Skip to content
My WebMD Sign In, Sign Up

Announcements

Visit our Crisis Assistance Link for resources. For immediate help, get to the ER.

*No Dr Outside Contact Please*
Dr. G - Questions regarding anti-psychotics - 2nd try at posting
avatar
mercygive posted:
Dear Dr. G,


I am taking the following medicines: Levothyroxine .137 mg for treatment of hypothyroidism; Lamictal 300 mg; and, Seroquel 300 mg for treatment of depression, mania and most importantly psychosis. I understand from my reading here that I should expect the Seroquel dosage to increase to 400 mg to treat mania, and over 400 mg to treat psychosis so long as I can tolerate the sedation with each dosage increase. I understand that Seroquel or any anti-psychotic should not be prescribed for long-term use.



My psychiatrist recommends that I use on Seroquel (or Risperdal) daily for the rest of my life to treat and/or prevent recurring psychosis. What I have read here contradicts my psychiatrist's recommendation to use anti-psychotics long term.

How long should a doctor recommend that I use an anti-psychotic for recurring psychosis? Do all patients who take anti-psychotics, eventually over the course of their treatment, experience some or all of the side effects? What are the medications that are used to treat the side-effects? Is it better to continue to take an anti-psychotic (for psychosis) and take medicines to treat the side effects, or discontinue the anti-psychotic altogether when side effects occur? Are there any other medicines that treat or prevent psychosis that are not anti-psychotics ?

Also, I read that doctors overly use the Lamictal/Seroquel combination in older bipolar patients because they are more prone to aging health concerns. In your practice, what medicines do you prescribe for older bipolar patients, specifically, patients who have never been treated with Lithium or Depakote?

Thank you so much,

Mercy
Reply
 
avatar
Anneinside responded:
bump
 
avatar
ddnos replied to Anneinside's response:
actually, anne, Dr. G already answered this question because her first post did show up afterall. lol
Forgiveness is letting go of the hope that the past could have been any different --Unknown


Featuring Experts

Joseph F. Goldberg, MD, is a Clinical Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY. He also maintains a private prac...More

Helpful Tips

Differentiating bipolar disorder from borderline personality disorderExpert
Borderline personality disorder is a condition in which people can very easily become angry and upset in response to stresses -- especially ... More
Was this Helpful?
109 of 126 found this helpful

Related News

There was an error with this newsfeed

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.