I took my first 25 mg of Clozaril a little bit ago. I thought this was a bedtime med but apparently not? They really aren't expecting me to be very sedated by it at all though. The hospital dr said it today and my own said it a few weeks ago. Something about the same receptors and mine already being very stimulated without making me sleepy. I got orders for ambien which will work for just a few days.

I now know what happens if this fails. This dr again (last time I was here it came up too) suggested maybe trying an old MAOI. I was honest with him that I struggle to take meds in the day consistently and that I even take thyroid at night with my dr's blessing because of this. But if this fails I'll have no other choice. I don't know why changing my AD would affect my cycling much but I think it's just people wanting to be sure everything is tried thoroughly. He asked if I was afraid of the diet. I've been on the diet for years, so no? That was kind of weird. I mean I can be more lax with Emsam at my usual dose but I've been on the high dose for months now and that means the stricter diet. So that was weird.

I hope the clozaril works. I took 25 tonight and get 50 tomorrow.