I don't think they can do a blood test to tell if those side effects I mentioned are going to occur or not or else there would probably be much less people with TD.
Thank you so much. I currently take 300mg seroquel but it hasn't done much for me apart makes me sleep which is really important to me, but i would really like the mixed mood to improve so i will talk to my doc about decreasing seroquel to 100mg and trying zyprexa and see what she says. the reason i like this doc is because she isn't all about medication and will give alternative to medication such as supplements which i like. If my bloods are checked will that make sure the side effects will be picked up earlier and so wont get so bad?
You can but it increases the risk of developing neuroleptic malignant syndrome or tardive dyskinesia as well as other things such as diabetes. Antipsychotics I've heard so far are usually only prescribed for mania or anxiety in terms of mood disturbances or as an adjunct to an antidepressant if one has treatment resistant depression or something of the like.
As to using venlafaxine (effexor) it's an AD and there is no comparison with zyprexa. it's like saying better to eat banana or salad, 2 different things altogether.
In general AD's are very bad for the mania and especially for the mixed state. Of course it's a long story, to cut it short AD's trigger mania, rapid cycling and mixed state although at the beginning it looks wonderful but then in a very short time you end up with the aforementioned consequences. Your friend understands medicine better than your pdoc unfortunately. OR fortunately that you have such a friend. My advise search for another pdoc, to me he sounds more of an amateur.
I don't understand though why zyprexa + seroquel. One is enough to get you out from the mixed state with a proper dose.