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SMS_ZENTA

Suggestions for add on antipsychotic with SSRI?

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Hi, I'm new here. I'm 27 trying to start my life over again. Due to longstanding paranoia and distrust of doctors/pharmaceuticals I stopped taking medication when I was 20, and since then my life has gone downhill, and I now realise my paranoia has done nothing to help me except alienate me from my family and what few friends I used to have. I ended up in psych ward this month after a complete breakdown and psychosis and attempt at ******* myself. Nearly lost my job. My diagnosis was schizoaffective disorder. Not the manic kind though. 

I'm trying to stabilise just on an SSRI (Zoloft) which used to help when I was 20. The psychiatrists wanted me on an antipsychotic as well but I was too afraid and declined them. I've also been prescribed antipsychotics in the past but always gave up on them after a few days and lied to my doctors because I was afraid the antipsychotics would only harm me and were created only to harm patients. But really I think I need to give medication another shot to help control my paranoia and psychosis, which I still get daily. I've lived alone for the past 5+ years and rarely go out apart from attending work. My time in the psych ward kind of brought me down to earth and made me see how my seclusion is actually doing more harm than good. So I'm quite open to taking an antipsychotic now and don't mind the side effects since my body already feels screwed up anyway.

I'm most interested in going on Seroquel because I have insomnia and Seroquel apparently takes effect quickly and puts you to sleep within the hour. Which is what I want, as I want to pop the pill and go to bed around 7-8pm every day. My personality is already zombified and anhedonia even without medication, so I'm not really afraid of the side effects of Seroquel. But I am worried over fatigue since I'm already always tired and can't afford to be made even more tired during the day after taking it. I work fulltime as I'm trying to pay off a massive gambling debt. I can't afford to be any more tired during the day than I already am, and have heard Seroquel can do this to some people. 

Abilify is one I've been on before and I don't think I'm compatible with it, plus it's probably going to keep me awake, not put me to sleep early 7-8pm like how I want. 

Risperdal is another one like Seroquel but I haven't looked into it as much. Seroquel seems to be more popular. But again, I can't be taking anything at night if it's going to make me drowsy all the next day during work, as I have to operate machinery and invoicing software on computers. 

I can't be doing with extended meetings with my pdoc, I just want advice on what's the best antipsychotic that would suit me and just ask the pdoc for it. They'll jump at the chance, since they are always so insistent on me being on an antipsychotic. 

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I got started on 25mg Seroquel at night. The sleep inducing effect is great, but next day I don't want to get out of bed and everything is a chore...which everything already was, only now it's even more a chore than ever. Lucky I started it on the weekend. 

From research I understand that Seroquel doesn't actually have antipsychotic properties until at least 150mg daily? How quickly can I titrate to this dose?

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For me when I took Seroquel I started at 400mg.  I was in the hospital and I was having a manic episode and hadn't slept for 6 days.  I'm not sure how quickly they would do it as an outpatient.  Just keep complaining about symptoms and see what happens.

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Oh I see, that's a big starting dose. What meds do you take now? 

After just two days the effectiveness of 25mg Seroquel seems to have already worn off as it's not knocking me out within the hour. Its been a few hours now and I'm  back to feeling like I did  before with inspmbia. Is it fair to assume I can start taking 50mg now? I just been to the doctor, I'm not going back so soon.

And by 50mg I mean taking 2 of the 25mg Seroquel pills at a time.

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I don't take any meds right now.  As for your other question I'm just a random person in the world talking about my experience and not a doctor.  My advice call your doctor and ask that question.

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On 2/20/2019 at 10:53 PM, SMS_ZENTA said:

Hi, I'm new here. I'm 27 trying to start my life over again. Due to longstanding paranoia and distrust of doctors/pharmaceuticals I stopped taking medication when I was 20, and since then my life has gone downhill, and I now realise my paranoia has done nothing to help me except alienate me from my family and what few friends I used to have. I ended up in psych ward this month after a complete breakdown and psychosis and attempt at ******* myself. Nearly lost my job. My diagnosis was schizoaffective disorder. Not the manic kind though. 

