Since 2 days I can't sleep anymore. Still I am fit during daytime, a little bit groggy but not tired enough to take a nap. I hope I can sleep tonight but I thought the same last night after skipping a night of sleep. I have been using benzos lately and increased dosage. I can't even remember which dosage, 20mg temazapam at night and during daytime 2 doses of 25mg oxazepam. During 6 weeks I guess. Dit I already develop dependency and now I am off of it I get severe insomnia? If so, how long will it last? Even last night I took 2 doses of 12,5mg oxazepam but still could not sleep. However we are tapering the sertraline (zoloft) and risperidone. I still take my mirtazapine (remeron) and lamotrigine. How can I be so off balance suddenly after spending almost 24 hours in bed for the past 6 weeks? Am I becoming hypo and how many days can one stay without sleep? This is the first time ever that this happened to me, even in my worst mania I could manage to sleep at least one hour.
I forgot that we started abilify since we lowered the dosage of risperidone. But all those are supposed to stabilize right and lowering an antidepressant (came from 100 now on 50mg) besides all the rest, can it trigger this?
Sorry for the many questions, Im kinda hyper.
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.
Mx: To clean up the mess use lamotrigine, risperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.
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