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Can Seroquel Cause Increase In Anxiety?


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#1 In_Remission_Nicole

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Posted 21 November 2009 - 07:55 PM

For the past few months, every night after I take Seroquel I get really bad anxiety attacks. I think this happened when my dose was increased to 200mg and I switched to Wellbutrin XR. My psychiatrist thought it was just an anxiety problem, since I am an anxious person, so my dose was increased from 200mg to 300mg. The anxiety attacks got much worse after this and tended to last a few hours every night. My psychiatrist doesn't think the two are related still and didn't seem to be willing to consider that there could be a connection. However, I insisted to be taken off of Seroquel anyway. I'm being put on Risperdal instead. At this point I'd rather not take any anti-psychotic medication than have anxiety like that regularly.

I'm not sure how this works... how similar are Seroquel and Risperdal? Now that I'm only taking around 50mg of Seroquel a night as part of tapering off the anxiety is not nearly as bad. I'm worried that Risperdal will do the same thing to me. I've missed most of my classes this semester and I can't afford to be this anxious for exam period.

Has anyone had any experience with this? Is it even possible that Seroquel could have caused anxiety attacks? Are the two medications different enough that I should be okay switching? I guess that last question doesn't matter if Seroquel had nothing to do with anxiety. Any insight would be greatly appreciated!



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#2 Anna

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Posted 22 November 2009 - 10:21 AM

Seroquel can cause agitation and anxiety in a certain subset of folks.

Risperdal and seroquel are in the same class of meds, but different enough that no, you won't necessarily get anxiety from the risperdal if you did from seroquel.

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Anna

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#3 In_Remission_Nicole

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Posted 22 November 2009 - 01:55 PM

Seroquel can cause agitation and anxiety in a certain subset of folks.

Risperdal and seroquel are in the same class of meds, but different enough that no, you won't necessarily get anxiety from the risperdal if you did from seroquel.

Anna


Great, thank you! I'll give risperdal a shot then.

#4 therapeuticbrigg84

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Posted 22 November 2009 - 04:55 PM

switching to wellbutrin xr, wellbutrin xl? or wellbutrin sr?

Edited by therapeuticbrigg84, 22 November 2009 - 05:08 PM.

dx: schizotypal personality disorder, dystonic neck and back pain, GERD. a bit of TD, akathisia, dysmorphic thoughts, affect is questionable

seroquel and inderal 60mg made me fatigued/ depressed. may hafta try lopressor or bisoprolol

inderal interacts with ssris and anti-psychs.

success HCTZ not only lowers my blood pressure and pulse more effectively. but it also has helped with the headaches ive been having. i should see a doctor about this.

[color="#0000FF"]rx: klonopin .5-1 prn, omega 3 fish oil, vitamin D3 iu, albuterol sulfate inhaler, magnesium hydroxide(for the constipationg)

in flux: seroquel 50mg
up and coming: nuvigil

looking into injectables.


artane 2 mg PRN(rare), trazodone 50mg PRN, lyrica PRN?


#5 jook

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Posted 22 November 2009 - 05:02 PM

Are you referring to akathisia?
Feel like your skin is literally crawling? Ants in your pants?

I had mild akathisia w/ Seroquel when I hit 150 mgs.
That's when I quit taking it.
I had just had a severe bout w/ this w/ Abilify and I wasn't about to suffer from it again.
It is unbearable (to say the least).

BTW- I later took up to 4 mgs. Risperdal w/o any problem.

jook

Edited by jook, 22 November 2009 - 05:04 PM.

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my brain hates agonists and reuptake-inhibitors

former rx= Lexapro, Wellbutrin, Effexor, Zoloft, Topamax, Lamictal, Depakote, Lithobid, Trileptal, Gabitril,
Zonegran, Seroquel, Risperdal, Invega, Zyprexa, Abilify, Geodon, Saphris, Ativan, Xanax, Valium, BuSpar,

Nuvigil, Provigil, Restoril, Ambien CR, Lunesta, various combinations with all of the above

 


#6 In_Remission_Nicole

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Posted 22 November 2009 - 08:19 PM

switching to wellbutrin xr, wellbutrin xl? or wellbutrin sr?


