Have been struggling with depression and extreme anxiety. So have been on Trazadone for the last 6 weeks. Titrated up from 100mg, to 150mg and have been on 200mg for last week. Have also been on Quetiapine for last 2 weeks, titrated up from 50mg, to now on 75mg at bedtime and 25mg on waking.
These last few weeks have been Hell. Anxiety on waking just as severe, feeling so low and depressed with suicidal ideation constantly running in the background. Have only had a tiny handful of good days.
When I started Quetiapine, my CPN gave me an official info leaflet about it with a link to the official NHS healthcare website for my local area.
I clinked on the link today, to read that I'm fcking not even on the officially listed* therapeutic dose for Quetiapine!
It states that when being used as an adjunct for an AD the dose should be 150-300mg and should be titrated up to 150mg by Day Four (and then increased according to patient need).
It also states that when being used to treat anxiety (which I also have, quite severely) the recommended therapeutic dose should be 150mg FFS!
So, WTAF have I been suffering like the damned these last few weeks on doses which aren't even considered therapeutic??? I have looked longingly at buses and half hoped they'd run me over. I have driven past trees and wondered if I'm going fast enough to enable a fatal crash if I drive into them. There are just no words to fully describe how low I have felt.
I spoke to my CPN yesterday, and even he mused that it might well be better to increase my dose quite a bit higher, and to go in quite strong with Quetiapine, for a short time, to blat the symptoms, get some stability and then look to decrease. So, obviously he knows that I probably really should be on a higher dose!
I know they had a meds review today, but they haven't contacted me to discuss changing my dose, so I assume the doctor hasn't okayed it
I am totally confused why I have been under dosed like this. But also beyond furious. I totally get about safe prescribing etc, and can see that this is common sense.But I have told my CPN several times that it doesn't feel like the Quetiapine is even touching the sides. And no wonder, when I'm not even on the official therapeutic dose recommended on their own f*cking official website.
Just had to let rip somewhere
Please or to access all these features
Please
or
to access all these features
AIBU?
AIBU to be furious to have discovered that I'm not even on a therapeutic dose of my AD?
38 replies
Psion · 03/05/2016 18:05
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