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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Kamikazi_Ladybug on October 26, 2002, at 19:04:05
I am currently taking 250 mgs of Seroquel, because I can't take Geodon. I had a reaction to geodon that I had where my tongue swelled and I couldn't talk so I had to stop taking it. The problem with Seroquel is it KNOCKS ME OUT! (not yelling, more of a plea for help.) I will fall asleep at 8:30pm and sleep til 11:30 am the next day. I am taking Adderall and it doesn't affect me at all the next day, I am still completely tired. Kinda like I just drag through my day.
Also, I have been on prozac for about 6 years now. I don't think I am getting anything out it anymore. Can it just stop working? I take the weekly at 180 mgs. Monday, then 90 mgs midweek. My sexlife is basically non exsistant, I have NO desire at all. I also take topamax, which I luckily have no problems with. I feel *for me* the benefits weigh out the side effects, and I have been lucky that they have been mild. I have heard alot of horror stories, but I haven't had them.
Anyway, how do I confront my pdoc about the problems I'm having with my meds? Everytime I've mentioned the prozac problem he either increases it or ignores the fact I said anything. I just started on the Seroquel, I don't know if I haven't given it enough time, maybe its something that will get better? I don't know anything about the drug. He just increased me to the 250 and mentioned that I will be increased again. He did say I could try the Geodon again but I'm afraid to, I really don't like the ER. Another pdoc at this time really isn't the answer, I've seen this one since 95 and I don't want to start over, it would be to hard right now. (to much going on in my life).
Any advice would be much appreciated, I will be calling him on Monday.
Thank you,
Kamikazi Ladybug
Posted by JonW on October 26, 2002, at 19:55:10
In reply to A plea for your advice!!!, posted by Kamikazi_Ladybug on October 26, 2002, at 19:04:05
I know you said you don't want to start over with a new pdoc, but it could save you a LOT of time in the long run. If you're with the wrong pdoc it can be a huge waste of time. You should see the best pdoc you can afford. It's unfortunate that you have to pay a lot of money to get the kind of care everyone deserves, but it's the truth. However, most pdocs of that caliber are willing to work something out if you can't afford the cost.
Seroquel is a very sedating med, and if you are also on Topamax I can understand how sedated you must be. Is it providing any benefit for you? Has any other anti-psychotic helped you in the past? Since you can't take Geodon, you might try Risperdal. It's far less sedating than Seroquel with less weight gain than say zyprexa. Judging from the meds you're on I would guess you are bipolar II or bipolar NOS. Have you tried Wellbutrin? It shouldn't negatively effect your sex life, and may actually increase desire. It is also somewhat stimulating. Have you ever tried Provigil to combat sedation? Even though it is a milder stimulant with far less mood elevation, for me it cuts through the sedation of meds better than the classic stims like Adderall. Have you entertained the idea that you may be on too many meds, and perhaps fewer meds plus therapy may actually be better for your situation? Don't underestimate the power of meds + therapy. There's a reason why there are so many clinical trials testing this approach for different illnesses. Of course I'm talking about a good CBT therapist, and perhaps you are already seeing one. OK, I'm done running my mouth. I'm not trying to tell you what to do, but just give you some ideas to think about.
Good Luck,
Jon
Posted by Tabßitha on October 26, 2002, at 20:12:05
In reply to Re: A plea for your advice!!!, posted by JonW on October 26, 2002, at 19:55:10
Hi Lady Beetle,
Your pdoc sounds kind of set in his ways. If you're already getting intolerable sedation from the Seroquel, I just can't understand increasing the dosage. As for the Prozac, it's common for meds to quit working after long term use. Check all the old threads about "poop-out". I don't know what people do about poop-out except switch meds. Mine all seem to poop out after about 2 years.
Prozac is also notorious for killing the libido. All the SSRIs seem to do that, but some worse than others, and individual response varies. I find Celexa much better than Prozac in that respect. I also tried Wellbutrin, since it's the usual choice for an AD without the sexual side effects, but it make me terribly irritable. Why not ask him about trying Celexa or the new Lexapro instead of the Prozac?
