It did! Oura shows that it took about 17 minutes to fall asleep last night. Not too bad. Then I woke up once at about 4AM to pee (and was not hungry!), then again at 8:45 AM, seemingly well-slept but with bad orthostasis, so bad that I could not even reach for my phone, which is in my bed, to change from music to the virtual event I was supposed to attend. I then apparently fell asleep, waking up a little bit just enough to try to reach for the phone, but finding it impossible. I ultimately woke up shortly before 1PM, completely fine and with very little remaining lightheadedness. Got up, went about my day, did some short but important work-related tasks, paid the IRS (today was the deadline to pay taxes for 2024), performed some other financial management tasks, went to personal training and had an amazing session (it helps to be well-slept), followed by 30 minutes of light cardio on a recumbent elliptical, listened to a webinar about long term care planning (likely I am uninsurable, but it was still useful to learn about it), did light grocery shopping, ate a little bit and will eat more, and then I will work for some time, and then I will go to bed....

... taking Thorazine again, except a smaller dose.

Yesterday I took 50 mg at bedtime and then 10 mg more at 4AM. I ended up sleeping 12 hours net. This is clearly too much, but the good thing, I did not wake up depressed. I know that when I try to force sleep by taking too much of Zyprexa and Seroquel, I then experience brief depressive mood next day because I overdid antimanic agents. Not so with Thorazine.

I want to test the hypothesis that on Thorazine, I won't need to eat in the middle of the night. I hate nighttime eating syndrome as it greatly disrupts my life. If Thorazine can give me the experience of almost sleeping through the night (a brief awakening to pee once per night is normal), I will take the hepatotoxicity that Thorazine caused in the past. I know that it is reversible, and it was not that bad. My liver enzymes went up, but they were not crazily high. We have to consider risks and benefits and make trade-offs, right?

Even if it does not work as a maintenance drug, it is great to know that it will be available as an infrequent PRN, a rescue medicine to nip hypomania in the bud.

So: this past night and morning: 12 hours of net sleep.

The night before: 3 hours.