Ah, I'm sorry. It was actually Wellbutrin XL I switched to but from Wellbutrin SR

#7 In_Remission_Nicole

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Posted 22 November 2009 - 08:28 PM

Are you referring to akathisia?
Feel like your skin is literally crawling? Ants in your pants?

I had mild akathisia w/ Seroquel when I hit 150 mgs.
That's when I quit taking it.
I had just had a severe bout w/ this w/ Abilify and I wasn't about to suffer from it again.
It is unbearable (to say the least).

BTW- I later took up to 4 mgs. Risperdal w/o any problem.

jook


I don't think that is what happened to me. I didn't feel restless and I had no problem sitting still. I was usually afraid to move but my skin wasn't crawling or anything. It certainly sounds terrible though. That would drive me crazy..or crazier. I hope it didn't last too long.
Even if I didn't have akathisia it is kind of reassuring (not sure why) to hear that you were able to take Risperdal fine

#8 therapeuticbrigg84

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Posted 22 November 2009 - 11:08 PM

xl sits in your system longer and could a culprit of anxiety, more than just seroquel

dx: schizotypal personality disorder, dystonic neck and back pain, GERD. a bit of TD, akathisia, dysmorphic thoughts, affect is questionable

seroquel and inderal 60mg made me fatigued/ depressed. may hafta try lopressor or bisoprolol

inderal interacts with ssris and anti-psychs.

success HCTZ not only lowers my blood pressure and pulse more effectively. but it also has helped with the headaches ive been having. i should see a doctor about this.

[color="#0000FF"]rx: klonopin .5-1 prn, omega 3 fish oil, vitamin D3 iu, albuterol sulfate inhaler, magnesium hydroxide(for the constipationg)

in flux: seroquel 50mg
up and coming: nuvigil

looking into injectables.


artane 2 mg PRN(rare), trazodone 50mg PRN, lyrica PRN?


#9 In_Remission_Nicole

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Posted 23 November 2009 - 03:57 PM

xl sits in your system longer and could a culprit of anxiety, more than just seroquel


Ohh I'll have to ask psychiatrist about that then. I have a feeling he'll say it is just anxiety disorder acting up

#10 Jen C

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Posted 23 November 2009 - 04:02 PM

Taken straight from the Wellbutrin page on crazymeds:

Wellbutrin / Wellbutrin SR / Wellbutrin XL's Typical Side Effects: Agitation, anxiety, insomnia, weight loss (bupropion is undergoing trials as a weight loss medication), headache, dry mouth, nausea, constipation, dizziness. Most of these are transitory, but the weight loss, agitation and insomnia tend to stick around. Wellbutrin (bupropion hydrochloride) is often used to counter the side effects of other medications.

I've never felt Seroquel has increased my anxiety, but, as everyone says YMMV.
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#11 In_Remission_Nicole

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Posted 23 November 2009 - 09:00 PM

Taken straight from the Wellbutrin page on crazymeds:

Wellbutrin / Wellbutrin SR / Wellbutrin XL's Typical Side Effects: Agitation, anxiety, insomnia, weight loss (bupropion is undergoing trials as a weight loss medication), headache, dry mouth, nausea, constipation, dizziness. Most of these are transitory, but the weight loss, agitation and insomnia tend to stick around. Wellbutrin (bupropion hydrochloride) is often used to counter the side effects of other medications.

I've never felt Seroquel has increased my anxiety, but, as everyone says YMMV.


I don't think that it is mainly the Wellbutrin but it is possible that it contributed. Now that I'm down to 25mg of Seroquel the anxiety after I take it is almost gone

#12 Nicko

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Posted 12 December 2009 - 06:39 PM

I'm going on my 5th night of 25mg of Seroquel. I was on .5mg of Risperidone and was doing ok, but then every two weeks or so would have a set back and I didn't like some of the side effects of Risperidone. I have OCD and GAD. I'm also taking 30mg of Lexapro a day. I was doing great on Lexapro alone combined with CBT, but the last few months I've been falling back. My Psych doesn't want to change the Lexapro, although personally, I think its pooping out after about a year of use.