Posted by Ritch on October 27, 2002, at 11:26:44
In reply to A plea for your advice!!!, posted by Kamikazi_Ladybug on October 26, 2002, at 19:04:05
> I am currently taking 250 mgs of Seroquel, because I can't take Geodon. I had a reaction to geodon that I had where my tongue swelled and I couldn't talk so I had to stop taking it. The problem with Seroquel is it KNOCKS ME OUT! (not yelling, more of a plea for help.) I will fall asleep at 8:30pm and sleep til 11:30 am the next day. I am taking Adderall and it doesn't affect me at all the next day, I am still completely tired. Kinda like I just drag through my day.
>
> Also, I have been on prozac for about 6 years now. I don't think I am getting anything out it anymore. Can it just stop working? I take the weekly at 180 mgs. Monday, then 90 mgs midweek. My sexlife is basically non exsistant, I have NO desire at all. I also take topamax, which I luckily have no problems with. I feel *for me* the benefits weigh out the side effects, and I have been lucky that they have been mild. I have heard alot of horror stories, but I haven't had them.
>
> Anyway, how do I confront my pdoc about the problems I'm having with my meds? Everytime I've mentioned the prozac problem he either increases it or ignores the fact I said anything. I just started on the Seroquel, I don't know if I haven't given it enough time, maybe its something that will get better? I don't know anything about the drug. He just increased me to the 250 and mentioned that I will be increased again. He did say I could try the Geodon again but I'm afraid to, I really don't like the ER. Another pdoc at this time really isn't the answer, I've seen this one since 95 and I don't want to start over, it would be to hard right now. (to much going on in my life).
>
> Any advice would be much appreciated, I will be calling him on Monday.
>
> Thank you,
> Kamikazi Ladybug
The Seroquel dosage *seems* awfully high. Do you take all of it at bedtime or do you take a 2nd or 3rd dose during the day? Topamax is real sedative too. Prozac, can cause tiredness as well. Is there any way your doc would consider *reducing* all those meds? It just sounds like you are being overwhelmed with sedative medication. Do you need the AP for psychotic sypmptoms, or is it primariy for augmentating your Prozac, etc.?
Posted by polarbear206 on October 27, 2002, at 16:05:03
In reply to A plea for your advice!!!, posted by Kamikazi_Ladybug on October 26, 2002, at 19:04:05
> I am currently taking 250 mgs of Seroquel, because I can't take Geodon. I had a reaction to geodon that I had where my tongue swelled and I couldn't talk so I had to stop taking it. The problem with Seroquel is it KNOCKS ME OUT! (not yelling, more of a plea for help.) I will fall asleep at 8:30pm and sleep til 11:30 am the next day. I am taking Adderall and it doesn't affect me at all the next day, I am still completely tired. Kinda like I just drag through my day.
>
> Also, I have been on prozac for about 6 years now. I don't think I am getting anything out it anymore. Can it just stop working? I take the weekly at 180 mgs. Monday, then 90 mgs midweek. My sexlife is basically non exsistant, I have NO desire at all. I also take topamax, which I luckily have no problems with. I feel *for me* the benefits weigh out the side effects, and I have been lucky that they have been mild. I have heard alot of horror stories, but I haven't had them.
>
> Anyway, how do I confront my pdoc about the problems I'm having with my meds? Everytime I've mentioned the prozac problem he either increases it or ignores the fact I said anything. I just started on the Seroquel, I don't know if I haven't given it enough time, maybe its something that will get better? I don't know anything about the drug. He just increased me to the 250 and mentioned that I will be increased again. He did say I could try the Geodon again but I'm afraid to, I really don't like the ER. Another pdoc at this time really isn't the answer, I've seen this one since 95 and I don't want to start over, it would be to hard right now. (to much going on in my life).
>
> Any advice would be much appreciated, I will be calling him on Monday.
>
> Thank you,
> Kamikazi LadybugLadybug,
My advice to you is to get a new pdoc who will really listen to you! If you are bipolar (which I'm sure you are) you need to drastically reduce that prozac dose. High doses of antidepessants will just exacerbate your mood cycling. No wonder you can't get out of bed.
