slayerjacy Posted September 11, 2017 Share Posted September 11, 2017 hi iv been on trazodone and sequel well now im on quetiapine 300 mg for 8 years cant sleep any more iv been suicidal up for 5 days sometimes without it it does not work any more and im a heavy drinker too and smoke cigs i need something more powerful that does not effect my liver and im bi polar too i have a fatty liver i need some help some advice im tired of only going to bed when my body is on its last breath and waking up every 30 mins getting only 4 or 5 hours of sleep some times i sweat alot to when i sleep and have racing thoughts please somebody get back to me i don't know how much longer i can handle this oh and also i have throat and nasal problems so i have to rinse out my nose like 20 times a day life really sucks it does doctor is not helping Link to comment Share on other sites More sharing options...
Iceberg Posted September 11, 2017 Share Posted September 11, 2017 Problem is you can't take sleep meds with heavy drinking Link to comment Share on other sites More sharing options...
Savannah Posted September 11, 2017 Share Posted September 11, 2017 Talk to your doc about Rozerem. I don't recall anyone here besides me that has taken it. A sleep Dr prescribed it. Link to comment Share on other sites More sharing options...
browri Posted September 13, 2017 Share Posted September 13, 2017 On 9/10/2017 at 10:48 PM, slayerjacy said: hi iv been on trazodone and sequel well now im on quetiapine 300 mg for 8 years cant sleep any more iv been suicidal up for 5 days sometimes without it it does not work any more and im a heavy drinker too and smoke cigs i need something more powerful that does not effect my liver and im bi polar too i have a fatty liver i need some help some advice im tired of only going to bed when my body is on its last breath and waking up every 30 mins getting only 4 or 5 hours of sleep some times i sweat alot to when i sleep and have racing thoughts please somebody get back to me i don't know how much longer i can handle this oh and also i have throat and nasal problems so i have to rinse out my nose like 20 times a day life really sucks it does doctor is not helping @Iceberg is right, heavy drinking really limits what medications that you can take. Out of curiosity, are you taking 300mg of extended release or immediate release quetiapine? And do you take it all at night? Or some in the morning and some at night? You may find that switching between the IR and XR formulations of quetiapine can have a big impact on sleep. Talk to your doctor about it. Another option is to take part of your dose as extended release and part of it as immediate release. Quetiapine is weird in that it's sedating at doses up to between 100-150mg but by 200mg+ it can start to be stimulating because of its effect on norepinephrine. You could talk to your doctor about taking 100mg immediate release at night about an hour before you go to sleep and take 200mg of extended release in the morning or just take the 100mg IR with the 200mg XR all at night. There's a lot of flexibility with quetiapine. However, you're saying that you're suicidal, your sleep and your suicidal feelings should both be treated as primary here. Many times getting your sleep in line is enough to get your mood to fall in line right behind it without much more work. Keep in mind that you may need to switch medications too. That's always a possibility if you've been on quetiapine for 8 years and it might not be working for you anymore. Link to comment Share on other sites More sharing options...
slayerjacy Posted September 23, 2017 Author Share Posted September 23, 2017 i take all of them at night time like 1 hour before bedtime and i don't know if its xr or ir all it says is quetiapine fumarate 300 mg substituted for seroquel i shall ask my doctor about that thanks it used to work so good i would take it and just fall to sleep but now it just sucks i will ask my doctor about Rozerem too when i get a chance i don't go in to see him tell October 25 though so ill tell you guys how it went Link to comment Share on other sites More sharing options...
browri Posted September 23, 2017 Share Posted September 23, 2017 Yeah it sounds like you're taking 300mg of immediate release. Talk to your doctor about the extended release and see what he thinks. Link to comment Share on other sites More sharing options...
mmaryland Posted September 27, 2017 Share Posted September 27, 2017 You could try mirtazapine, is always worked well (too well) for my insomnia and enabled me to sleep for endless hours, really though like 16 Link to comment Share on other sites More sharing options...
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