Tanha: never stabilize under diazepam but want to taper

[Tanha]

On 12/12/2018 at 7:24 PM, Altostrata said:

Welcome, Tanha.

 

Are you still in the hospital?

 

If you can, please stop changing the dosing and timing of your drugs. We need to find out which drugs, if any, are helping and which drugs are causing symptoms. Please note that taking more of any drug may not help because that drug may be causing the symptoms. When you increase a drug, side effects also increase.

 

What do you mean by akathisia? How are you sleeping?

 

This is very important: What times of day do you take your drugs, and their dosages? Do your symptoms follow any daily pattern?  Please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

My Horror started with cymbalta pooping out in autumn 2017 and the start of my dr/do (24/7) in Dezember 2017. 

i am mostly bedridden and utterly sick since the first attempt to stop Lorazepam 0,5 mg. 

Switch to diazepam was bad and three more attempts of dosereduction by 0,5 mg ended in crisis and huge updose of quetiapine 200 to 400 mg and diazepam 3 to 15 back to 5 mg adding levomepromazine 50 mg. 

Since then I constantly tapered quetiapine down to 250 mg now, mirtazapin from 30 to 16 mg and withdrew slowly Levomepromazine. 

Now i am stuck in most severe withdrawlsymptoms and am waiting and waiting with no perspective leaving my bed in psychiatric hospital soon. 

No social functioning is left, can barely see my wife for only short periods, no tv, no reading, no distraction due to cognitive impairment, anhedonia and hyperarousel, no seconde of rest during the day due to akathisia.

 

what does healing feel like?

[Tanha]

I am getting really tired during the day after the reduction of quetiapine from 275 via 262 to 250 mg. 

Is the sedating effect of quetiapine getting "worse" the Lowe the dose?

 

does more sedating also mean lower bloodpressure. 

Both are fairly new problems I have yet the doctors already say they feel sorry that I have to endure this medication induced low bloodpressure (95/60 mostly). 

Yet they came up with the best solution ever (ironic): 

 

they urged me to add another sedating tricyclic ad to my mix of quetiapine 

diazepam

low dose mirtazapin 

 

but it the cardiologist stopped them. Thank god. 

[Tanha]

How can one manage to stay for a long period during slow taper at lower doses on heavily sedating drugs like

mirtazapin

quetiapine

diazepam?

 

who done something like this?

[Tanha]

"Being on too many brakes" allostrata would say causes severe problems. 

 

Out here at at sa there must be many who taper slowly at low doses of one or more sedating medications such as quetiapine, diazepam, mirtazapin or tricyclics. 

 

Can an anyone in a similar position share their experience with staying for many months on low doses of sedating meds and survived heavy sedation or low bloodpressure?

 

How can one manage to stay for a long period during slow taper at lower doses on heavily sedating drugs?

 

is it true that quetiapine gets more sedating and causes lower bloodpressure the lower the dose gets?

as this is the case with mirtazapin. 

 

I am on 250 mg quetiapine and I suffer already from too strong sedation, very low bloodpressure and (due to a paradoxical effect) hyperarousel/restlessness.

this combination is so terrible because I feel restlessly tired and weak. 

This is even more serious because this worsens depression and Anhedonia. 

 

After every reduction of quetiapine the bloodpressure initially rises for a few days before it falls. 

This happens with every cut and keeps getting Worse. A nightmare perspective for everyone who wants to taper sedatives slowly!

 

Is updosing mirtazapine a solution since it is more activating in higher doses (I hate going up though)?

[Tanha]

"Being on too many brakes" allostrata would say causes severe problems. 

 

Out here at at sa there must be many who taper slowly at low doses of one or more sedating medications such as quetiapine/neuroleptics, diazepam, mirtazapin or tricyclics. 

 

Can an anyone in a similar position share their experience with staying for many months on low doses of sedating meds and survived heavy sedation or low bloodpressure?

 

How can one manage to stay for a long period during slow taper at lower doses on heavily sedating drugs?

 

is it true that quetiapine gets more sedating and causes lower bloodpressure the lower the dose gets?

as this is the case with mirtazapin. 

 

I am on 250 mg quetiapine and I suffer already from too strong sedation, very low bloodpressure and (due to a paradoxical effect) hyperarousel/restlessness.

this combination is so terrible because I feel restlessly tired and weak. 

This is even more serious because this worsens depression and Anhedonia. 

 

After every reduction of quetiapine the bloodpressure initially rises for a few days before it falls. 

This happens with every cut and keeps getting Worse. A nightmare perspective for everyone who wants to taper sedatives slowly!

 

Is updosing mirtazapine a solution since it is more activating in higher doses (I hate going up though)?

 

[Tanha]

Being very desperate I could only endure this symptoms by keeping me constantly in acute quetiapine withdrawl. 

This is very stupid because it is a too fast taper (only a few days after reducing a dose would the bloodpressure rise and the sedative effect being reduced or counteracted by agitation/restlessness. 

 

I did this for quite a while and pay the heavy debt now.

 

i wonder if microtapering quetiapine would be a solution? 

 

But i believe that the nervous system needs times of stable doses in order to heal. 

[Tanha]

I take quetiapine - which sedated me too much during the day - 

 

morning 55 mg

noon 55 mg

evening 62 mg

Nightn67,5 mg

 

i feel that it is good to have similar doses during the day in order to have a constant bloodlevel.

 

would it be helpful to take less during the day an more in the evening or is this an unhealthy imbalance?

 

i have to taper q veeeery slowly

that's why sedation during the day is a big issue 

[Tanha]

Akathisia is so terrible

[Tanha]

Any experience with akathisia during withdrawl is welcome. 

