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General Parenting
Does it make sense that a late medication dose is as good as none at all?
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<blockquote data-quote="gcvmom" data-source="post: 210137" data-attributes="member: 3444"><p>Susie, he takes 700mg Seroquel XR at bedtime, and 400mg Seroquel XR at 12:30 when he goes to lunch. So it's ALL extended release. </p><p> </p><p>We upped the bedtime dose in hopes that he'd get a little longer coverage than he was getting before (seems to wear off after 16 hours). I'm not sure that's the case. </p><p> </p><p>But when he takes the lunchtime dose on time he really does pretty well the rest of the day. He can get his homework done. He can participate in sports. It's almost like things are back to normal. </p><p> </p><p>But on days like today, where he forgets the lunch dose and doesn't get it until later, it's like he's got really bad ADHD -- can't focus, cant' stay on task, constantly talking, getting up, easily distracted. </p><p> </p><p>I don't dare increase the wee bit of Daytrana he takes during the day (about 5mg) because it pushes him toward hypomania (yet he does need that little bit, or else afternoons are a struggle again). </p><p> </p><p>One day he forgot the lunchtime dose of Seroquel XR and I didn't bother giving it to him at all, and he was even less stable the next day and definitely hypomanic, even though he got the lunchtime dose that next day.</p><p> </p><p>I'm just amazed at how sensitive he seems to be to medication levels fluctuating. If this is truly the case, it really underscores how fragile he is and how real this illness is.</p></blockquote><p></p>
[QUOTE="gcvmom, post: 210137, member: 3444"] Susie, he takes 700mg Seroquel XR at bedtime, and 400mg Seroquel XR at 12:30 when he goes to lunch. So it's ALL extended release. We upped the bedtime dose in hopes that he'd get a little longer coverage than he was getting before (seems to wear off after 16 hours). I'm not sure that's the case. But when he takes the lunchtime dose on time he really does pretty well the rest of the day. He can get his homework done. He can participate in sports. It's almost like things are back to normal. But on days like today, where he forgets the lunch dose and doesn't get it until later, it's like he's got really bad ADHD -- can't focus, cant' stay on task, constantly talking, getting up, easily distracted. I don't dare increase the wee bit of Daytrana he takes during the day (about 5mg) because it pushes him toward hypomania (yet he does need that little bit, or else afternoons are a struggle again). One day he forgot the lunchtime dose of Seroquel XR and I didn't bother giving it to him at all, and he was even less stable the next day and definitely hypomanic, even though he got the lunchtime dose that next day. I'm just amazed at how sensitive he seems to be to medication levels fluctuating. If this is truly the case, it really underscores how fragile he is and how real this illness is. [/QUOTE]
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Does it make sense that a late medication dose is as good as none at all?
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