Psycho-Babble Medication | about biological treatments | Framed
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Re: seroquel

Posted by SLS on September 30, 2000, at 22:43:03

In reply to Re: seroquel, posted by Cindy W on September 30, 2000, at 22:17:42

> >
> > Since using seroquel for schizophrenia relieved depression in that group, it is now often proscribed as an adjunct to an anti-depressant. Joy, I don't really know why it would be described for you on its own as an AD, since there haven't been much data out on that use. My last pdoc also prescribed seroquel for me, which prompted a fax from me concerning the need to determine in my trials both the percentages of success and possible time lost. I didn't want to give up a lot of time for a low percentage chance. (I consider sleeping all the time a time loss). Then I went for a consultation with someone else this week who thought antipsychotics for ME had been a bad choice.
> >
> > I would ask your doctor why she specifically chose that drug and I would also ask how long your trial should be. Additionally I would, if I were you, ask what other possiblities she has in mind, based on your previous medication success/failure and the type of depression that you have. I think when working with a doctor, we need to continue to advocate for ourselves, to keep our doctors on the best track for us. I didn't have the feeling with my last pdoc towards the end (maybe it was both our desperation) that her choices were both well thought out in terms of high chance of success and predicted length of time lost (sleeping all the time is time lost to me). So I set up a consultation with another pdoc for a sense of freshness-- armed with documentation of the eleven meds I had done trials of (as an adjunct) since last February. Trials lasting from one day to three weeks. And I got a totally different approach. But, of course, no matter how clear the theory, the jury will be out till I see if it works and how he works. But really, you should be asking your pdoc as many questions as you can think of. Shellie
> Shellie, I agree with your notion of time loss, from sleeping! On Seroquel l00 mg/day, I slept 28 hours out of the past 48, which seems like a bit too much, to me. I was so tired on Friday, I couldn't get out of bed and go to work. Can't get a pdoc appt. until Oct. 23, but may decrease the Seroquel dosage in the interim if I can't function. I do feel my thinking is clearer...and I slept MUCH better...just too much.--Cindy W

I think Zyprexa is generally a more effective adjunct to traditional antidepressants than is Seroquel. Whatever sedation Zyprexa produces seems to disappear quickly - within a few days.

If Seroquel has made you think more clearly, I think you should try Zyprexa if the Seroquel doesn't work out. Zyprexa + SSRI or Zyprexa + Nardil are probably good combinations.

Good luck.

- Scott




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