New Meds? Did your Psych Inform You about Side Effects?

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11 Jul 2011

Here's a little story that happens to be true...

When I was prescribed Seroquel, my psychiatrist informed me that it would make you sleepy. What they didn't tell me is just how sleepy Seroquel would make me.

So the first time I took Seroquel, I followed the psychiatrist's advice and took a 100 mg dose at 11:00 pm one night. I then slept through the rest of the night, the whole next day, and the whole next night until about 7:00 am the second morning, 32 hours later.

Well, that's not entirely true. I got up for 2 minutes at around 6:30 am the first morning to let the dogs out and then collapsed on the living room floor where my housekeeper found me three hours later. The front door was wide open for the entire period. She roused me enough to get me onto the living room couch where I then spent the next 22 or so hours.

During those 32 hours, I did not go to work, visit my parents, brush my teeth, answer any phone calls, or eat or drink anything. I just slept. Since I live alone, the dogs did not get fed that day either, poor critters.

This fiasco was avoidable

What annoyed me most was that the psychiatrist could have been more forthcoming about what would happen. Telling me that I would be sleepy and I should avoid driving doesn't come close to saying I would sleep for 32 hours or that I would be extremely groggy for days.

And I really didn't appreciate that my dogs weren't fed simply because the psychiatrist was careless in preparing me for what to expect when I started on new medications they prescribed.

Now, my reaction might have been on the extreme side, but I'm sure many people who started taking Seroquel had bouts of intense sleepiness which completely disrupted their next few days.

My experiences and recommendations if you are about to start taking Seroquel.

My psychiatrist should properly explain

the side effects when I'm prescribed new medications.

Sometimes coping with the side effects on my own doesn't matter too much, such as when I get a medicinal taste in my mouth.

Sometimes the side effect is relatively mild but advance notice would be handy, such as when the drug makes me more prone to sunburn or when alcohol can cause nausea, or the drugs causes blurry vision.

There are also side effects which I really wish the psychiatrist had given clear warning about, and spent time with me to plan how the 1-2 weeks might be organised. The story above is one example where I should have been better warned about what might happen.

Failure to inform me about the side effects

can create additional problems for me and

increases the risk that I will stop taking the drug.

This is not academic. Side effects which dramatically alter day to day life can wreak havoc because of missed meetings, tasks not done, and missed or embarrassing social events, and burden me with additional problems at a time when I really don't need additional problems.

Sleepiness, grogginess, and the having an antidepressant trigger a manic episode are examples of these kinds of side effects.

There's also that thing where if the side effect is scary enough, I will stop taking the medication immediately. And while I might mentally curse out my psychiatrist for not warning me as I try to deal with the mess created by the side effects, I might not actually call up my psychiatrist to say I've stopped taking my meds. Things can only get worse from here on.

So, can you psychiatrists please do the following...

Set aside time to talk about the new drug with me. I have been handed prescriptions and been told "Check with me in one week to let me know how it's working." Yeah, don't do this. We deserve more of your time and attention.

Tell me what the drug is expected to do, and how long it will be before the drug starts to takes effect. After we start taking the medication, we want to know what to look for to see if the drug is working. For example:

  • Prozac is an antidepressant. After about 4 days you might find that you have less anxiety in dealing with people and you might find it easier to go about your regular activities. The full effect should be in place by the end of two weeks.

Tell me what typical side effects to expect over the next week. This should include (a) specific symptoms to look out for and (b) how long the symptom will last. For example:

  • Expect to have blurry vision, which should pass in next 2-4 days.
  • Expect to have a medicinal taste in your mouth. It should lessen over time, but it doesn't ever completely go away.
  • Expect to feel nauseous, like you might want to throw up, which should pass in about a week.
  • Expect that you might feel groggy for about 1-2 weeks. You might not be able to drive for 2-3 hours after taking the medication.
  • Expect that you might gain weight over the next 2-3 months. It might be 5-10 pounds, or it could be quite a lot more. You should keep an eye on your weight and let me know if your weight gain is excessive.

Tell me what are the possible really bad side effects to look out for. This should include (a) specific symptoms to look out for (b) what are the chances of getting them and (c) what to do if you notice them. For example:

  • Some people may have an adverse allergic type reaction to the medication. It's pretty rare - only about 1 in 1000 people get it. Look for symptoms of an allergy - itching arms or lips, or difficulty in breathing. The adverse reaction is considered fairly dangerous - if you notice this, call me immediately (here's my mobile number) and stop taking the medication.

