Has anyone with bipolar tried this?
Tofisopam is an anxiolytic PDE inhibitor rather than GABA/BZD ligand, making it antipsychotic. Able to regulate/lower AMPA signaling. Both dopamine sensitizing in small doses and neuroleptic-like effects in high doses.
Does anyone know if PDE inhibition is able to affect serotonin indirectly? It may be ok if just a little but this is important since I don't want to experience serotonin toxicity again.
I am looking to eliminate Seroquel XR (quetiapine) 900mg daily, an atypical AP. I know that Tofisopam inhibits CYP3A4 that metabolises quetiapine into norquetiapine... but theoretically couldn't I just reduce the dose of quetiapine to compensate?
I don't actually want the active metabolite norquetiapine and would actually prefer just the quetiapine (considering the pharmacology and my own biochemistry). But how is it eliminated at all? Is it just slower?
If the Tofisopam were able to substitute for the Quetiapine, then I would finish with it after some crossover. Can this be manageable theoretically?
I would of course be under the supervision of my psychiatrist.
Thanks!