Hello Usehername: I don't have the kind of bi-polar swings you describe. So I don't know that I can be of much help. I just have occasional small episodes that keep me up until 2 or 3 AM, from time-to-time, building castles in the air. But, if you're basically not remembering to eat, not bathing, not sleeping, & you're self-medicating, it sounds to me as though you're pretty much off the rails already & should be going to the ER. The self-medicating thing is particularly concerning. Mixing med's without your doctor's knowledge or approval can be dangerous. I'd recommend at least another call to your doctor's office to tell them what's happening, or a trip to the ER. Best wishes...