I usually don't need an alarm; it's just ingrained routine. I was thrown off this time because I thought "it's about med time" and it turned out that I was off by several hours because of the time change. Then I got distracted by something my hypomanic brain was focused on and my meds weren't sitting in the usual place because my tv broke and usually the meds are near the tv. Now I have a new tv and the meds are back in the place where they are seen.

I get sick because I'm on routine klonopin at a moderate dose and my Seroquel dose is very high (1200 mg) which seems to be enough my body gets pretty angry when it is skipped. I know I could skip it at a lower dose but somewhere around 800-900 mg that changed and if I skip it I will pay.