Posted by Paulbwell on September 1, 2005, at 7:02:17
In reply to Re: When med helps with grogginess from Seroquel??, posted by med_empowered on September 1, 2005, at 5:59:53
> hi! Sometimes breaking up the dose helps. 2X dosing is standard for schizophrenia, and 3X dosing helps with the drowsiness...you can usually do small doses AM, big dose PM (ex: 50 50 100). Provigil is good stuff, so that might be worth pursuing. I wouldnt recommend caffeine, because caffeine raises the blood levels of most neuroleptics...it could (theoretically) increase your risk of cognitive impairment and EPS. Adding a stimulating antidepressant might help...Wellbutrin, Effexor, Cymbalta, etc. I'd avoid Tricyclics b/c of their side effects and b/c they can supposedly compound the EPS thing. And you could switch...low-dose Abilify was good stuff for me, at least for a while. Risperdal is also less sedating than seroquel, although its probably the harshest of the atypicals in terms of EPS...Symbyax might be a good option, since low-dose Zyprexa (in the 6/25 or 6/50 pills) is less sedating than seroquel anyway, and with the activation of prozac, the sedation is probably even less pronounced. Good luck!
Get your Doc to script a stimulant, Ideally Dexedrine up to 30mgs in the morning 5mg IR tabs or SR Spansules a couple houres before you wake up, or Desoxyn if they are reachable (The most efficient).
Cheers
poster:Paulbwell
thread:548843
URL: http://www.dr-bob.org/babble/20050901/msgs/549599.html