How does one deal with it/surviving it practically, 

especially if the cause is difficult to find or if it is withdrawl akathisia which is happening to a lot of sa members I guess?

 

Akathisia is a medications induced problem. 

It can also happen as withdrawl akathisia when dosechanges cause it. 

Antidepressants as well as neuroleptics, benzodiazepines and other can cause it. 

 

At at the same time ad's like mirtazapin, diazepam or e.g. Quetiapine can help cover or sooth it as far as i know.

 

having akathisia and taking several drugs that can cause or sooth it at the same time makes it difficult to find the cause. 

 

I guess only a successful withdrawl of each of the above mentioned can at least eliminate the cause but symptoms may last much longer. 

 

But if one can only taper one medication at a time and this takes very long, often months and years. So how can one find out which is the cause in such polytox settings? 

 

does anybody know a better way then tapering each for long months without knowing if it is the cause or the cover/protection against Symptoms?

 

is e.g. Quetiapine as a neuroleptic more likely to cause akathisia?

 

how can one sooth withdrawl akathisia where every dosechangeevent makes it worse?

 

is microtapering a good strategy to minimize impact of a dosechange 

By only reducing tiny bits and hoping that this won't worsen akathisia

 

or 

 

is it favorable to have bigger cuts with longer holds so that akathisia shows up but can reside before the next cut in 4 weeks or more?

 

any experience is welcome!

[Altostrata]

Tanha, please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

Post them here, in your topic. We can't answer your questions without that context.

 

[Marmot]

 

11 hours ago, Tanha said:

does more sedating also mean lower bloodpressure. 

Both are fairly new problems I have yet the doctors already say they feel sorry that I have to endure this medication induced low bloodpressure (95/60 mostly). 

Yet they came up with the best solution ever (ironic): 

 

they urged me to add another sedating tricyclic ad to my mix of quetiapine 

diazepam

low dose mirtazapin 

 

but it the cardiologist stopped them. Thank god. 

11 hours ago, Tanha said:

Can an anyone in a similar position share their experience with staying for many months on low doses of sedating meds and survived heavy sedation or low bloodpressure?

 

No idea. I had low blood pressure like that too, but I was on stimulants + abilify,  not sedatives. I was usually in the 90s/  too. When I was a teen though, I lost weight one time when they drugged me with stimulants + antidepressants and my blood pressure was down in the 80s/50s. They didn't think to take me off the stimulants either then even though I was so thin that I lost my periods. They actually even gave me an extra mini-dose of adderall because I was burning out midday. I'm pretty sure they have no idea what they're doing. Glad to hear the cardiologist stepped in for you. Now that I'm off most of the drugs, my blood pressure is around 105/ , but I still get lightheaded when I stand. If I don't drink water and put salt on my food, it becomes a problem again. 

 

Listen to your body

[Tanha]

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am later 6 am (see notes)

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapine

24 oct forgot to take mirtazapine

 

26. oct

20 mg Mirtazapin

Levomepromazine 0 mg

 

2. nov

quetiapine 275 mg ( 4 times daily)

 

13. nov 

20 to 15 mg mirtazapin 

 

14. nov 

20 mg mirtazapin 8 pm

 

Until 31. oct

275 mg quetiapine

 

1.nov.

250 mg quetiapine

 

1. nov 

271 mg quetiapine 

 

2. nov 262,5 mg quetiapine 

 

23.nov 

237 mg quetiapine 

 

24.nov

230 mg quetiapine

Morning 50 mg

Noon 50 mg

Evening 62,5 mg

Night 67,5 mg 

15 mg mirtazapine (always once 8 pm)

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

quetiapine 230 mg

Morning 50 mg

noon 50 mg

Evening 62,5 mg

Night 67,5 mg, 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

230 mg quetiapine

M 50 mg 

N 50 mg 

E 62,5 mg 

N 67,5 mg

 

16 mg Mirtazapin 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine (forgot evening dose)

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine (panicked before i took less day before, took more to make up mistake which was wrong)

morning bloodpressure 101/62

Added extra quetiapine :

Morning 25 mg

Noon 12,5 mittags,

evening 12,5 abends, night 6 mg,

 

akathisia whole day a little better

Whole day severe depression,

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine

m 55 mg

n 55 mg

e 67,5 mg

n 72,5 mg

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5. dec

250 mg quetiapine 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg q

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 quetiapine 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg Quetiapine

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine 

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine 

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine, morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine 

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

early awake (5:30 h)

morning very sick, burning skin, flue, intense anhedonia, hopeless, Bad flue like sickness stays all morning, bedridden

 

Edited December 15, 2018 by ChessieCat
resized font

[Tanha]

Only now I remember that at the age of around 15 I had this terrible feeling of feeling sick like flue all day for years nonstop. 

I don't know what made it go away. It terrifys me. Am not functioning

[Tanha]

The anhedonia sticks with me all day long

since summer it is slowly getting worse and sometimes it is painful

 

since two days I feel constantly heavily sedated and have hyperarousel and akathisia all day with it

 

i can really say things are getting worse and worse

[Tanha]

I wonder if my pill cutting technique is part of the problem.

 

i am cutting quetiapine into many small pieces and that's how I take them. The amount of pieces per dose differs greatly. Hope this is no problem ...

