Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
I currently take saroquel 600 mg @ night for bipolar, lyrica 300 mg - 3 times a day for fibromyalgia, Adderall 30 mg extended release in the morning, Burpar 15 mg - 3 times a day for anxity, Prozac 20 mg in the morning for depression. The saroquel seems to make me very sleepy and unmotived all day. The adderal just doesn't work like it use to when i first started taking it. I have tried so many different kinds of medications. I just don't know what to do anymore. I'm 25 have to small kids and a husband and just can't seem to pick myself up anymore and i can't seem to remember anything. Can anyone help me?
Hello and welcome to Healthcare Magic. Thanks for your query.
I understand that you are going through a difficult time and are concerned about the current medication that you are on. Now, Seroquel (Quetiapine) is an antipsychotic medication which can be used in the treatment of Bipolar disorder. However, if this is making you sleepy and unmotivated, then I would suggest switching to a mood stabilizer like Lamotrigine, which will have much lesser sedative effects than Seroquel. This has to be done cautiously - by slowly tapering down the dose of one and gradually building up the dose of the other medication.
You have also mentioned that you are taking Lyrica (Pregabalin) thrice a day, which can also be contributing to the sedation. So, you can also try shifting the daytime doses to night doses, so that you feel more alert in the morning.
Wish you all the best.
Regards, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist
I have read your query and I can understand your concern. You are a known case of bipolar disorder and are on Qutiapine 600mg, Lyrica 900mg, Adderall 30mg, Buspirone 45mg, Fluoxetine 20mg per day.
The morning sleepiness, lack of motivation and drowsiness is occurring due to high dose of seroquel only. You are taking 600 mg per day and this dose is enough to make you sleepy next day. Adderall is amphetamine drug and with chronic use there occur tolerance to its side effect. The drug carry abuse potential so should be better avoided unless strongly indicated.
As per my opinion dose of seroquel can be reduced a little and if you don't get proper relief with these dose adjustments then drugs like Modafinil can help you. Modafinil is a medicine that result in increased alertness and help in depression. Adderall should be stopped as this will make you dependent. Consult your psychiatrist for detailed evaluation and dose adjustments if any.
Thanks, Hope this helps you
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Suggest Suitable Therapy For Bipolar Disorder
Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time and are concerned about the current medication that you are on. Now, Seroquel (Quetiapine) is an antipsychotic medication which can be used in the treatment of Bipolar disorder. However, if this is making you sleepy and unmotivated, then I would suggest switching to a mood stabilizer like Lamotrigine, which will have much lesser sedative effects than Seroquel. This has to be done cautiously - by slowly tapering down the dose of one and gradually building up the dose of the other medication. You have also mentioned that you are taking Lyrica (Pregabalin) thrice a day, which can also be contributing to the sedation. So, you can also try shifting the daytime doses to night doses, so that you feel more alert in the morning. Wish you all the best. Regards, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist