quietapine for bipolar depression and psychosis

Ballerina123 · 10-01-2016, 06:33 PM

I'm being swapped over to quietapine again because aripiprizole is not doing great for my depression.

Last time I was on it I got palpitations and drowsiness on the immediate release.
Does anyone know if this happens on the extended release as I'm thinking about going on that instead?

Also what are the general experiences for this drug?
My psych said I need to be on at least 300 mg which feels high to me. But apparently that's a does for psychosis. He also said it is good for bipolar depression. Is that true? Have others found it good for bipolar depression?

Thanks

Fire Fly · 10-01-2016, 06:44 PM

I used to take extended release for voices and depression and it worked really well. I used to take Utah night and used to notice though when it was wearing off. It was really good!

10-01-2016, 07:07 PM

Im on quetiapine too, about 450mgs and its been great for
the psychosis and depression.

Bellatrix · 10-01-2016, 07:30 PM

I'm on 300mg for depression and psychosis. I find it really good for stabilising my mood but not great for psychosis.

random.swirls · 10-01-2016, 08:22 PM

I think with quetiapine the higher the dose the less sedating it is but I could be wrong.

I'm currently on 400mg but have been on 600mg before I reduced it and 800mh when manic.

Pomegranate · 10-01-2016, 09:17 PM

^^^ as above. I was prescribed 650 along with sodium valproate when manic, 800 a few years ago. I'm now prescribed between 300-450 depending on what's going on and whether I'm taking an AD or other meds. That's MR/extended release btw. The sedation is much more bearable. And as Cam said, I find lower doses ie >150 way more sedating. I have met lots of people over the years who have found it wonderful for mood, psychosis etc but personally I find it has minimal impact on my depressive moods but is reasonably effective in controlling higher moods.

Steel Maiden · 11-01-2016, 03:37 AM

Yes lower doses can be more sedating. And quetiapine is used to treat bipolar depression.

tiptoes · 11-01-2016, 09:39 AM

I take between 300 and 600 mg for my bipolar and it seems to be pretty good at stabilising my mood.
I don't find it that it isn't that sedating except maybe when I have my dose increased. It is usually the other way around for me, I get my dose lowered back to the maintenance level when the higher dose stops me sleeping properly.

Ballerina123 · 11-01-2016, 10:11 AM

Thanks guys that's sounds generally positive.
I change over to just quietapine tomorrow. I'm hoping for good results.

I'm a bit anxious as always when shaping over meds. But sure it will be OK.

Thanks again

Epicene · 11-01-2016, 10:35 AM

Quetiapine is also used as an adjunct to antidepressants in unipolar depression so it makes sense that it could help bipolar.

I take max dose of quetiapine for psychotic symptoms and it does make a difference. I find it helps my 'everyday' voices and reduces the anxiety associated with them a lot.

Ballerina123 · 12-01-2016, 11:53 PM

Thanks

Are there any advantages or disadvantages to IR and XR?

Buttons. · 13-01-2016, 10:24 AM

I found it quite useful, am currently on 350/300 (can't remember which ;-p memory =sieve) personally I've found XR more constructive but I very helpfully don't know why that is. Also try not to worry about the size of the dose, 300 is really not massively high.

Steel Maiden · 17-01-2016, 07:57 PM

Quote:

Originally Posted by Ballerina123

Thanks

Are there any advantages or disadvantages to IR and XR?

I haven't been on quetiapine before but XR may cause more daytime sedation than IR, however IR has a much shorter half life so plasma concentrations will vary more rapidly.

Ballerina123 · 18-01-2016, 10:37 AM

Thanks you for the replies.

I'm feeling a bit better about this medication now. Thanks again x