[Tanha]

And I always have Bad diarrhea. Doctors said this doesn't affect the effect of the pills 

[Tanha]

My diet is

 

morning

oatmilk with oats and hemp protein

sliced meat

no bread

orangejuice

Fresh cucumber and salat

 

lunch

no pasta

califlower

beans

meat (pork or beef)

potatoe

 

fridays cooked white fish

 

2:30 pm 

vitaminjuice with fermented vegetable

 

dinner

sliced meat/salami

sweetend fruit joghurt

Fresh cucumber

fresh tomatoes

oatmilk oats hemp protein

 

i used to love bread

camnot eat it

same with pasta and potatoe

 

have no appetite or hunger at all

[Tanha]

I am so afraid of this ongoing akathisia

and also this terrible fluelike feeling

anhedonia is at the moment the worst  because so enduring and slowly worsening

hyperarousel is really difficult but it subsides after a while

anxiety is a problem now as soon as I try to get again in contact with the outside world

going into a new room like a shop or bus or whatever (which I cannot do more than once in 3 weeks) makes me only want to leave and panic although I never had an anxietyproblem before withdrawl

[Tanha]

Oh and the burning skin every day makes me weary

[Tanha]

Things are always worse around noon

and I am always back to normal in the evenings

specially after taking mirtazapin 

only brainfog is all day long

i would love to read sth or watch tv or listen to music

i don't know why I can't. It is too much somehow.

i used to meditate a lot and lovey tich nah than and dbt

[Tanha]

Although we didn't change 5 mg diazepam for almost 3 months now I am afraid I am in interdosewithdrawl

the burning skin and anxiety seem familiar from the withdrawltime.

and the akathisia first started shortly after I started and updose all my medication but at the same time withdrew Lorazepam to Zero. It was unbelievably painful then. 

 

Is there any chance that a slow taper makes this akathisia less severe? 

It was unbelievable how it was just stopping Lorazepam from 0,5 mg.

 

would it be less worse during diazepamwithdrawl if I withdraw quetiapine first? Quetiapine reduces Dopamin or well the withdrawl destabilizes der Dopamin serotonin Balance which could be a cause of akathisia. 

I reduced mirtazapin for the same reason because I thought at higher doses it made akathisia worse. Though directly after taking mitt akathisia subsides for a while and i can sleep. But that is only an idea. 

Only when I start tapering diazepam will I know if I can endure Akathisia.

 

i haven't figured out yet how I can stay long on the same dose diazepam without interdosewithdrawl if I have to taper 250 mg quetiapine first. 

 

Which one first remains to be seen and I am not stable enough for any withdrawl at the moment. 

Actually feeling sicker and sicker like having the flue every day.

 

[Tanha]

Hope that The quetiapine that am am reducing for a while is not covering up akathisia.

if it gets worse the lower I get with quetiapine I dunno what to do. 

I have so much hope in slow tapering but it is no guarantee for helping with akathisia I guess.

[Tanha]

Tried to get my life back:

went home for a couple of hours first time in 4 months.

akathisia is intense now. 

Seems to stick with me now 20 hours a day.

i am so afraid of this. 

[Tanha]

Tapering protocol

 

march 

Ct 120 mg cymbalta

 bupropion

start 200 mg quetiapine 

 

Tapered quickly 4 mg Lorazepam for two weeks to 0 mg

 

April

Started next day with 4 mg 

quetiapine up to 450 mg

ct bupropion

Started mirtazapin 

reduced quetiapine to 250 mg

tapered Lorazepam within 4 weeks to 0 mg (hell started, bedridden since, severe akathisia started)

 

after 7 days reinstated 2 mg Lorazepam once then switched to 2,5 mg diazepam

didn't work

 

May

up to 3,5 mg diazepam, not working

 

Updosing mirtazapine from 30 to 45 mg (depression better, pain and akathisia worse)

 

due to severe akathisia into er (am in psychiatric Hospital since)

 

June

Although still bedridden and in severe withdrawl pain started to taper diazepam again once by 0,5 mg - crisis put me up to 1 mg Lorazepam once than back to 4 mg diazepam and 200 mg chlorprotixen

 

 

seconde crisis (insomnia, could not close my eyes for a seconde for days) 

diazepam up to 15 mg

july reduced diazepam quickly to 7,5 mg

 

raised quetiapine back to 400 mg

levomepromazine 50 mg

(this stabilized me)

 

immediately started a very long taper of quetiapine 

 

4. June 375 mg

5. June 350 mg

8. June 325 mg

11. June severe pain and sickness started

 15. June 350 mg

 

Parallel 

Reduced mirtazapin from 45 to 30 mg:

4. June 37,5 mg

5. Juni 33,5 mg

10. Juni 30 mg

 

23. Juni 

levomepromazine from 50 to 25 mg

 

26. June

started 0,5 mg every 10 days taper

at  5 mg I stopped - hyperarousel got too bad

 

3. july quetiapine 287 mg

5. July levomepromazine 18,8 mg

13. July levomepromazine 15,5 mg

21 July levomepromazine 12,5 mg

24. July quetiapine 275 mg

3. August quetiapine 382,5 mg 

( hyperarousel, weakness, anxiety)

9. August levomepromazine 9,5 mg

20. Aug mirtazapin 26,3 mg

31. August levomepromazine 8,1 mg

7. Sept switch to liquid levomepromazine (extreme weakness)

10. sept levomepromazine 6 mg

11. Sept quetiapine 275 mg

29. Sept mirtazapin 24 mg

30. Sept 21 mg levomepromazine (mistake)

1. Okt. 6 mg levomepromazine

5. Oct 3 mg levomepromazine 

18. oct 1,5 mg levomepromazine 

24. oct mistake: 0 mg mirtazapin 

25.oct mirtazapin 20 mg

26. Oct levomepromazine 0 mg

stop diazepam taper at 5 mg

1. Nov quetiapine 250 mg

2. Nov quetiapine 262,5 mg

13. nov mirtazapin 15 mg

24. Nov quetiapine 230 mg

30 nov quetiapine 245 mg,

1. dec  16 mg Mirtazapin, 215 mg quetiapine 

2. dec 167 mg quetiapine

3. Dec 280 mg quetiapine 

4. dec 250 mg quetiapine 

10. dec 255 mg quetiapine 

11. dec 250 mg quetiapine 

[Tanha]

My medication since 2010: 

 

sertraline

venlafaxine

duolextin/cymbalta 120 mg for two years

bupropion

mirtazapin 15-45 mg

 

promethazine 4 x 25 mg

abilify (only days)

olanzapine (only days)

chlorprotixen (only days)

pipamperon (only days)

Perazin (one day)

quetiapine

 

lorazepam/tavor 

zopiclone

diazepam

 

lamotrigin (only

[Altostrata]

15 hours ago, Tanha said:

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

Please specify exactly how much quetiapine and mirtazapine you are taking in each dose. We need to know your symptoms before and after you take each drug. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

12 hours ago, Tanha said:

i haven't figured out yet how I can stay long on the same dose diazepam without interdosewithdrawl if I have to taper 250 mg quetiapine first. 

 

I don't understand. Do you think your frequent quetiapine dosing is preventing interdose withdrawal from diazepam?

 

When did you have interdose withdrawal from diazepam? You're taking that all day long, too. Interdose withdrawal during the day seems unlikely.

 

To me, more likely is that your "akathisia" is a paradoxical reaction to TOO MUCH diazepam and quetiapine.

[ChessieCat]

1 hour ago, Altostrata said:

Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

This is an example:

 

6 a.m. Woke with anxiety
8 a.m. Took 2.5mg Lexapro
10 a.m. Stomach is upset
10:30 a.m. Ate breakfast
11:35 a.m. Got a headache, lasted one hour
12:35 p.m. Ate lunch
4 p.m. Feel a bit better
5 p.m. Took 2.5mg Lexapro
6 p.m. Ate dinner
9:20 p.m. Headache
10:00 p.m. Took 50mg Seroquel
10:20 p.m. Feeling dizzy
10:30 p.m. Fell asleep
2:30 a.m. Woke, took 3mg Ambien (NOT "took 1/2 tablet Ambien")
2:45 a.m. Fell asleep
4:30 a.m. Woke but got back to sleep

[Tanha]

19 hours ago, Tanha said:

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am later 6 am (see notes)

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapine

24 oct forgot to take mirtazapine

 

26. oct

20 mg Mirtazapin

Levomepromazine 0 mg

 

2. nov

quetiapine 275 mg ( 4 times daily)

 

13. nov 

20 to 15 mg mirtazapin 

 

14. nov 

20 mg mirtazapin 8 pm

 

Until 31. oct

275 mg quetiapine

 

1.nov.

250 mg quetiapine

 

1. nov 

271 mg quetiapine 

 

2. nov 262,5 mg quetiapine 

 

23.nov 

237 mg quetiapine 

 

24.nov

230 mg quetiapine

Morning 50 mg

Noon 50 mg

Evening 62,5 mg

Night 67,5 mg 

15 mg mirtazapine (always once 8 pm)

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

quetiapine 230 mg

Morning 50 mg

noon 50 mg

Evening 62,5 mg

Night 67,5 mg, 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

230 mg quetiapine

M 50 mg 

N 50 mg 

E 62,5 mg 

N 67,5 mg

 

16 mg Mirtazapin 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine (forgot evening dose)

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine (panicked before i took less day before, took more to make up mistake which was wrong)

morning bloodpressure 101/62

Added extra quetiapine :

Morning 25 mg

Noon 12,5 mittags,

evening 12,5 abends, night 6 mg,

 

akathisia whole day a little better

Whole day severe depression,

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine

m 55 mg

n 55 mg

e 67,5 mg

n 72,5 mg

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5. dec

250 mg quetiapine 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg q

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 quetiapine 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg Quetiapine

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine 

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine 

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine, morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine 

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

early awake (5:30 h)

morning very sick, burning skin, flue, intense anhedonia, hopeless, Bad flue like sickness stays all morning, bedridden

 

Sleep is getting deteriorating fast

cannot get back to sleep Herz is pounding too fast

[Tanha]

3 hours ago, Altostrata said:

 

Please specify exactly how much quetiapine and mirtazapine you are taking in each dose. We need to know your symptoms before and after you take each drug. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

I am not able to do a list format. I only have my I phone and too many symptoms are throughout the day. 

But I'll add the daily dosages.

3 hours ago, Altostrata said:

 

I don't understand. Do you think your frequent quetiapine dosing is preventing interdose withdrawal from diazepam?

 

When did you have interdose withdrawal from diazepam? You're taking that all day long, too. Interdose withdrawal during the day seems unlikely.

 

To me, more likely is that your "akathisia" is a paradoxical reaction to TOO MUCH diazepam and quetiapine.

I fear interdosewithdrawl because symptoms like akathisia, burning skin, declining sleep are showing up now that I try to keep diazepam stable since 3 months. 

I do believe that one medication is covering up the problems another one gives me but I don't know which. Always when I reduced something (diazepam, levomepromazine, quetiapine, mirtazapine) sometime I hit a wall of worsening hyperarousel and akathisia and burning skin.

