I realize no one can give medical advise..okay, just personal opinions please. B takes Depakote, Seroquel, Topamax, and we just changed his Risperdal M-tabs from PRN to 1x daily. For 3 days now, he has been very tight, almost spastic at times. Yesterday he stayed at his g-moms and she called me to report a major nose bleed..she was worried at how long it took to stop and the amount of blood. Today, daughter calls from day camp..reports that he is biting his tongue and his eyes are droopy. I was 45 mins away and sent hubby to pick them up...he reports B just looks tired. I get home and he is sitting with a towel...Another nose bleed for no reason. The droop is gone, and he is extremely tight again..kinda slurring words. I am not sure what to do. We live really rural and when I take him to ER they have no clue...but on the other hand, I need it documented and would be curious to know what his levels are at. What do you think?