurance. I can send the Rx to initiate the process but guarantee how your insurance will respond to that.

Mari 07-19-2016 02:54 PM

I feel awful.


Not enough sleep. We lost electricity so that woke me up.
I took a nap but I have to get to the dentist now for some work on a crown or something.


I am not up to doing anything.

The "half" of the 25 mgs pill last night was the smaller "half" and I still feel rotten.
I am prepared to dump the whole process of working on a med and go back
to the same meds I have been on for years -- sticking with the same
stuff has some advantages to it.


Plus I got email from my boss and I have some detailed work that involves a
stupid form and math and getting stuff right. . . .stressing about that when I cannot deal with anything at all.


M

bizi 07-19-2016 05:45 PM

I am sorry it is so hard right now.
(((((HUGS)))))
bizi

Mari 07-20-2016 12:35 AM

updates
 
1. 'Was at the dentist late afternoon (Tuesday).
I got sick --- like major hot flash, red face, stomach upset, . .
. . . Maybe from the Nitrix Oxide or maybe from Anxiety.

Dentist considered that it could be low blood sugar
(I had not eaten since the night before) and gave me a piece
of dark chocolate -- not much "sugar" but the chocolate was good.


2. Tuesday I have to call psychiatrist's office.
Apparently they want to know if I want to try the liquid risperdal.


3. Tuesday night I took one-forth of a 25mg pill of Seroquel.


4. Pdoc and I have an appt in the afternoon Wed.
I am getting tired of her already. Plus my co-pay is 40.00 a visit.


5. I took care of something for work in the afternoon and have to do more work Wednesday.



M

bizi 07-20-2016 07:25 AM

I really think that you could just quit the seroquel with out a taper.
Just my opinion.
Wish you felt better.
((((((HUGS)))))
bizi


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