I've mentioned on the forum that I can have "blips" where I sleep relatively normally, and then during the daytime my mood becomes elevated. Then, after I take my evening meds (or even as night approaches) my mood deescalates. I do believe my Seroquel XR plays a huge role in helping with my sleep, despite slightly elevated mood states. When the evening Seroquel XR seems to "wear off a bit" for lack of better words, the mice come out and play. My husband did signal to me that my mood is a bit elevated today. It's very possible that this is a result of me stopping the morning Seroquel XR dose, with my psychiatrist's approval, that I had been taking for some months. I don't believe I should immediately restart the morning Seroquel XR dose. I'll likely give it a couple days to see if things even out. If not, or things escalate more, I'll take the morning Seroquel XR again. In these "mice play" circumstances, my mood usually starts to escalate around 12 noon to 3 pm. I guess that's when my evening Seroquel XR is heading downwards in effectiveness.

If I'm getting quite manic, I do have trouble sleeping. Sometimes my sleep is reduced to 4 or 5 hours in these cases, if well medicated. If I'm ready for l'hôpital, it can go down to 0, unless I'm given an extra horse-sized dose of a sedative. I haven't been full-blown manic for a couple years now. I think that if I become that unwell, an additional antipsychotic will likely need to be added. I've needed two antipsychotics for periods of years, in the past. Plus, my Tegretol has the potential of reducing the effectiveness of antipsychotics (and vice versa), so I need careful doctor supervision for this.

Note: Despite the relationship of Trileptal to Tegretol, I have read/learned that Trileptal does not have such significant drug interactions as Tegretol. I write this so you don't conclude that it does. In any case, bluebicycle, I think you should contact your psychiatrist asap to clue him/her in that your hypomania persists.

Do you take an antipsychotic?