S/o is in hospital & on Propananol (sp?) (was on Lithium, causing for many many yrs, Hypotension but since off Lithium it seems they put her on this beta blocker -- no idea why as her BP was also very low on Lithium & dropped alot on Lithium daily) but she was asap dropped off Lithium in ER -- few wks ago due to acute kidney function in hospital -- & is now on 1500mg/day of Depakote at 105lbs bodywght.
She is anorexic now too & being treated for mania & anorexia. Seems agitated on phone & staff has had to calm her down a few times in past 9-10 days in their hosp.
Kidney function was bad due to toxic Lithium, forcing her to go to ER, while she was dehydrated & thus taken off of Lithium a few wks ago. Her Lithium dose was 1200mg/day for over 10 yrs. She is mid 50s & don't know if this factors in.
400mg/day Seroquel since yest. I think 600-800mg/day is their target to replace Lithium & back up Depakote. I think she can go up to about 2800mg/day Depakote at her light bodyweight. More if she were heavier but she is skeleton-looking as of now.
Long story as she won't take Lithium properly AND eat right. It causes lbs gain (she knows lithium causes lbs gain) & being a binge eater one day & anorexic the next 2 -- it is yo-yo on n off eating & destabilizes her mood/behavior even more.
Ativan is used at 1mg & 2-3 PRN as needed daily.
Can Seroquel cause agitation? Or mess up female hormones? Sex drive--up or down w/ Seroquel? No one has any answers when I call hospital.
Also still gets an on & off menstrual cycle but this progesterone/estrogen back n forth cascade at her age may add to problem? Anyone relate to the female hormones & mania or know what is up?? Docs aren't communicative & thus I have very hard time getting info.
So despite a Release of Information agreed upon by her last wk & on file from her, for me to call staff, but I get 1/2 baked answers & rushed off phone when I call for updates from nurse staff.
Also, case management is useless in hospital as 3 unreturned calls since last Wed. So, just asking if anyone knows side effects of any of these? She is manic as of now kinda still, & agitated & irritable at best.
But she is eating 3x/day & taking Ensure bottles -- at all 3 meals -- to supplement weight gain back, we hope. What a mess this continues to be...
Up until Tues nite (when she got 8hrs of sleep, says nurse) she was only sleeping 3-4 hrs/nite for a wk. This is insanity all to me.