I have biolar disorder. I am on 450mg Seroquel. I was on 500mg but I would occassionally get up in middle of night and stumble around hardly making it to the bathroom and breathing hard as I leaned on the sink and stumbled back to bed. As an analogy it seemed like I had 3 or 4 cocktails. I am also on lithium 600, Gaba 700 mg, and 200mg Lamictal.

Problem: I think I need the whole 500 mg Seroquel for a lot of breakthrough anxiety, and 450 S isn't enough. I talked to my practitinoer and she has no idea. She thought maybe it was transient because it really didn't happen that often, but wasn't sure about any danger or about it getting worse.

What would be your take?