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Dr. G - Questions regarding anti-psychotics - 2nd try at posting
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,

Anneinside responded:
ddnos replied to Anneinside's response:
actually, anne, Dr. G already answered this question because her first post did show up afterall. lol
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