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Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10643
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
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I have Polar and srated meds again after 10 Month break.

Customer Question

Hello. I have Bi Polar and srated meds again after 10 Month break. Have started again on Quetiapne with procyclidine for help conteract the side effects, however I am still cuffering sith all side effects very badly to the point where I cant leave the house. Please advise
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Z replied 1 year ago.

*This website DOES NOT constitute treatment and only provides information and advice in a Q&A format. For treatment (therapy and/or medications) you must go to a licensed professional in your area. Please note that anything said here is not private or confidential, as this is a public forum.

Hello and thank you for using JustAnswer. What is your dose of the Quetiapine and what side effects are you currently experiencing?

Customer: replied 1 year ago.
300 mg quetiapine and 5 mg procyclidine, I am dozey, dopey. tired but cant sleep, heavy aching limbs that twitch, nervousness, argrophobia, paranoia, severe stuttering, feel like I am on a cloud.....
Customer: replied 1 year ago.
I await your response thank you
Expert:  Dr. Z replied 1 year ago.

Thank you for your response. Unfortunately these are common initial symptoms related to Quetiapine, but they will go away after a few weeks once your body adjusts to the medication. For the anxiety/nervousness that you described though you can ask your doctor for a short term (6-8 weeks) benzodiazepine which will help lessen those specific symptoms, but a benzodiazepine does have a sedative effect so it could make you even more lethargic unfortunately. Seroquel has a sedative effect, which is why it is often used in an off-label fashion as a sleep aid, so the "dozey and dopey" feeling you are having is typical with this medication which is why it usually is taken at night initially. So the other possibility is that you can switch to another atypical antipsychotic medication like Olanzapine, Ziprasidone, or Lurasidone which will not have some of these side effects and may be better tolerated by you. Or you can switch to a mood stabilizer like Depakote, Lamotrigine, or Lithium which are the typical first line treatments for Bipolar Disorder and usually have less side effects than the atypical antipsychotic medications.

I hope this answers your question and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.

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