[Tanha]

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

12. nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mG

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

Mirtazapin 16 mg 8 pm

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

sleep worse (often awake,

5 am Heart beating, cortisol, hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

[Tanha]

1 minute ago, Tanha said:

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

12. nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mG

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

Mirtazapin 16 mg 8 pm

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

sleep worse (often awake,

5 am Heart beating, cortisol, hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

Made a mistake

 

here's the correct one: 

 

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

12 nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg mirtazapin (reduced from 20 mg)

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mG

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

Mirtazapin 16 mg 8 pm

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

sleep worse (often awake, 

5 am Heart beating, cortisol, hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

[Tanha]

7 minutes ago, Tanha said:

Made a mistake

 

here's the correct one: 

 

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

12 nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg mirtazapin (reduced from 20 mg)

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mG

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

Mirtazapin 16 mg 8 pm

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

sleep worse (often awake, 

5 am Heart beating, cortisol, hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

 

Sorry 

messed it up again

 

here the better version:

 

   12 minutes ago,  Tanha said: 

Daily medication:

7:30 am morning 1 mg diazepam and quetiapine

12 noon 1,5 mg diazepam and quetiapine

7:30 evening 1,5 mg diazepam and q 

8 pm mirtazapin 

9:30 pm evening 1 mg diazepam and quetiapine

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

12. nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mG

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

Mirtazapin 16 mg 8 pm

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg

 

sleep worse (often awake, 

5 am Heart beating, cortisol, hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

Made a mistake

 

here's the correct one: 

 

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

I do take notes every

generally

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

sleep from 10 pm to 7 am

From 14. nov until 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Until 31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Since 2. nov 262,5 mg quetiapine 

 

12 nov

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg mirtazapin (reduced from 20 mg)

 

23.nov only once

237 mg quetiapine 

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

Since 25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

8 pm Mirtazapin 16 mg

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg Mirtazapin 

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg mirtazapin 

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

sleep worse (often awake, 

5 am Heart beating, cortisol, enduring hyperarousel, panic)

 

sleep is deteriorating fast 

need help, soon

 

[Tanha]

I cannot make a list with columns.

i only have the I phone and I also have many symptoms enduring during the day which makes it too complex to put them in a straight daily chronology together with many short symptoms.

sorry

doing my best with brainfog

[Tanha]

Latest version with much longer period of data and all data corrected her:

 

can anyone help formatting it better. I looks bad and I cannot concentrate. 

 

I only noticed akathisia from November onwards. It started earlier but I couldn't differentiate it from hyperarousel and anxiety

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

After mirtazapin

everything is much better except cognition

sleep from 10 pm to 7 am

From 14. nov on 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning and all day bad hyperarousel and low feeling of low bloodpressure, noon: sick, fluelike, afternoon fatigue/very tired, evening depressed 

 

27. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Too early awake at 5, morning feeling of low bloodpressure, dp/dr, afternoon bad depression, fatigue/tired, late afternoon extreme hyperarousel

 

28. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad dp/dr, feeling of low bloodpressure all day, late afternoon bad hyperarousel

 

29. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, later hyperarousel, afternoon feeling of low bloodpressure, evening hyperarousel

 

30.oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning depressed dp/dr, feeling of low bloodpressure, early afternoon bad hyperarousel, dp, anxiety, late afternoon burning skin, bad hyperarousel

 

 

31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin

 

Morning severe depression, dp, later in the morning bad anxiety, afternoon depressed, dp, fatigue/tired, evening feeling sick like flue, hyperarousel

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Morning bad dp, hyperarousel after in the morning, bad hyperarousel late afternoon

 

Since 2. nov 262,5 mg quetiapine 

 

2. Nov.

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning extreme anxiety, dp, hyperarousel, afternoon anxiety, fatigue/tired, late afternoon burning skin, depressed

 

3. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, dp, later in the morning hyperarousel, afternoon hyperarousel and fatigue/tired, evening after dinner hyperarousel, dp

 

4. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning 

Dp, depressed, later anxiety bad, afternoon poor concentration, nausea, hyperarousel, evening hyperarousel

 

5. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, noon sick like flue, afternoon severely fatigue/tired, evening after dinner hyperarousel

 

6. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning severe depression, sick like flue, nausea, hyperarousel later, afternoon flue, later depressed, nausea, after dinner hyperarousel

 

7. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning anxiety, later hyperarousel, depressed, noon anxiety, do, feelinglike low bloodpressure, later nausea, after dinner hyperarousel

 

8. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, dp, anxiety, later hyperarousel, afternoon anxiety, dp, low bloodpressure feeling, later nausea, evening hyperarousel, depressed, bad sleep

 

9. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning badly depressed, bad anxiety, dp, afternoon hyperarouselanxiety depressed, later nausea, evening Bad hyperarousel, mirtazapin helps

 

10. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning severe depression, later anxiety and hyperarousel, afternoon sick like flue, nausea, depressed, hyperarousel, later burning ski, bad dp, evening hyperarousel, mirtazapin helps

 

11. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning extreme hyperarousel, do, extreme hyperarousel all day, afternoon anxiety, bad depression, evening hyperarousel bad mirtazapin helps

 

12 nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad hyperarousel, later burning skin badly, afternoon depressed. Anxiety, evening hyperarousel anxiety dp

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg mirtazapin (reduced from 20 mg)

 

Nausea morning and noon, dp/dr bad all day, 

 hyperarousel in the afternoon worse, later burning skin, anxiety, depressed

 

14. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning dp, better afternoon later severely depressed, burning skin, dp

 

15 nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad anxiety, dp, hyperarousel, afternoon worst hyperarousel, depressed, dp, evening Bad hyperarousel