Seroquel makes me sleep like a log - thats for sure. It actually takes away all anxiety within 20 minutes of taking it. I wake up with some mild anxiety, which turns into the most uncomfortable anxiety by mid afternoon. I'm thinking of going back on Risperidone...Can't take this anxiety.

Question:

Does Seroquel take a few days to kick in? Is there anxiety associated with start up, similar to some SSRI's? Not sure if its time to throw in the towel or to stick with it for a bit. Maybe its time to get off all meds. I feel like a walking pharmacy.

Any advice is greatly appreciated.

Nicko

Edited by Nicko, 12 December 2009 - 06:41 PM.

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#13 beek

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Posted 12 December 2009 - 06:48 PM

A low dose benzo like klonopin can help.
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#14 Nicko

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Posted 12 December 2009 - 06:54 PM

Got some of that. Scared to death of getting hooked. Would rather find a med combo that works without risk of dependence.

A low dose benzo like klonopin can help.


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#15 beek

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Posted 12 December 2009 - 06:59 PM

Got some of that. Scared to death of getting hooked. Would rather find a med combo that works without risk of dependence.

A low dose benzo like klonopin can help.

Jook commented on this in a post I made about the same fears. A low steady daily dose before bed made a big difference for me. I am off ap's for now and doing well.
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#16 sg2028

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Posted 12 December 2009 - 07:20 PM

If the anxiety is really happening only after you take the seroquel, it may be the cause. But, I wouldn't rule out wellbutrin which can be a cause of anxiety.

I took wellbutrin for two weeks about 10 years ago in which I had non stop flat out panic attacks. i curled up on the floor of my room crying, panicky for two weeks until my dr. agreed it wasn't a symptom likely to fade. i've never had anxiety trouble before or since.

your expression of the timing makes me inclined not to rule out the seroquel, but i definitely wouldn't rule out the wellbutrin, either.
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#17 jook

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Posted 12 December 2009 - 10:10 PM

Got some of that. Scared to death of getting hooked. Would rather find a med combo that works without risk of dependence.


You can only get hooked if you let yourself become grossly irresponsible.
You risk dependence with any drug you take.
Diabetics are dependent on insulin, yes?
People with high cholesterol are dependent on statins.
I don't see your point.

You have addiction and dependence mixed up.

jook
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my brain hates agonists and reuptake-inhibitors

former rx= Lexapro, Wellbutrin, Effexor, Zoloft, Topamax, Lamictal, Depakote, Lithobid, Trileptal, Gabitril,
Zonegran, Seroquel, Risperdal, Invega, Zyprexa, Abilify, Geodon, Saphris, Ativan, Xanax, Valium, BuSpar,

Nuvigil, Provigil, Restoril, Ambien CR, Lunesta, various combinations with all of the above

 


#18 Nicko

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Posted 13 December 2009 - 07:45 AM

Yeah - I agree, but still don't want to become dependent on something that risks addiction while there are alternatives. I'll cross that bridge only when it becomes a last resort.

Got some of that. Scared to death of getting hooked. Would rather find a med combo that works without risk of dependence.


You can only get hooked if you let yourself become grossly irresponsible.
You risk dependence with any drug you take.
Diabetics are dependent on insulin, yes?
People with high cholesterol are dependent on statins.
I don't see your point.

You have addiction and dependence mixed up.

jook


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#19 aerialiste

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Posted 08 January 2010 - 04:32 PM

Seroquel/Abilify + me = akathisia. The Seroquel was so bad I'd literally leap/fly out of bed (involuntarily might I add) and hit the floor. The Abilify wasn't quite so bad, so I stayed on it for a long time (with Lunesta as a sleeper) and as a result have some thrilling EPS sx which will probably be with me for the rest of my life.

Zyprexa didn't cause any akathisia, but I haven't tried any other AAPs. Seems like YMMV with all of them, though—each worth a try for its own reasons. Hope Geodon or Risperdal is right for you—good luck!
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