sometimes it takes the doctor awhile to come up with the perfect medication for you. They've switched me around several times to get it right. Seroquel works best for me. Although one time I had an episode and they increased it, it gave me heart palpitations. They had to back it down to 300 MG a day. I have read many times that higher doses of Seroquel xr, does not cause palpitations, therefore you can be on the correct dosage, without side affects. The xr is supposed to be good as it releases slowly through out the day, I am on conventional Seroquel right now, if I have to increase the dosage I will try xr, every body is different, UT Seroquel is the med for me. Make sure to discuss your experience with your doctor

I know how you feel, I always feel like I’m going to go crazy ! Hang in there 💕

ok, if only 50 MG gave you palpitations, then like your doctor already knows, it's probably not right for you. Seroquel is a great med, but has the drawback of those palpitations. Definitely is probably not right for you, unless your doctor has not tried Seroquel xr. I'm just a patient and not a doctor, but I and my family read alot about this stuff. I have not tried Lexapro, so I can't comment. Are you a new patient?? If so, they probably have not found the right match for you. If you've only been on Lexapro a short time, sometimes it takes awhile to kick in.