Panz Posted September 1, 2006 Share Posted September 1, 2006 I am going to try to talk to my family doctor about either a higher dose of Seroquel or adding Zyprexa to help me out of these stupid psychotic episodes. Does any one here take both? is there any point? would I live to tell the tale? Or should I just stick with the seroquel and ask for a higher does.... I'm trying to not go to the loony bin if I can deal with it on my own and I don't want to lose my Seroquel, yeah it makes me fat, but it does a LOT of other good things. Second part of this post. If the voices are actually other parts of my self as in DID...does it do any good, more harm than good etc. to try and dope them into silence? God, I am SO confused. Link to comment Share on other sites More sharing options...
wifezilla Posted September 1, 2006 Share Posted September 1, 2006 Hubby has taken both before. While seroquel helps the psychosis to a point, zyprexa did better, but then seroquel was better for stopping the racing thoughts and letting him get to sleep. So yeah, he uses both at times, but is on lamictal everyday (the Zyprexa and seroquel is now PRN). And he is still in one piece, hasn't suffered and monsterism, nor the condition known as "hot-dog fingers" or turned in to a newt or anything. Link to comment Share on other sites More sharing options...
pinkybee Posted September 2, 2006 Share Posted September 2, 2006 Agree, you can take both. As mentioned, each can serve it's own purpose & they can compliment each other too. Good luck. Link to comment Share on other sites More sharing options...
Velvet Elvis Posted September 2, 2006 Share Posted September 2, 2006 I am going to try to talk to my family doctor about either a higher dose of Seroquel or adding Zyprexa to help me out of these stupid psychotic episodes. Does any one here take both? is there any point? would I live to tell the tale? Or should I just stick with the seroquel and ask for a higher does.... I'm trying to not go to the loony bin if I can deal with it on my own and I don't want to lose my Seroquel, yeah it makes me fat, but it does a LOT of other good things. Second part of this post. If the voices are actually other parts of my self as in DID...does it do any good, more harm than good etc. to try and dope them into silence? God, I am SO confused. You're not on a very high seroquel dose yet. It would make more sense to take the seroquel as indicated for your condition before trying somthing fancy like combining APs. I would not ask a GP for somthing like that. You need to see a pdoc who would have a better chance of knowing how drug-drug interactions would effect your individual condition. As long as you are seeing a GP, it's best to do it by the book. While doses higher than 800 are not indicated in the PI info, I've seen lots of people around here taking as much as 1200. IMHO, pushing the dose a bit beyond the max indicated would be less risky than mixing two APs. All the atypicals are active in somthing like a dozen different receptor sites so there is a fair potential for interaction. I notice from your sig that you take a variable dose. Why is that? You really need to taking a consistant dose for it to be fully effective at that dose, ie take the full 600 (300 bid) every day. Link to comment Share on other sites More sharing options...
DMF Posted September 2, 2006 Share Posted September 2, 2006 I'm going to second Velvet Elvis. You must take a consistent dose every day in order to receive optimal benefit. DD just increased to 600 mg. - 200 mg. 3x day. The half life is very short for Seroquel so that and the fluctuating of doses is probably minimizing any benefit you are getting. I do think most people find Zyprexa to be better and dealing with psychosis than Seroquel but many, many people on this board use Seroquel effectively. It's up to you. Since you are already on Seroquel why not just work at staying at 600 mg. (but taking it as either 300 mg. 2s day or something like my daughter does) and see how that goes for a couple of weeks? As Elvis said, there are many that are on much higher doses. Then, after giving Seroquel a good try (including a possible increase in dosage) you may want to try Zyprexa down the road. Take care.... Link to comment Share on other sites More sharing options...
lachesis Posted September 3, 2006 Share Posted September 3, 2006 You can visit and sign up at www.mosaicminds.org People there talk about what it is like to have internal voices medicated with antipsychotics. Mostly they say they do not like it. That parts are less active and that it does not help the process of internal communication. I have not heard of anyone there having both auditory hallucinations and internal voices. I think that it can't hurt to try. So what if things become less active and you don't like it. I think you would prefer to hear less voices. You are the best judge of what is effective or not. And you don't know unless you try. You say you don't like taking a full dose of the one you are currently on because you feel to sedated and less on guard, but I think you won't need to be on guard if you are without the outer voices. If the inside voices object to meds then you need to work on that. One already resists the idea of seeing a psychiatrist, right? Link to comment Share on other sites More sharing options...
MellowYellow Posted September 14, 2006 Share Posted September 14, 2006 You must take a consistent dose every day in order to receive optimal benefit. I have to take exception to this. Risperdal is my "emergency med." In case I get paranoid; the begnnings of psychosis. I don't normally take it and it works fine for me this way. If I took my Seroquel in the daytime, I would get too sleepy to do anything and I would eat way too much for my diabetes all day. Link to comment Share on other sites More sharing options...
Loon-A-TiK Posted September 15, 2006 Share Posted September 15, 2006 I'm going to second lachesis and agree that mosaidminds is a great site with some good info for people with the kind of problems you are facing. you don't have a DID DX, but i am guessing that you could have DID, or something that looks a heck of a lot like it. i'm going to go with VE that you're not doing the Seroquel thing the best way you can as of yet to fully determine if you need to add another atypical. my treatment team strongly suggested to me that for my psychosis i go with zyprexa over seroquel. they said that seroquel can be a good antipsychotic in high doses but that those doses push the limits and they'd rather just reach for the big guns. so i took zyprexa and loved it. i didn't need any backup with Z- that stuff knocked out my voices and tuned me in like nothing else. you also, as VE pointed out, aren't taking the same dose daily. you'd need to probably take the same dose every day and take a large quantity of seroquel to do what you want it to do. it is time to go with the pdoc. i think only pdocs are really qualified to work with such potent psychiatric medications. heck, my GP gave me, a bipolar woman, serzone (now off-the-market AD) because i was having a mixed episode! guess who went crazy?! anyway, go to your pdoc and inquire about if zyprexa could be right for you, or if you want to continue with seroquel and just increase your dose to what it would need to be to combat your symptoms. as for DID, on mosaicminds, they talk about integration as a part of therapy. the personality parts come together again to join the person after a time. this is a counseling and introspective activity, not something that meds can cover. at least that's the feeling i got the last time i was reading on that site. best to you panz. if you need support, just pm me. i don't think i'm a DID candidate but my psychosis/weird voices problems and PTSD give me some insight as to what you're going through. if you want my thoughts in particular and i haven't noticed one of your posts, just pm me. Loon Link to comment Share on other sites More sharing options...
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