Question About Seroquel Xr, For Anxiety, Not For Insomnia

[lostforgottensoul]

I took a full 1 mg xanax (what im supposed to take) at around 10:45am, its now 1:15pm and i dont feel much different but i suppose the drive to my therapist will be the test.

Oh and i am finally offically off of the fentayl patch. It only took 10 mgorphin per day in the pump to do that (concentration 20mg i think but id have to look) the other 2 meds are for my neuapthy. Liquid going directly into my spine will take less than orally. Im so happy to be off the damn patch.

Sorry, my finger slipped and hit the "post reply" button so now:

ETA: i cant quote now but i today at my therpist, most if not the full appointment will be filling out FMLA papetwork and then he'll likely ask about it, give tips etc. I didnt want to make an appointment with the pdoc until i got half way used to this, maybe a month in? Maybe more, unsure but id say a month is ok to sched an appointment to possibly go up.

Once a day? That would be like just in the day? As nigjt time only helps me sleep, right?

 

[Sideways]

With the seroquel xr? Yup. Peaks at 8 hrs, so an 8pm dose should have you well and truly asleep and dream by 2am. I find that my evening dose starts to take at about 3 hrs.

 

[Sideways]

But I am on a much higher dose and metabolise drug fast.

 

[lostforgottensoul]

I made an appointment with my psychiatrist on 5/26 and thats exactly 5 weeks taking the medication, i'll ask my therapist if this seems to be too soon to tirate up or change it in any way. But thats what its set at now.

@Ragdoll Circus i dont care about sleep, i need it for anxiety in the day light hours. Im about to see my therapist so he will know plus we always have to take the change in pain meds into account.

 

[lostforgottensoul]

My therapist said 5 weeks is a good time to go to pdoc and evaluate how to change it and/or tirate up.

Im going to take seriquel 8:30pm then 8:30am then a xanax at 11:30 and give it til 12 to kick in and go to the store and see how well i can drive and walk around the store and also sort of mock my job, basically see how well i could give people directions on common issues. I think, based off today, i'll be fine at work...a little high feeling but no slurring of speech and can think fairly clear and can drive so i think sat will be ok.

 

[joeylittle]

Once a day? That would be like just in the day? As nigjt time only helps me sleep, right?

In theory- big emphasis on theory here - when you've reached a stable plasma concentration level, the peak effect becomes very slight, almost negligible. This is supposed to be why extended release drugs work - because the plasma concentration level is being tweaked constantly by the release, and the decline of the previous dose overlaps at the right point on the graph.

So, in theory - it stops mattering when you take it.

In practice, this is affected by things that right now aren't adjusted for in medications - which is individual metabolism, concentration of other drugs in the system and their effect on overall metabolism...

You may find it doesn't matter, to take it all in the evening. You may find it does, and you just prefer splitting it. Your psych will certainly have an opinion, and they are the one with the most experience over more users, so I'd listen to them.

Maybe more, unsure but id say a month is ok to sched an appointment to possibly go up.

Yeah - that's the 'see me again in four weeks' thing, that's usually the most effective choice, especially if your appointments are somewhat limited.

 

[lostforgottensoul]

I see @joeylittle well you've certianly helped. What i did tonight was to take my sleeping meds (still less than usual) a bit later as im finding myself (and this has been going on forever) waking up an hour, sometimes more than im supposed to and then if i go back to sleep im dragging and not near as awake as i was if i had just stayed up, so im wondering if that makes any difference on how i feel tomorrow. I only have a day to play if you will so we will see. Im excited to see this easier to get used to than the Abilify. I only gave Abilify a week off of work but stayed on it a month and i just couldnt function. The 30th day felt just like the 1st so im excited to see that i can possibly work on this, a bit clouded, but function and that means this has hope to work. Super excited to see something may actually work!

 

[lostforgottensoul]

Damn! My step mom keeps trying to talk me out of continuing the seriqueol because she's seeing me sleep a lot and she's like "i wouldnt do it, you'll be all f*cked up at work" and she did the same thing wed for thurs morning (my pain dr appointment) and i ended up taking it anyway and was fine. Today I yelled at her and told her to stop trying to scare me to stop taking it, ive been waiting for this forever. I didnt do anything today to wake myself up. I drank a cup of coffee and was trying to stay awake but ended up laying down and fell asleep until 4pm. Well today was shot but yesterday I WAS FINE, head in the clouds feeling but was fine. Today is just shot as a trial day for xanax. Since its 4:20 i took one only because i want to see how it does with the seriquel but the one im most worried about is the 11:30am. I do have a bit of anxiety and this will be close to my mid day xanax but im still not walking around and moving around as i would at work. Just trying to figure out how i do on it with the seriqueol as yesterday anxiety was super high and theres no way i can do my job like that. I predict im going to being using my FMLA breaks a ton more until i figure out what to take and when but for one thats why i have them and secondly my supervisor knows about the seriqueol and actually she knows i have PTSD, BPD, & GAD because when i first met her i, for some weird unknown reason, spit all of that out lol.

