Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 > > Hi Gang > Today I picked up my MIL's prescription for seroquel, 25 mg. She is > to stop taking the risperdal. The Dr put on the script to be taken > when required. As I thought this was for the hallucinations, I > thought that she would take it daily to keep them away. Any thoughts > on this? Does this seem right to anyone who has a LO on it? Thanks, > , My LO was put on this last Thursday, and his script said to give one daily at night. I dont know if this helps. Lolly Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Hi, I'd suggest a once daily dose at minimum. Three times daily dosing (every 8 hours) is the maximum recommended dosing. My elderly mother could only tolerate a bedtime dose because it made her severely drowsy and this bedtime dose was started at 37.5 mg (1 & 1/2 tablets) at bedtime 3 years ago, decreased to 25 mg about 18 months ago then down to 12.5 mg about 6 months later. When she was first started on it she was living in an apartment with my dad. After I moved her to the dementia unit of a nursing home and she settled into the daily routine, she felt safe in her environment so her paranoia decreased. Her hallucinations were somewhat controlled by the Seroquel, but she was never disturbed by them, so I focused more on her paranoia/fear control to help determine the appropriate dose. Hope this helps. Take Care - Deb > > Hi Gang > Today I picked up my MIL's prescription for seroquel, 25 mg. She is > to stop taking the risperdal. The Dr put on the script to be taken > when required. As I thought this was for the hallucinations, I > thought that she would take it daily to keep them away. Any thoughts > on this? Does this seem right to anyone who has a LO on it? Thanks, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Can't believe he just wrote a prescription with no definite instructions - my dad was on Seroquel twice daily, started on two low doses but our Geriatrician monitored and accelerated the dose according to how my dad was, he eventually went up to quite a high dose. It was in our case prescribed for the hallucinations and worked well at killing them off - in the main. After about a year however it's use faded and we went onto Exelon - also a really good result in my dads case. Someone should be monitoring things though other than yourself - if you have a visiting Community Physciatric nurse talk with her about it. Kathleen. seroquel Hi Gang Today I picked up my MIL's prescription for seroquel, 25 mg. She is to stop taking the risperdal. The Dr put on the script to be taken when required. As I thought this was for the hallucinations, I thought that she would take it daily to keep them away. Any thoughts on this? Does this seem right to anyone who has a LO on it? Thanks, Welcome to LBDcaregivers. ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 : The notes I have at home regarding Seroquel for my Mum read 12.5mg (1/2 x 3) I think this means she gets 1/2 a 25mg tablet 3 times a day. I will doulbe check with her care nurse when I am in tomorrow. Mum doesn't appear to be bothered by scarey hallucinations since she started the Seroquel (Feb 7) although she still has some extraordinary visions. We seem to have the same problem with bed wetting (though only sometimes) as with your MIL. Mum complains that the diapers don't hold anything. She leaks right through. The HCW keeps finding the bed wet and a dry diaper on the floor. We think Mum gets up at night with the intention of going to the bathroom, takes the diaper off and then goes in the bed. She is very quiet about it and she won;t call anyone in the middle of the night for a couple of reasons 1) she thinks it will cost extra and 2) she thinks she can do it herself. We may have to look into a motion detector. sandra_dil wrote: Hi Gang Today I picked up my MIL's prescription for seroquel, 25 mg. She is to stop taking the risperdal. The Dr put on the script to be taken when required. As I thought this was for the hallucinations, I thought that she would take it daily to keep them away. Any thoughts on this? Does this seem right to anyone who has a LO on it? Thanks, Welcome to LBDcaregivers. --------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Thanks All I think I'll give it to her at about 8 pm each day to see what happens. I have known that her Dr was a " pill pusher " , hence the oxazepam when required for over 20 years. I have a nurse that comes thursdays, so I will see where I can go now until geriatric appt next month. We are on a cancellation list. Hope it happens. How soon will I notice any changes in her motor skills, or am I hoping too much? It could be that the damage has been done, or the disease is relentlessly marching along at a regular pace. The pharmacist was reluctant to suggest any other new med's for MIL because of the lack of dx. I know that he thinks I am crazy. The occupational therapist believes it at least. Oh well, another day in!! Thanks again for your support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 My dad also had a bad reaction to Ativan. He was very confused, delusional and agitated. Luckily he snapped out of it after a couple of weeks of being on Seroquel and Namenda. Rhonda & gt;From: & quot; & quot; & lt;katiesuedavis@... & gt; & gt;Reply-To: LBDcaregivers & gt;To: LBDcaregivers & gt;Subject: Re: Seroquel & gt;Date: Tue, 19 Apr 2005 23:14:25 -0000 & gt; & gt; & gt; & gt;I feel compelled to join in this discussion. My