In short, help us monitor ourselves

Taking medication is hard. While we are on medication, we have to monitor our moods for depression or mania. We also have to check to see if new medication is actually working, and we have to monitor for side effects and adjust our daily activities to compensate.

It's a lot of work. Your help is appreciated. Thanks.


last updated 7 Jan 19

first published 11 Jul 11

WP 1 like 8 comments

Taking Seroquel: Expect This – Living Manic DepressiveJan 5, 2019·[…] Seroquel, Sleepiness, and Psychiatrists […]ApprovedSpamTrashLikeEditReplyTroyMay 5, 2018·computerhopenowwith.comUser InfoWow, wonderful weblog format! How lengthy have you been blogging for?you make running a blog look easy. The total glance of your web site isexcellent, let alone the content!ApprovedSpamTrashLikeEditReplyBryan P.Nov 16, 2014User InfoI have ultra-ultra rapid cycling bipolar. In the week prior to starting Seroquel, I got about 10hrs sleep for the whole week. I started with a dose of 50mg on advice of my psychiatrist due to varying health reasons. I’ve been increasing the dose by 25mg a night to see the influence on my sleep patterns. I normally take the drug at about 11pm. For doses ranging 50mg – 150mg, I’ve been getting about 3hours sleep each night, waking up and not being able to get back to sleep. I’m now on a dose of 200mg, which has given me about 5hours sleep. I tend to find if I’m in a depressive state before I take Seroquel it has a much more potent sedative effect than if I was in a manic state. I find that Seroquel is much more effective than Zopiclone.ApprovedSpamTrashLikeEditReplyGallieOct 31, 2014User InfoSo I just started this drug. The first night I woke up three times, but I was able to go back to sleep. I ended up getting up around 11am – I think I fell asleep around 1am. I had the worst sore throat – I wasn’t sure if I was sick or slept with my mouth open – but the Seroquel hangover I think was hitting me. Day 2 – sore throat less mild, hauled myself up to run some errands – being awake AND having to do stuff was completely annoying. Day 3 – omg – I’m so tired. I’m awake on WILL POWER. The up side? The sitcom that was going on in my head is gone.The only thoughts in there are mine. It’s almost like sitting in a plain chair in a dark room with no audience, the only light is on me. Peace. Is this was this drug is supposed to do? I might be willing to trade off energy for insanity. My mania was in full swing and this Seroquel was prescribed when after two weeks on a large dose of Depakote I was still swinging from the chandeliers, eaking by on three hours of sleep, and claiming fun superpowers. What’s the problem, I was SO funny. Ha, not. Anyway, I’m feeling so much less CRAY CRAY and trying to re-adjust and develop a healthy normal schedule.ApprovedSpamTrashLikeEditReplysleepyFeb 29, 2012User InfoWow, I would love a drug that would give me that much sleep. But I can’t risk increased blood sugar or weight gain.ApprovedSpamTrashLikeEditReplyDanny Haszard (@DannyHaszard)Jul 15, 2011· InfoEli Lilly Zyprexa,Risperdal and Seroquel same sagaThe use of powerful antipsychotic drugs has increased in children as young as three years old. Weight gain, increases in triglyceride levels and associated risks for diabetes and cardiovascular disease.The average weight gain (adults) over the 12 week study period was the highest for Zyprexa—17 pounds. You’d be hard pressed to gain that kind of weight sport-eating your way through the holidays.One in 145 adults died in clinical trials of those taking the antipsychotic drugs Zyprexa. This is Lilly’s # 1 product over $ 4 billion year sales,moreover Lilly also make billions on drugs that treat the diabetes often that has been caused by the zyprexa!Daniel Haszard Zyprexa victim activist and patient who got diabetes from it.ApprovedSpamTrashLikeEditReplylmarvinJul 11, 2011· InfoYes, that stuff is bad for drowsyness.I slept about 24 hrs straight the first time, a little less each time. But I have a really high tolerance for that stuff.most of the time it revs me up insyead of putting me down, so it def. Caught me off guard.ApprovedSpamTrashLikeEditReplyJames LittiebrantJul 11, 2011· InfoSame thing happened to me on seroquel. It only made me sleep for 12 hours, but the morning hangover was still horrific. My doctor warned me that it can make you incredibly drowsy, but he didn’t mention that about an hour after taking it that I wouldn’t be able to walk from the fatigue. Even now on risperidal with a tolerance built up for sleepiness, I still get the tired legs where my body feels like lead and I can’t move from tiredness. The plus side is that I’ve never slept so well in my life.ApprovedSpamTrashLikeEditReply

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