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bipolar 1 medication management


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My current daily meds are: Dexedrine, Paxil, Seroquel XR 400mg, Guanfacine 2mg

The meds I am prescribed but use PRN: Valium, Zolpimist, Lyrica, Klonopin, Doral 

As much as I want to say the seroquelxr is working, I really cannot stand the inconsistency of timing for it to kick in and make me fall asleep. Honestly seroquel xr is working for my bipolar 1 mania, butI feel like I depend on the sedation to control my symptoms of mania. And I would . not like to be sedated all of the time so this is kind of a bummer. Tonight I took Vraylar 1.5mg and am going to begin taking Vraylar instead of seroquel xr. Tomorrow I will take 3mg Vraylar and probably reduce the seroquel xr to 200mg.

Anyone care to share your own medication management for bipolar 1 disorder, mainly mania and manic behaviors/symptoms.

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How has your trial of Vraylar been so far? Switching from Seroquel to Vraylar is a big change, so I'm curious how you're adjusting. Me personally, I would want to start on the Vraylar at 1.5mg and decrease the Seroquel by 50mg every 1-2 days until reaching 0. Dropping from 400mg to 200mg before Vraylar has had a chance to build up in your system might be a bit hairy.

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It's been really good so far.  I have been aggressive in my dosage decreases of seroquel but things have been going well. I have not had any dexedrine or stimulants so I have been really tired throughout the past week/2 weeks. Hopefully I can get dexedrine through optumrx mail order, but nowhere seems to be able to order zenzedi

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I saw OptumRX and winced a little. Lol. I was always frustrated that you HAD to sign for the controlled substances that came through mail order so I always filled them at retail pharmacy. But yeah, something like Zenzedi would definitely be an order.

Glad to hear that Vraylar seems to be working out for you. It should be stimulating for you and help while the Zenzedi is missing.

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