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Re: Seroquel is still an antipsychotic » linkadge

Posted by SLS on June 4, 2009, at 19:33:04

In reply to Seroquel is still an antipsychotic, posted by linkadge on June 4, 2009, at 19:05:53

> While seroquel does have some antidepressant effects. I still get some really unwelcome yucky dysphoria like effects on it.

Me too.

> Its not really a miracle drug.

I don't think there is such a thing EXCEPT for the drug that works for you or me.

> I would still personally use low dose TCA for many of the same purposes.
>
> I think low dose TCA agumentation is still underutilized. I think many people could switch to say amitriptyline or doxapin for the same purposes

Those would be exactly my choices.

> and probably exprience fewer side effects.

Seroquel can be a very clean drug for some people. I think it is important to note that the lower dosages tend to produce somnolence, whereas this is an infrequent occurrence at the higher dosages. The diabetes thing is a real concern, but I really don't know with what frequency it occurs. I'm sure some people would welcome the lack of always looking over their shoulder for irreversible tardive EPS from occuring, despite it being a rare occurence.

When I take all of this into consideration, I have very little trepidation in using lower dosages for sleep and anxiolysis when treating people whom do not suffer from psychotic conditions. I have seen Seroquel produce a remarkable antidepressant effect, but it was in the context of polypharmacy.


- Scott

 

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poster:SLS thread:899429
URL: http://www.dr-bob.org/babble/20090531/msgs/899436.html