Quetiapine dose increase
November 30, 2012 7:36 AM Subscribe
Mental health medication - Quetiapine (aka Seroquel, Xeroquel, Ketipinor) dosage for Depression, Anxiety and Cyclothymia/Bi-polar. I take a low (75mg) dose and my Dr is pushing for 200mg to 300mg... is being scared a good enough reason to resist trying? Does anyone have experience of this kind of treatment plan?
posted by anonymous to Health & Fitness (14 answers total) 1 user marked this as a favorite
I take Duloxetine (aka Cymbalta, Ariclaim, Xeristar, Yentreve, Duzela) 60mg and Quetiapine 75mg currently. The Duloxetine has been very effective over the last 18 months and has helped me recover well from a extended suicidal (and generally very bleak) time in my life. I have since become a father and am working with my wife to address my periods of "elated mood" (maybe every 2 months currently) and infrequent bouts of mania (maybe every 2 to 3 years throughout my life). During these infrequent periods of mania I act very irresponsibly (normally in terms of finance and travel) and we don't think I could look after a child if it happened again.
My psychiatrist has given me 75mg Quetiapine as a trial dose, I have been on this for 3 months I can really feel a difference, and think I may be more stable as a result. I am certainly less depressed and anxious. He, however, tells me that this is not a therapeutic dose and that I will still be prone to mania and my more general Cyclothymic problems. He wants to increase my dose to 200 (in 25mg steps) and then perhaps 300mg after that. I feel very afraid that 75mg has already changed how I feel and my sense of "me". 200mg seems a big jump again.
So my question would be - is the increased dosage really as big as it feels to me? Will it "just" alter my mood, or is my sense of self going to be affected too.
Unfortunately my mental health nurse (with whom I do therapy and CBT) is provided by the same office as my psychiatrist, so her well reasoned attempts to get me to at least try the new dose aren't convincing as I can't see her as independent.