I'm trying to stabilise just on an SSRI (Zoloft) which used to help when I was 20. The psychiatrists wanted me on an antipsychotic as well but I was too afraid and declined them. I've also been prescribed antipsychotics in the past but always gave up on them after a few days and lied to my doctors because I was afraid the antipsychotics would only harm me and were created only to harm patients. But really I think I need to give medication another shot to help control my paranoia and psychosis, which I still get daily. I've lived alone for the past 5+ years and rarely go out apart from attending work. My time in the psych ward kind of brought me down to earth and made me see how my seclusion is actually doing more harm than good. So I'm quite open to taking an antipsychotic now and don't mind the side effects since my body already feels screwed up anyway.

I'm most interested in going on Seroquel because I have insomnia and Seroquel apparently takes effect quickly and puts you to sleep within the hour. Which is what I want, as I want to pop the pill and go to bed around 7-8pm every day. My personality is already zombified and anhedonia even without medication, so I'm not really afraid of the side effects of Seroquel. But I am worried over fatigue since I'm already always tired and can't afford to be made even more tired during the day after taking it. I work fulltime as I'm trying to pay off a massive gambling debt. I can't afford to be any more tired during the day than I already am, and have heard Seroquel can do this to some people. 

Abilify is one I've been on before and I don't think I'm compatible with it, plus it's probably going to keep me awake, not put me to sleep early 7-8pm like how I want. 

Risperdal is another one like Seroquel but I haven't looked into it as much. Seroquel seems to be more popular. But again, I can't be taking anything at night if it's going to make me drowsy all the next day during work, as I have to operate machinery and invoicing software on computers. 

I can't be doing with extended meetings with my pdoc, I just want advice on what's the best antipsychotic that would suit me and just ask the pdoc for it. They'll jump at the chance, since they are always so insistent on me being on an antipsychotic. 

My personal experience with Seroquel is that it will definitely help with insomnia, but I was put up on a high dose way too fast, (especially as I was getting it for depression and have never had psychosis.) I was up at the max 800 mg dose in a year, so yeah. For a lower dose, though, it's probably the safe(est) option you've got, in that a lower dose like you seem to want to try probably won't be as sedating as what I was on. (I know it's better than, say, Zyprexa, which people complain puts them to sleep nearly 24/7). But it's really something you need to discuss with a doctor who knows how to prescribe the stuff. If there's a non-medication way to deal with your experiences, I can strongly recommend you try it, because people I talk to with psychosis and paranoia find that, while things like Seroquel help a lot, they don't take it away; they make it milder. However, I definitely think that if you really need medication, you should go for it. (I'm not a professional, and I can't give you the best course of action. That's up to you.)

Good luck!

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4 minutes ago, MargotMontage said:

My personal experience with Seroquel is that it will definitely help with insomnia, but I was put up on a high dose way too fast, (especially as I was getting it for depression and have never had psychosis.) I was up at the max 800 mg dose in a year, so yeah. For a lower dose, though, it's probably the safe(est) option you've got, in that a lower dose like you seem to want to try probably won't be as sedating as what I was on. (I know it's better than, say, Zyprexa, which people complain puts them to sleep nearly 24/7). But it's really something you need to discuss with a doctor who knows how to prescribe the stuff. If there's a non-medication way to deal with your experiences, I can strongly recommend you try it, because people I talk to with psychosis and paranoia find that, while things like Seroquel help a lot, they don't take it away; they make it milder. However, I definitely think that if you really need medication, you should go for it. (I'm not a professional, and I can't give you the best course of action. That's up to you.)

Good luck!

I was on 800 mg as well.  It's impossible to function on 800 mg.  I felt like hibernating my whole life and this is supposed to be better?  Doctors never cared about making me better.  They had me drooling in the corner most of the time before I woke up and stopped taking the meds.

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