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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Dosage Of Medicine For Depression

Hi , My name is John and i suffer from Clinical Depression and Chronic Anxiety , I started on seraquiel 50XR !, taking it at about 6.30pm then my bed time dose of Diasapam 20mg , Didn t feel that Knocked out feeling on the XR as i did on the Standard Seraquiel , But as i incressedmy night time dose too 100 mg of the XR i started having terrible Night Mares and Bad head aches and Very Groggy in the Mrng ?..... Can any one explain to me if they think that the 100mg XR may be too higher dose for me or given my condition and other medication , what s going on ??? Regard s John
Wed, 21 Jan 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have anxiety and depression and are taking Quetiapine and Diazepam for that. You were tolerating the 50 mg doses without any serious side effects but recently your doses of quetiapine has been increased to 100 mg per night. Now you have terrible night mares and headaches in morning. Diazepam is a benzodiazepine drug and it is known to increase REM sleep which may result in increased night mares and headaches in morning. Taking the quetiapine with diazepam has resulted in severe sedation and this is the reason for your increase in nightmares. Doses of 20 mg are high for you and as per my opinion these doses of diazepam should be reduced and this will improve your symptoms.
Consult your psychiatrist for any dose change.

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Suggest Dosage Of Medicine For Depression

Hello thanks for asking from HCM You have anxiety and depression and are taking Quetiapine and Diazepam for that. You were tolerating the 50 mg doses without any serious side effects but recently your doses of quetiapine has been increased to 100 mg per night. Now you have terrible night mares and headaches in morning. Diazepam is a benzodiazepine drug and it is known to increase REM sleep which may result in increased night mares and headaches in morning. Taking the quetiapine with diazepam has resulted in severe sedation and this is the reason for your increase in nightmares. Doses of 20 mg are high for you and as per my opinion these doses of diazepam should be reduced and this will improve your symptoms. Consult your psychiatrist for any dose change. Thanks.