I must have slept in a weird position last night because my back is killing me and I can barely walk.

I've been falling asleep -like really nodding off- at the wheel while driving to work. This has been going on for some time now, but has been getting worse. It's a combination of having to get up so early (4:30 to 5am) to make it to work on time and my sedating meds --Seroquel, methadone -for Central Pain Syndrome-, klonopin, and a high dose of Lamictal (my pdoc says that at this dose it can be sedating, it was increased a few months ago). It's very dangerous, of course, and I think all I can do is to get to bed earlier, as in 8pm at the latest, on work days. But it's hard bc I get home from work usually at around 7:30-7:45 and have to have dinner and have other things to do and need some down time before going to bed.

I call my mother for my trip home, and she accompanies me most of the way, in part to keep me awake.

I feel like I should be a zombie with all of these sedating drugs, and I am without an enormous amount of caffeine. Do I really need to be so sedated in order to stave off episodes??? Really?? It works, and yet...