Jules ~ Sorry I haven't been around....we have had lots of drama on top of drama here....PLUS a little scare. After the excitement of opening night and my daughter having that upsetment with her BF on the phone she came to say goodnight to me saying that she had a big headache and on the way upstairs I asked what time she had to be up at the school and she answered that she would talk later that she had to get some sleep with the headache and then suddenly when she was in her room screamed for me....I KNEW that she was going to pass out and told her to get to the floor until I got there..
When hubby and I got to her she was passed out on the bed and pale....we asked her what was wrong and she mumbled that her heart was racing really bad and told us her pulse was in her neck. I took her pulse and it was so fast that I couldn't even count it....when I could it was about 180. She asked for water and her pulse was still fast, around 120's and she said she needed sleep. I had her finish the water and told her that I would check on her often.....I was nervous because I have read that the
Seroquel can cause sudden cardiac arrest/stroke but more in the elderly.
Anyway....she went down to around 100 by morning which was still high and my friend who is a cardiac nurse said that she had read that with
Seroquel you can have hypotension that causes fainting and when that happens the pulse will race to compensate and that she had a feeling that with the play and working hard 16hrs/day for the past 2 weeks that chances were that she wasn't drinking enough or eating properly which would make it even more likely for this to happen.
I will of course inform our pdoc tomorrow....I still feel that she needs to come down on the
Seroquel because her brain chemistry is less manic than when she was first medicated and she may be taking more
Seroquel than is necessary. We decreased it by 75mgs 2 weeks ago when she was having hallucinations which is common when on too much
Seroquel so I am thinking that we need to go even lower. WE don't want to do too much because she has been doing so well and with all the stress she is under it's not a good time to make too many adjustments without upseting the applecart.
Anyway....MM seemed to relay exactly what I would have to you about the Lamictal....it is best to go slowly with the titration and if he worsens to take a step backward and go slower until at a therapeutic level. I am thinking that with the Suboxone may even increase the effect of the Lamictal and thus rendering that your son take even a lower dosage than the usual. But the usual therapeutic level is 100mg-200mgs. My older daughter is on 150mgs and the younger one is on 200mgs....the pdoc tried to increase it to 300mgs with her but she got worse and we went back down to the 200mgs. Like MM said, there is usually some worsening of symptoms with each increase in titration that will level off after 4-5 days and just before the next increase is due moods will indicate the need for more. You will know that things are good when that doesn't happen anymore and that he is finally at a therapeutic level.
I will check in again soon....oh, and the boyfriends are such a part of life that I wish I could be exempt from!!
I just could use less drama...my daughter has her own show going on and one day I think I will cash in with the screenplay.
Oh, and BTW....in her second performance she came out on stage with no shoes on....the set was of a highly professional office scene with everybody dressed to the "T". A little girl in front of me said to her mom "look mom, that lady forgot to put her shoes on!!"
And I look and follow the feet up to my daughter!! Turns out that in the first performance one of her shoes fell off during a dance so she decided on her own that it would be best to go on without them.
My friend and I were cracking up!!! Thought you would like the laugh too!!
~ IG (the one who has a daughter with a mind of her own
)
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