Anyway, i just wanted to bitch about my step mom and her "scare tactics" all because her son gave her a piece of one 100mg which was an imediate release 25mg which did f*ck me up and its why im on extended release unbroken. I already have enough anxiety about it without her adding to it! Agh!

 

[lostforgottensoul]

I cannot believe I forgot to go to the pharmacy today to get the seriquoel. I called Thursday, advised I needed to refill it. Was asking the pharmacy tech how it will work if my PDoc tirates me given that I just refilled it. Pharmacy tech said why order it if shes going to tirate up to the 150mg (likely not whats shes going to do) and the last thing i said when i got off the phone was to order it. Now i dont know if she did and they open at 10am tomorrow (thank god) so if its ordered i can get it on my way to work but if she didnt, all i have is 1 pill left for tomorrow morning. Will taking a few 25mg IR at night at least keep it in my body. Im trying to prepare for the worse and what to do, which is the pharmacy getting it Tue. If i take even just two 25mg at night, thats keeping at least 50mg in my body and i know its not the XR but i cant stop taking it and then have to get reused to it.

What if i dont take it from tomorrow (sat) night to Tues mid morning, what will that do? Will it make me super tired like when i first started it?

OMG Im so f*cking mad at myself right now!!!

 

[joeylittle]

Quietapine (seroquel) is usually in stock, it's a pretty common drug, not a special order. Can you switch your refill to a 24 hour pharmacy in the same chain? Switching where you have it filled is generally just a phone call. Your dose timing might get off my a little, but you'd not be going so many days without it.

 

[lostforgottensoul]

Quietapine is the immediate release, or thats what it says on the bottle, its generic, and I have that 25mg, 58 of them.

Seroquel XR has no generic, which is why its $100 after insurence and almost $500 retail. Its lowest dose is 50mg and it says seroquel on its bottle because it doesnt have a generic.

Pharmacy chains, I go to a small mom & pop like pharmacy, not 24 hrs. This one id a block from my house, the only chain is in the large city I live next to which is about a 30 min drive down the interstate and they have the same hrs, they are open tomorrow 10am to 2pm closed Sun. If they didnt order it Thurs to have today as I asked them they must order it Mon for Tue. I suppose if they didnt order it, I can get them to transfer that to a 24 hr pharmacy that has the 50 mg however it is Sat, and I also have to be at work by 11:30. Im unsure if I can get even the transfer done.

So I was thinking, worse case, (though Im sure they ordered it and I can get it on the way to work but I worry over every single thing, and have to have a plan for it) is Tue and so Id either have a few days without it in which case Im terrified of getting re-used to it or if I can keep it in my system a bit by taking a few of the imediate release at night, that maybe it wont be as bad to get re-used to it?

God, I dont know. Im so anxious I cant think. Im calling the pharmacy right at 10am but they are closed right now, they close at 6pm weekdays. This pharmacy has always been wonderful so im sure she ordered it as the last think i said was order the 50mg and I'll come tomorrow and the last thing she said was ok so Im sure she ordered it.

They have gone and gotten it from their other store but if I do that if have to leave work and come back as they are closed Sun and close at 2 tomorrow. Or call into work for a few hrs.

Im sure im freaking out over nothing but basically im asking is it better to have a few of the imediate release in my system at night only then nothing at all.

 

[joeylittle]

Sorry - yes, you're absolutely right. The generic for Seroquel XR is in development and not yet approved or released. Regardless, the mom and pop pharmacy will mean that no, you can't transfer the scrip.

You should be able to divide up the IR into quarters and take it spread out, just to maintain, if you need to. I'm not a doctor - but I've had doctors whop advised this in the past.

Id either have a few days without it in which case Im terrified of getting re-used to it

It won't come anywhere near clearing your system in a few days. It'll decline, but it's not going to clear. So, I would not worry about the re-uptake.