 

16. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning dp, later hyperarousel, afternoon severely depressed, hyperarousel bad, later bad nausea, burning skin, evening hyperarousel and bad dp

 

17. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning nausea, depressed, later dp and hyperarousel, afternoon severely depressed, hyperarousel, Apathie, Bad nausea, evening hyperarousel

 

18. Nov.

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad hyperarousel, depressed, later hyperarousel worse, afternoon still bad, bad anxiety, evening depressed, dp

 

19. nov

Morning bad anxiety, later hyperarousel, afternoon bad dp, later nausea, worse hyperarousel, bad dp, evening depressed, mirtazapin helps

 

20. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, bad nausea, later extreme hyperarousel, afternoon better but dp, depressed, feeling of low bloodpressure, anxiety, evening bad depression, hyperarousel

 

21 nov

Morning bad dp, later hyperarousel, nausea, ad feeling of low bloodpressure, afternoon fatigue/tired, depressed, hyperarousel bad, evening hyperarousel

 

22. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning better, depressed, dp, later hyperarousel, noon nausea, feeling of low bloodpressure, afternoon Bad nausea, poor concentration, fatigue/tired, hyperarousel, evening hyperarousel

 

23. nov

5 mg diazepam

Levomepromazine 0 mg

237 mg quetiapine 

7:30 am 50 ?mg and 1 mg diazepam

12 noon 50 ? mg and 1,5 mg diazepam

5;30 pm 62,5 ? mg and 1,5 mg diazepam

9:30 pm 100 mg ? and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning ok, later anxiety, hyperarousel, afternoon akathisia, hyperarousel, low concentration, later nausea, evening hyperarousel, burning skin, akathisia, depressed, numb

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

8 pm Mirtazapin 16 mg

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg Mirtazapin 

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg mirtazapin 

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

sleep worse (often awake, 

5 am Heart beating, cortisol, enduring hyperarousel, panic, from 9 am burning skin, feeling sick, not as bad as day before, depressed

 

sleep is deteriorating fast 

need help, soon

 

Also with putting this in a readable format.

 

Edited December 21, 2018 by JanCarol
font change for scrolling

[Tanha]

On 12/16/2018 at 6:55 PM, Tanha said:

Latest version with much longer period of data and all data corrected her:

 

can anyone help formatting it better. I looks bad and I cannot concentrate. 

 

I only noticed akathisia from November onwards. It started earlier but I couldn't differentiate it from hyperarousel and anxiety

 

everyday after mirtazapin I am back to normal, no akathisia or depression or sickness ever no concentration though

 

When I get up for half an hour things are mostly fine 

evenings 5 pm are mostly back to normal

After mirtazapin

everything is much better except cognition

sleep from 10 pm to 7 am

From 14. nov on 5 pm and wake up in panic and hyperarousel

(see notes)

 

i have Depersonalisation do 24/7 sometimes it is worse

 

18. oct 

levomepromazine 

from 3 to 1,5 mg

 

Until 26. oct

24 mg mirtazapin 

5 mg diazepam

275 mg quetiapine

 

24 oct forgot to take mirtazapine

 

26. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning and all day bad hyperarousel and low feeling of low bloodpressure, noon: sick, fluelike, afternoon fatigue/very tired, evening depressed 

 

27. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Too early awake at 5, morning feeling of low bloodpressure, dp/dr, afternoon bad depression, fatigue/tired, late afternoon extreme hyperarousel

 

28. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad dp/dr, feeling of low bloodpressure all day, late afternoon bad hyperarousel

 

29. oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, later hyperarousel, afternoon feeling of low bloodpressure, evening hyperarousel

 

30.oct

5 mg diazepam

Levomepromazine 0 mg

275 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning depressed dp/dr, feeling of low bloodpressure, early afternoon bad hyperarousel, dp, anxiety, late afternoon burning skin, bad hyperarousel

 

 

31. oct

275 mg quetiapine and 5 mg diazepam: 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin

 

Morning severe depression, dp, later in the morning bad anxiety, afternoon depressed, dp, fatigue/tired, evening feeling sick like flue, hyperarousel

 

1. nov 

250 mg quetiapine 

7:30 1 mg diazepam and quetiapine 

12 1,5 mg diazepam and quetiapine

7:30 1,5 mg diazepam and quetiapine 

9:40 1 mg diazepam and quetiapine

8 pm 20 mg mirtazapin 

 

Morning bad dp, hyperarousel after in the morning, bad hyperarousel late afternoon

 

Since 2. nov 262,5 mg quetiapine 

 

2. Nov.

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning extreme anxiety, dp, hyperarousel, afternoon anxiety, fatigue/tired, late afternoon burning skin, depressed

 

3. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, dp, later in the morning hyperarousel, afternoon hyperarousel and fatigue/tired, evening after dinner hyperarousel, dp

 

4. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning 

Dp, depressed, later anxiety bad, afternoon poor concentration, nausea, hyperarousel, evening hyperarousel

 

5. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, noon sick like flue, afternoon severely fatigue/tired, evening after dinner hyperarousel

 

6. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning severe depression, sick like flue, nausea, hyperarousel later, afternoon flue, later depressed, nausea, after dinner hyperarousel

 

7. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning anxiety, later hyperarousel, depressed, noon anxiety, do, feelinglike low bloodpressure, later nausea, after dinner hyperarousel

 

8. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, dp, anxiety, later hyperarousel, afternoon anxiety, dp, low bloodpressure feeling, later nausea, evening hyperarousel, depressed, bad sleep