grandmother was on & gt;ativan and it did significant damage. She became very agitated and & gt;delusional. It took several weeks for the effects to & quot;wear off & quot; and & gt;she has never been the same. As far as seroquel goes. She is & gt;currently on 5omg in the morning and 200 in the evening. She is still & gt;not sleeping however we have had 2 days with no hallucinations. & gt;That is something to be very grateful for. Of course there is a & gt;price... her mobility is suffering but in our situation there is & gt;little choice. We want her to stay with us a long as possible. While & gt;the effects of the ativan may wear off, you may still see some effects & gt;from the seroquel. Nothing is perfect! & gt; & gt; in Florida & gt; & gt; & gt; & gt; & gt; & gt; Thanks All & gt; & gt; I think I'll give it to her at about 8 pm each day to see what & gt; & gt; happens. I have known that her Dr was a & quot;pill pusher & quot;, hence the & gt; & gt; oxazepam when required for over 20 years. I have a nurse that comes & gt; & gt; thursdays, so I will see where I can go now until geriatric appt & gt;next & gt; & gt; month. We are on a cancellation list. Hope it happens. How soon & gt; & gt; will I notice any changes in her motor skills, or am I hoping too & gt; & gt; much? It could be that the damage has been done, or the disease is & gt; & gt; relentlessly marching along at a regular pace. The pharmacist was & gt; & gt; reluctant to suggest any other new med's for MIL because of the lack & gt; & gt; of dx. I know that he thinks I am crazy. The occupational therapist & gt; & gt; believes it at least. Oh well, another day in!! Thanks again for & gt;your & gt; & gt; support. & gt; & gt; & gt; & gt; & gt; & gt; Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 , My Mother takes Seroquel three times a day. With out the dose at noon, she doesn't sleep through the night. My Mother's dosage is: 50 mg in the morning, 50 mg at noon, 200 mg at bedtime. in Dallas > > > > Thanks All > > I think I'll give it to her at about 8 pm each day to see what > > happens. I have known that her Dr was a " pill pusher " , hence the > > oxazepam when required for over 20 years. I have a nurse that comes > > thursdays, so I will see where I can go now until geriatric appt > next > > month. We are on a cancellation list. Hope it happens. How soon > > will I notice any changes in her motor skills, or am I hoping too > > much? It could be that the damage has been done, or the disease is > > relentlessly marching along at a regular pace. The pharmacist was > > reluctant to suggest any other new med's for MIL because of the lack > > of dx. I know that he thinks I am crazy. The occupational therapist > > believes it at least. Oh well, another day in!! Thanks again for > your > > support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2005 Report Share Posted April 20, 2005 my mother was also on one dose a day for quite a while. We started with 1/2 a pill before bed. Then we increased to one and then after about a year she wouldn't leave the house because she didn't want to leave the " children " so we began giving her one in the morning but not on the morning of her group to keep her from being so sleepy. Kath rxmom4625 wrote: Hi, I'd suggest a once daily dose at minimum. Three times daily dosing (every 8 hours) is the maximum recommended dosing. My elderly mother could only tolerate a bedtime dose because it made her severely drowsy and this bedtime dose was started at 37.5 mg (1 & 1/2 tablets) at bedtime 3 years ago, decreased to 25 mg about 18 months ago then down to 12.5 mg about 6 months later. When she was first started on it she was living in an apartment with my dad. After I moved her to the dementia unit of a nursing home and she settled into the daily routine, she felt safe in her environment so her paranoia decreased. Her hallucinations were somewhat controlled by the Seroquel, but she was never disturbed by them, so I focused more on her paranoia/fear control to help determine the appropriate dose. Hope this helps. Take Care - Deb > > Hi Gang > Today I picked up my MIL's prescription for seroquel, 25 mg. She is > to stop taking the risperdal. The Dr put on the script to be taken > when required. As I thought this was for the hallucinations, I > thought that she would take it daily to keep them away. Any thoughts > on this? Does this seem right to anyone who has a LO on it? Thanks, > Welcome to LBDcaregivers. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2005 Report Share Posted April 20, 2005 Hi , I can't believe the doc would prescribe it this way!!!!!! If I were in your shoes, I'd give her half a pill just before your MIL's most pronounced hallucination period. Does she have more problems at night? If so, I'd give it to her at about dinner time. Try the half pill and increase to a full pill twice a day if needed. I'm still shaking my head over the doc's direction. Courage sandra_dil wrote: > > Hi Gang > Today I picked up my MIL's prescription for seroquel, 25 mg. She is > to stop taking the risperdal. The Dr put on the script to be taken > when required. As I thought this was for the hallucinations, I > thought that she would take it daily to keep them away. Any thoughts > on this? Does this seem right to anyone who has a LO on it? Thanks, > > > > > > > Welcome to LBDcaregivers. > > > > > --------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
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