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Regular Member

Date Joined Jun 2005
Total Posts : 489
   Posted 8/25/2005 3:13 PM (GMT -7)   
  And i'd appreciate any help from all of you out there----whether you're BP---unipolar or whatever.      Remember (to refresh your memory)--when i was first diagnosed w "major depression"----& i was on Paxil...10mg-----then, after 10 days on 10mg---i went up to 20mg.    At that point--i felt a bit "edgy"-----& called my therapist.      Anyway, i took it upon myself (with some sage info from another wondeful member here)--to "wean off" the Paxcil...taking 5 mg for every other day for 5 days.
   My therapist, bless her heart, strongly suggested i see a pdoc----after my incompetent family dr.---when he called on phone----said it "wasn't the Paxil"...well ----it was!!!    
  The pdoc was terrific---intelligent, personable & he is a wondeful listener with lots of empathy--& man---does he know his meds!!!!       After hearing my agitated tale of woe---he prescribed----Effexor---37.5 mg (Lowest dose)----AND-----Seoquel---100mg at bedtime.   
  Well...yesteday i started my Effexor without incident & like a little kid about to get a needle...w my wife by me...I struggled & took the Seroquel (I read so much "stuff"...on those printouts...esp. since i get irregular beats & it says it can cause them....BUT, ny pdoc---PROMTLY returned my call yesterday morning---withing 15 mins of leaving a message about my concern....& calmed my fears---saying he's been prescribing Seroquel for yrs...& never had seen that problem---
   So, last nite w some pretzels to take with it---i took the 100 mg pill....about 10: PM.....went to bed at 10:35 or so, feeling a wee bit....."woozy"......then i hit the pillow---i was nervous--kept expecting my heart tp "act up"......next thing i remember--i woke up & it was a little before 7 AM...i slept 8 hrs straight...BUT, gosh---did i feel groggy---it was like i had been in the ring w a heavyweight boxer & was clobbered...I don't remember even getting "sleepy"....like i always do before falling off---
   The grogginess continued into the morning.......i called my wife at her job in hospital.....& she noticed i sounded groggy---so i called pdoc--left message---telling him how i felt & asking if it was OK---If i broke the pill in half (50mg)---he said that was good idea---always to give the minimum effective dose.  So, i feel a lot better---knowing i "survived" the 100mg last nite,  -----Anyway
   I asked the pdoc about my dianosis & if i were BP----he said something like (now this was on the phone----& he didn';t have the time like he would in his office--so, we'll talk when i see him again...but i also have an appt. w my therapist next Wed.-& i'm sure she'll give me more detail----the pdoc said---my depression was not a classic "unipolar" depression...& there was an element of some mixed hypomania in there (my brother is BP 1)-----Anyway-----what do you think???   Can Seroquel & Effexor alone be effective??  I feel much less edgy today--very "smooth" & "relaxed".......what DO i have?????    Is there such a thing as a "mixed BP2"????  please----get back---thanks to all of you(You responses & feedback help me SO very much!!)--Robert

Veteran Member

Date Joined Mar 2005
Total Posts : 807
   Posted 8/25/2005 5:48 PM (GMT -7)   

Hi, Wotan I'm glad you're feeling some better.  Seroquel will knock your a** in the dirt, huh? 

It's very possible this is a good combo for you.   Not sure what your pdoc is saying - you don't have symptoms of hypomania, other than nervousness and talking really fast.   Even hypomania causes crazy, risky and inappropriate (big time) behaviour, (we're not talking social faux pas here) which you don't have.  The only difference between hypomania and true mania is that true mania (type I) has psychotic features with the mania, otherwise they are the same.  Since you do have a brother with it, it could possibly happen, although it is RARE someone your age develops it; it routinely presents in teen/20s.  I still believe your problem stems from your situation.   But, I am not your pdoc!

Since he didn't have much time to really study you, I suggest you schedule some time for that if you can. 

Regular Member

Date Joined Jun 2005
Total Posts : 489
   Posted 8/25/2005 6:09 PM (GMT -7)   
Yea, Thanks, Psychnurse. I have another appt w my pdoc in about 2 wks---meantime seeing my therapist weekly. (Could i have "Mixed mania"?? Depression w "hypo"...i do seem to get into disagreements a lot---say some really outrageous things to stupid people)-----3 yrs ago, i was "escorted" out of my cardiologists office by the woman office mgr. Tho what i was upset with I was RIGHT (the office help was INCREDIBLY incompetent, since then, i have found a better heart dr. ANYWAY -----what i said.."Where do you get you office girls?? You throw a fishnet out at (& i named a location in Philly where sleaze hangs out)---& hire whoever you catch??? # of the woman gasped! This has happened with other people at times---no diplomacy-----anger WAY out of proportion to the situation----BUT....Seroquel does kick butt!!!! I'm goin down to 50 mg.....100mg , i felt like i was clobbered by a young George Foreman!!!! Now, c'mon...i'd like to hearc from more people...any BPs treated w Seroquel & Effexor??? Robert

Regular Member

Date Joined Aug 2005
Total Posts : 249
   Posted 8/25/2005 9:04 PM (GMT -7)   
Wontan, I was looking this up on a website because I could vaguely remember that there was something else besides bp 1 and bp 2 so here was the definition "cyclothymia is yet a gentler form of this disorder where mood cycles between a dysthymic [milder, but chronic] depression and hypomania" It is way past my bedtime so I will spend more time searching tomorrow since my meds are kicking in now.
Bipolar brings new meaning to the "Little Ups And Downs Of Life!!"


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