November 16, 2006

Spikol On Seroquel As The Bipolar Pill

In treating bipolar disorder, my fellow BP blogger/journalist Liz Spikol, has some thoughts on my recent post about Seroquel being pushed on docs as the Bipolar Pill, aka monotherapy. She essentially agrees with me that this is troubling stuff and rightly adds that Seroquel isn't approved by the FDA as a monotherapy, but is approved separately for acute mania and bipolar depression. If I know the FDA system, I don't think they approve a drug for bipolar disorder as a monotherapy per se. Instead, the agency approves it for specific situations—ie., acute mania, depression and maintenance—and lets the Psych MDs decide whether it is a monotherapy or not.

Either way, I know Liz has had a better go of it with Seroquel than many others have, if I've read her past posts correctly (and good for her, seriously), so it's something for her to say she's bugged by what's going on out there in the world of clinical reality with Seroquel.

Posted by Philip Dawdy at November 16, 2006 12:03 AM
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I point blank asked my daughter's psychiatrist this question:

"What do you think about Seroquel as monotherapy for bipolar?"

Here's a summation of his answer:

He does not use it.Period. He has patients who he says come out of hospital inpatient on it in combination with Depakote or Lamictal, and he has no patient at this time on Seroquel as monotherapy treatment for bipolar disorder.

This of course is completely different than my doctor, who said the Seroquel was equal to Lithium.

I no longer have that doctor treating my bipolar disorder.

Posted by: Stephany at November 16, 2006 10:29 AM

Philip,
Everything you wrote on this blog regarding using Seroquel as a short term only medication is right.

I thought I was gonna prove ya wrong on it, but dude. You were so right.

This shit is not good for long term use, and at the 7 week mark for myself, I am waving it a long goodbye.

I am glad it works for some, but I can safely say it has failed me as the wonderdrug it claims to be.

Short-term--it worked great. Stopped the mania I was having.The longer I remained on it the worse I felt(feel). I say use it 2-3 nights to get sleep if that is an issue, otherwise keep that shit in the medicine cabinet as a PRN.

Thanks for the insiteful postings here re: Seroquel use.
I hope readers pay attention to a rookie here and listen up: short term use only.

~Stephany

Posted by: Stephany at November 28, 2006 02:50 PM

This is dreadful stuff and has poisoned my whole system, giving me hallucinations, nightmares and left me like Norman Bates mother in a chair gazing out of my window. The inexperienced psychiatrist was young, ambitious and dangerous. He is no longer my doctor. As a result of the trauma I cannot answer the telephone, do not drive, do not go out unaccompaied, have lost over 3 stones in weight, have to have my mail opened for me to make sure it is from friends, do not trust males at all - especially doctors, sleep with a light on, dislike loud noises and, most distressing of all - cannot concentrate to finish the final year of my degree course. I have an undiagnosed pain in my side for which I have to take strong painkillers. I constantly feel 'seasick' and feel dreadful. Beware my friends, Seroquel is poison.

Posted by: Marion at December 12, 2006 05:42 AM

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