 

9. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning badly depressed, bad anxiety, dp, afternoon hyperarouselanxiety depressed, later nausea, evening Bad hyperarousel, mirtazapin helps

 

10. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning severe depression, later anxiety and hyperarousel, afternoon sick like flue, nausea, depressed, hyperarousel, later burning ski, bad dp, evening hyperarousel, mirtazapin helps

 

11. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning extreme hyperarousel, do, extreme hyperarousel all day, afternoon anxiety, bad depression, evening hyperarousel bad mirtazapin helps

 

12 nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad hyperarousel, later burning skin badly, afternoon depressed. Anxiety, evening hyperarousel anxiety dp

 

13. nov 

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 75 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 15 mg mirtazapin (reduced from 20 mg)

 

Nausea morning and noon, dp/dr bad all day, 

 hyperarousel in the afternoon worse, later burning skin, anxiety, depressed

 

14. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning dp, better afternoon later severely depressed, burning skin, dp

 

15 nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad anxiety, dp, hyperarousel, afternoon worst hyperarousel, depressed, dp, evening Bad hyperarousel

 

16. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning dp, later hyperarousel, afternoon severely depressed, hyperarousel bad, later bad nausea, burning skin, evening hyperarousel and bad dp

 

17. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning nausea, depressed, later dp and hyperarousel, afternoon severely depressed, hyperarousel, Apathie, Bad nausea, evening hyperarousel

 

18. Nov.

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad hyperarousel, depressed, later hyperarousel worse, afternoon still bad, bad anxiety, evening depressed, dp

 

19. nov

Morning bad anxiety, later hyperarousel, afternoon bad dp, later nausea, worse hyperarousel, bad dp, evening depressed, mirtazapin helps

 

20. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning bad depression, bad nausea, later extreme hyperarousel, afternoon better but dp, depressed, feeling of low bloodpressure, anxiety, evening bad depression, hyperarousel

 

21 nov

Morning bad dp, later hyperarousel, nausea, ad feeling of low bloodpressure, afternoon fatigue/tired, depressed, hyperarousel bad, evening hyperarousel

 

22. nov

5 mg diazepam

Levomepromazine 0 mg

262,5 mg quetiapine 

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5;30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 100 mg and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning better, depressed, dp, later hyperarousel, noon nausea, feeling of low bloodpressure, afternoon Bad nausea, poor concentration, fatigue/tired, hyperarousel, evening hyperarousel

 

23. nov

5 mg diazepam

Levomepromazine 0 mg

237 mg quetiapine 

7:30 am 50 ?mg and 1 mg diazepam

12 noon 50 ? mg and 1,5 mg diazepam

5;30 pm 62,5 ? mg and 1,5 mg diazepam

9:30 pm 100 mg ? and 1 mg diazepam

8 pm 20 mg Mirtazapin 

 

Morning ok, later anxiety, hyperarousel, afternoon akathisia, hyperarousel, low concentration, later nausea, evening hyperarousel, burning skin, akathisia, depressed, numb

 

24.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Morning flue,  zero concentration, brainfog, no nausea (had nausea until now), good bloodpressure anhedonia, good , anxiety all day 

akathisia bad,

 

25 Nov.: 

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

No nausea, no concentration, akathisia slightly better, anhedonia

anxiety not all day but stronger

slept shorter

good mood 

 

26.nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

Anhedonia

very good mood

akathisia very bad

Afternoon terrible sickness: brainfog, flue, movement problems, weakness, burning skin, dizziness, vertigo, heat, 

 

27. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

bad akathisia whole day, attended no therapy at all, extreme brainfog, dizzy, evening long bad anxiety, anhedonia, depressed, lost 2 kg

 

28. nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

very early awake, morning anxiety, akathisia slightly better, 11 Bad nausea, dizzy, very weak, very sick, bedridden, mental akathisia, anhedonia, depressed all day, evening anxiety, evening muscle cramps

 

29 nov

230 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

whole day bad do/dr anxiety and depression

morning extreme akathisia (all day a bit better) and depression and flu/sick, attended no therapy, 

noon intense anxiety

afternoon bad musclecramps (magnesium helped), Bad cognition, emptiness, anhedonia

 

30. nov

Don't remember which dose was too high

245 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg? and 1 mg diazepam

12 noon 50 mg? and 1,5 mg diazepam

5:30 pm 62,5 mg? and 1,5 mg diazepam

9;30 67,5 mg and? 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning musclecramps musclepain, attended no therapy, whole day depression, very Bad flue, blood pressure low, evening emotional akathisia very bad, empty, severrly depressed, no concentratioN

 

1. dec

don't remember which dose was too small:

215 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 67,5 mg and 1 mg diazepam

8 pm 16 mg Mirtazapin 

 

Morning anxiety severe depression, akathisia strong, akathisia worse and whole day, 11 h flue and nausea until 4 pm

evening akathisia and musclecramps

 

2. dec

162,5 mg quetiapine and 5 mg diazepam:

7:30 am 50 mg and 1 mg diazepam

12 noon 50 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9;30 0 mg and 1 mg diazepam

8 pm 15 mg mirtazapine

 

morning most severe depression/anhedoniA

bad flue since morning, emotional akathisia bad urge to move a little less

noon nausea, burning skin, afternoon bedridden, a little better around 5 pm, despair, anxiety until late

 

3. dec

280 mg quetiapine and 5 mg diazepam: 7:30 am 70 mg and 1 mg diazepam

12  noon 62,5 mg and 1,5 mg diazepam

5:30 pm 80 mg and 1,5 mg diazepam

9:30 pm 78,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning bloodpressure 101/62

akathisia whole day a little better

Whole day severe depression, 

noon: more feelings

but alien

dp/dr

mild nausea

afternoon worsening flue/sickness, burning skin, longing for life, hopeless, vision impaired

Evening empty

 

4. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg

12  noon 55 mg

5:30 pm 67,5 mg

9:30 pm 72,5 mg

8 pm Mirtazapin 16 mg

 

weak, dp, morning anxiety and many feelings, noon: everything better but no pleasure, 2 pm much better, more akathisia, late afternoon depression worse, also akathisia, 6:30 pm sudden extreme hyperarousel, burning chesT (paradoxical reaction 1,5 h after taking evening dose?)

