So after 6-7 weeks of hypomania, according to my pdoc, hypomania-lite, according to me, she has completely upended my medication regimen because I'm already on the maximum dose of Abilify and nothing I've tried has helped me sleep.
I'll be gradually switching from Abilify to Latuda. Despite the ads to the contrary, my pdoc says that at higher doses Latuda also helps with mania (the ads say it's only for Bipolar depression).
I will also stop Klonopin and start Temazepam; stopping Klonopin to not double-up benzo's and taking Temazepam for sleep. Though only temporarily: per pdoc, once Latuda fully takes effect, the hope is that it will take care of the source of not sleeping (hypomania) and therefore preclude the need for a sleep med. At that point, I'm to go back onto the Klonopin for anxiety. I told my pdoc I was worried about withdrawal from Klonopin, especially cold turkey, but she said taking Temazepam instead (another benzo, as I say), will preclude any need for tapering. We shall see...
I'm so scared... I work, and I'm afraid all of this will affect my work performance, social interactions, etc. How can my body/brain not go doolally, for a period of time at least, while making all of these radical changes?? And we don't even know if the Latuda will work for me. As we know, so much of this is trial and error. But once I'm completely off the Abilify, I'll be totally dependent on the Latuda helping me, both to prevent mania and depression, and to get me out of this hypomania-lite and to sleep.
Scared, scared, scared...
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Bipolar 1
Lamictal: 400 mg
Latuda: 60mg
Klonopin: 1 mg
Propranolol: 10 mg
Zoloft: 100 mg
Temazepam: 15 mg
Zyprexa 5-10mg prn
(for Central Pain Syndrome: methadone 20 mg; for chronic back pain: meloxicam 15 mg; for migraines: prochlorperazine prn)
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