Laura.
Posted by polarbear206 on October 27, 2002, at 16:13:02
In reply to Re: A plea for your advice!!!, posted by polarbear206 on October 27, 2002, at 16:05:03
> > I am currently taking 250 mgs of Seroquel, because I can't take Geodon. I had a reaction to geodon that I had where my tongue swelled and I couldn't talk so I had to stop taking it. The problem with Seroquel is it KNOCKS ME OUT! (not yelling, more of a plea for help.) I will fall asleep at 8:30pm and sleep til 11:30 am the next day. I am taking Adderall and it doesn't affect me at all the next day, I am still completely tired. Kinda like I just drag through my day.
> >
> > Also, I have been on prozac for about 6 years now. I don't think I am getting anything out it anymore. Can it just stop working? I take the weekly at 180 mgs. Monday, then 90 mgs midweek. My sexlife is basically non exsistant, I have NO desire at all. I also take topamax, which I luckily have no problems with. I feel *for me* the benefits weigh out the side effects, and I have been lucky that they have been mild. I have heard alot of horror stories, but I haven't had them.
> >
> > Anyway, how do I confront my pdoc about the problems I'm having with my meds? Everytime I've mentioned the prozac problem he either increases it or ignores the fact I said anything. I just started on the Seroquel, I don't know if I haven't given it enough time, maybe its something that will get better? I don't know anything about the drug. He just increased me to the 250 and mentioned that I will be increased again. He did say I could try the Geodon again but I'm afraid to, I really don't like the ER. Another pdoc at this time really isn't the answer, I've seen this one since 95 and I don't want to start over, it would be to hard right now. (to much going on in my life).
> >
> > Any advice would be much appreciated, I will be calling him on Monday.
> >
> > Thank you,
> > Kamikazi Ladybug
>
>
>
> Ladybug,
>
> My advice to you is to get a new pdoc who will really listen to you! If you are bipolar (which I'm sure you are) you need to drastically reduce that prozac dose. High doses of antidepessants will just exacerbate your mood cycling. No wonder you can't get out of bed.
>
>
> Laura.Ladybug,
Go to this site and you'll understand why.
http://psycheducation.com/depression/frameset.html
Laura
Posted by Kamikazi_Ladybug on October 27, 2002, at 19:51:16
In reply to A plea for your advice!!!, posted by Kamikazi_Ladybug on October 26, 2002, at 19:04:05
You've all given me alot to think about!!! I'm going to confront him on Monday and if I don't get some answers on the med situation then I'm going to move on to a new pdoc. THANK YOU SO MUCH!!!!!!
Posted by Kamikazi_Ladybug on October 28, 2002, at 8:45:53
In reply to Re: A plea for your advice!!! » Kamikazi_Ladybug, posted by Ritch on October 27, 2002, at 11:26:44
Thank you for responding Ritch. I take the Seroquel because of "thoughts' that turn to S/I. I have a call into my pdoc and waiting a callback, could take all week :(. My son goes into surgery next tues. and I don't have the time to wait. Half of me wants to just quit taking all the meds, half of me knows better. I guess I'm just really stressed out right now and can't handle it all.
LB
Posted by Ritch on October 28, 2002, at 22:05:51
In reply to Re: A plea for your advice!!! » Ritch, posted by Kamikazi_Ladybug on October 28, 2002, at 8:45:53
> Thank you for responding Ritch. I take the Seroquel because of "thoughts' that turn to S/I. I have a call into my pdoc and waiting a callback, could take all week :(. My son goes into surgery next tues. and I don't have the time to wait. Half of me wants to just quit taking all the meds, half of me knows better. I guess I'm just really stressed out right now and can't handle it all.
>
> LBI wish I could help more with the S/I issues-but I don't have any personal experience with that, just ADHD/bipolar/panic, etc. I have heard that S/I stuff often responds to meds that help PTSD. Topamax is one, and Zoloft is often mentioned. Have you tried Zoloft, Neurontin, or MAOI's?
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