Posted by undopaminergic on April 2, 2008, at 9:05:04
In reply to switch to seroquel?, posted by med_empowered on March 31, 2008, at 19:24:32
> hey. so, I'm back on meds for bipolar-ish issues. Anyway, right now I'm taking Klonopin, Ambien, and Abilify. I feel *tremendously* better, but I'm still having some problems. Sleep, for one thing, is an issue; the Ambien helps, but I still often wake after only a couple hours of rest.
> Agitation and withdrawal are two other problems I'm still having to contend with. I'm thinking Seroquel might be helpful, but I'm afraid of over-sedation...also, I'd really rather not gain weight or have to worry about diabetes. My doc has offered to add in propranolol; so far I've said no, since I want to keep my med combo as simple as possible. Now I'm reconsidering. Do you think maybe I should give the propranolol a shot and THEN consider a switch over to Seroquel?
> Has anyone used Seroquel XR? Is it any more tolerable than old school Seroquel?
>
> Thanks in advance.
>Try a higher dose of Ambien, to increase its duration, or replace (or augment) it with a longer-acting hypnotic or sedative anti-histamine (cyproheptadine is ideal for sleep). Alternatively, take part of your daily Klonopin dose at bedtime. If you have trouble with excessive adrenergic activation, a beta-blocker or alpha2-agonist may be appropriate.
Seroquel doesn't sound like a good idea.
poster:undopaminergic
thread:820937
URL: http://www.dr-bob.org/babble/20080330/msgs/821148.html