 

5, dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning anxiety, akathisia worse, from 10 am bad physical symptoms sick burning skin flue nausea weakness, better at 3 pm

 

6. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm mirtazapin  16 mg Mirtazapin 

 

morning very restless, heart pounding, heart burning, utter despair, no flue, worst akathisia, no therapies attended, no depression, afternoon better but anxiety, 4 pm severe depression, akathisia until late, heartrate high

 

7. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning akathisia anxiety severe depression, 11 am nausea burning skin, flue, all day weak, anxiety anhedonia akathisia, better after noon but severe depression and anxiety continue, utter despair, after 5 pm everything much better but not depression, heart pounding, 7:30 pm sudden extreme hyperarousel, faster heart rate

 

8. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

all day raised anxiety and depression and weakness and dp, bad sickness from 10 am to 3 pm, do. still bad, akathisia a Little better, mental akathisia very Bad, mild skin burning, mild flue, hyperarousel which got bad during afternoon, weakness and sickness (101/65), afternoon less depressed, do. better, at 6 pm bad hyperarousel

 

9. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

very early awake, ruminate, morning most severe depression/anhedonia, dp, anxiety whole day, dizzy, from 9 am to 1 pm very bad flue, hopeless, mild nausea, all day hyperarousel and weakness, akathisia little better, movement pronlems, hyperarousel extremely bad from 2 pm to 4 pm

 

10. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake

7:30 am: (112/71), morning enduring strong anxiety and many feelings, good mood, interest, afternoon extreme hyperarousel until 3 pm, akathisia all day, no flue, no pain but weakness and sedation/fatigue, no motivation, dp, no feelings, after every dose quetiapine and diazepam extreme hyperarousel and heartpounding (107/58)

 

11. dec

255 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning a lot of anxiety and a lot of interest and feelings, noon till 3 pm extreme hyperarousel, all day akathisia little better, no flue, no pain, weakness/fatigue, no motivation/anhedonia bad, dp no feelings, after taking meds extreme hyperarousel/heartbeating, afternoon enduring anxiety and akathisia and Depression/depersonalisation, 1 h after taking meds spikes of anxiety, great mood, 8 pm bad hyperarousel

 

 12. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 60 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 62,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

very early awake, morning hyperarousel and akathisia bit better, mood very good, dp better, anhedonia very Bad

1,5 h after medication painful depression unbearable, at 10 am 1,5 mg Quetiapin extra, 11 am - 13 am extremely sick, nausea, very weak (less quetiapine at noon), good mood, 2 pm flue, mental akathisia, depression, mild burning skin, hyperarousel, heat, everything better after 5 pm, 7 pm bad hyperarouseL

 

13. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

morning slight tremor, early depression, sick, bad stomsch, stressed, bad mood, empty, sick, hyperarousel, akathisia little better, all day bad anhedonia, depression, 11 am- 1 pm flue milder, sick, muskleweakness bad, fatigue after noon, sedated and hyperarousel and anxiety, 5 pm bad depression/anhedonia until late

 

14. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

anhedonia extreme after wakening, akathisia milder, bad fatigue, noon: less sick, less nausea, muscleweakness Bad, afternoon very sedated, less depressed, akathisia really worse at 4 pm for an hour

 

15. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16  mg mirtazapin 

 

Early awake (5:30 h)

7 am - 2 pm very sick, burning skin, nad flue, intense anhedonia, hopeless,, Bedridden until 2

afternoon much better

4 pm akathisia worse

 

16. dec

250 mg quetiapine and 5 mg diazepam: 7:30 am 55 mg and 1 mg diazepam

12  noon 55 mg and 1,5 mg diazepam

5:30 pm 67,5 mg and 1,5 mg diazepam

9:30 pm 72,5 mg and 1 mg diazepam

8 pm  16 mg mirtazapin 

 

sleep worse (often awake, 

5 am Heart beating, cortisol, enduring hyperarousel, panic, from 9 am burning skin, feeling sick, not as bad as day before, depressed

 

sleep is deteriorating fast 

need help, soon

 

Also with putting this in a readable format.

 

Sorry, i cannot adjust the size of the letters on my iPhone (brainfog).

can anybody reduce the size so that my list becomes readable?

Edited December 21, 2018 by JanCarol
font change for scrolling

[Tanha]

The paradoxical effect of quetiapine/diazepam doesn't make sense if the increase of quetiapine from 200 mg to 400 mg (7,5 mg diazepam, 30 mg mirtazapin) in summer this year was the first effective step top stop my hyperarousel. 

 

On the other hand: 

while tapering quetiapine and levomepromazine and diazepam a bit (7,5 mg to 5 mg) hyperarousel increased but not as bad as i had expected. 

 

I am so afraid that the hyperarousel is getting out of hand again and my medication has to be updosed again. 

Today it is very bad.