I had the sleep study. I was then prescribed a BiPAP machine which seems to be working well but by itself did not reduce my sleep need. My psychiatrist suggested that I reduce the dose of Thorazine (which I take for sleep as I cannot sleep unassisted by a medication) and that, knock on wood, seems to be helping. I have gradually come down from 100 mg to 20 mg. At 30 mg I started seeing positive changes and now on 20 mg I can get up at a reasonable time. Not at 6AM, but between 7:30 and 8:30. I will try reducing to 15 mg to see if I can further shrink my sleep need. I am gearing up to go back to work in April (I could not work due to hypersomnia).

My Latuda dosage is now 100 mg.

At the end of the month I will have the first sleep medicine follow-up after starting on BiPAP and after that appointment a check-in with my sleep psychologist.

In a way I cannot believe my luck, luck being that I no longer need Zyprexa, that I am on a non-weight-gaining mix of meds and that such a tiny dose of Thorazine is sufficient to make me sleep. I mean, the FDA-approved max for Thorazine is a whole gram and here I am, doing just fine on 20 mg.