[ComfortablyNumb5]

If you look in my sig you can see the meds I'm on. Recently throughout my work day I'm literally nodding out like a druggie and it's embarrassing and quite irritating to go all day like that. Especially when I work up to 10hrs a day! Now let me clarify some things. Because Vyvanse won't effect me two days in a row I can only take it once in awhile. I love those days! Last night I tried to drop the seroquel because after work I'm already exhausted. So I'm going to try to skip it on work days. However I was still tired today after ALOT of coffee and one energy drink. In the AM I take 600mg of trileptal which is a recent increase, and 15mg of buspar. And no it's not my thyroid, I've had that checked. I still take 50mcg of thyroid meds for a boost though but it's obviously not working.

Working as a docs assistant, when patients are always tired we ask about their quality of sleep and send them for a sleep study. But I have state insurance that probably won't cover that. I do admit I wake up every few hours (even on seroquel) from a bad dream and smoke a half of a cigarette. (I know that's so bad). I do this probably 3 times a night. I've tried my ativan and trazadone but still always wake up.

Question is, is it my morning meds or my bad sleep making me tired throughout the day? I wonder if I can take both doses of trileptal at night instead? I'm going to start taking my full 45mg of buspar at night for now on to see if that helps. I'm down to trial and error here!

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

[ComfortablyNumb5]

Mods I accidentally posted this here. Please move to bipolar section!

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

[RunningEagleRuns]

Originally Posted by RxQueen875

Mods I accidentally posted this here. Please move to bipolar section!

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

Perhaps its the seroquel making you tired?

[ComfortablyNumb5]

I tried not taking it last night and I was still tired. Then I tried not taking it tonight and woke up at 2am and I have to work later. I'm screwed

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

I think you may need to address your self- med problems? I read in a different post that you mess up your meds a bit.

( I was going to call it substance abuse, but that is not the right term.)

[ComfortablyNumb5]

Originally Posted by ValentinaVVV

I think you may need to address your self- med problems? I read in a different post that you mess up your meds a bit.

( I was going to call it substance abuse, but that is not the right term.)

Yes I would call it abusing my meds. I don't take the vyvanse every day though. And when I do take it I have to take double the dose or it doesn't work. Maybe I'm tired from the comedown. But I'm not sure about days of it. I went to bed at 10 tonight and woke up at 2am sick. And I have to be up for work in a few hours. Another day of dragging *** for me.

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

I have never taken it. I just looked it up. Kind of an ADD stimulant. Yes I can see where it could mess up your sleep.

Bipolar is a pain. I take zolpidem every night and it still is effective, thank god. It doesn't give me a morning hangover.

[gina_re]

Yeah adjusting meds so that they can work with your schedule is hard. I've heard that most people take their Trileptal in doses throughout the day. I take the full dose at night. I would always be so tired the next day. I love how it helps me, but it does make you a little tiresome, especially when you change the timing of it. If I take it later at night than usual, the next morning I suffer for it. That's just my personal experience. But since I now take the Welbutrin, Lamictal, and Effexor in the morning, it has helped with the grogginess for the next day. Good luck!

[ComfortablyNumb5]

Originally Posted by gina_re

Yeah adjusting meds so that they can work with your schedule is hard. I've heard that most people take their Trileptal in doses throughout the day. I take the full dose at night. I would always be so tired the next day. I love how it helps me, but it does make you a little tiresome, especially when you change the timing of it. If I take it later at night than usual, the next morning I suffer for it. That's just my personal experience. But since I now take the Welbutrin, Lamictal, and Effexor in the morning, it has helped with the grogginess for the next day. Good luck!

So it's ok to take your trileptal all in one dose? If so I'm taking it all at night for sure. Taking all my buspar at night and not in the morn is no longer an option. I had a panic attack just a bit ago at work because I'm feeling very sick. I ended up crying. I'm home now and still crying and out of my PRN. Trial and error I guess. I'm just strung out from working overtime plus I only got three hrs of sleep last night because I woke up sick. And I can't call off because I'm the only one at work that does my job. I feel like I want to scream right now. Took two risperdal. All I know is I'm not ok right now. Sorry had to vent for a second there lol

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

[gina_re]

No need for apologies, we've all had similar experiences here and there.
As far as the trileptal, I'm assuming it's OK since that's what I do. But pdocs that I've seen recently think it's odd. My last pdoc before PHP also thought it was weird. But since I've been doing it that way for so long because the pdoc who put me on it started it in that manner it stays that way. I think it depends on who prescribes it. But it's a lot to take at once, so I am really tired the next day. I would drink tons of sodas and energy drinks (I don't like coffee) some days to function.
I would talk about what time of day to take your meds with your pdoc because each one have different effects. I used to take effexor at night, but recently switched it to morning because a new doctor said it's activating enough to help with the sleepiness in the morning. I had no idea, I had been taking at night for at least a year!

[Pepi]

Just a curious question and not in any relevance to your thread, RxQueen. I'm wondering what will happen if you quit taking any of the meds you're taking right now for, let's say, a week? Do you think you can manage sustaining that long a period without any of those pills?

[ComfortablyNumb5]

Originally Posted by Pepi

Just a curious question and not in any relevance to your thread, RxQueen. I'm wondering what will happen if you quit taking any of the meds you're taking right now for, let's say, a week? Do you think you can manage sustaining that long a period without any of those pills?

Being off meds isn't an option for me. Sure it would be nice if I didn't have to depend on all these different meds and still be stable but right now with my job and my stress I just can't. Every time I quit my meds I ended up in a very dark place and began self medicating with alcohol. I rather not go there again.

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!

[Mygrandjourney]

Are you able to get a consultation via your insurance or otherwise, with a clinical pharmacologist? That is a pharmacist with a doctoral degree, and they are usually trained to spot interactions between groups of medications. Some have a thorough knowledge of psych meds. You could ask at your pharmacy. I'm also assuming you know that the rebound from a stimulant will be fatigue (I take a very low dose of Adderal and notice increased fatigue about 48 hrs after the last dose, but I'm a lightweight). The Ativan, depending on when you tend to take it, could amplify this effect as well.

[ComfortablyNumb5]

Originally Posted by Mygrandjourney

Are you able to get a consultation via your insurance or otherwise, with a clinical pharmacologist? That is a pharmacist with a doctoral degree, and they are usually trained to spot interactions between groups of medications. Some have a thorough knowledge of psych meds. You could ask at your pharmacy. I'm also assuming you know that the rebound from a stimulant will be fatigue (I take a very low dose of Adderal and notice increased fatigue about 48 hrs after the last dose, but I'm a lightweight). The Ativan, depending on when you tend to take it, could amplify this effect as well.

I actually read about the backlash of taking a large amount of stimulants (which I did over the weekend) and yea I believe I'm experiencing withdrawal. I actually started throwing up this morning and had to go home from work. I feel like absolute garbage. But it's my fault. I can't stop sleeping or get out of bed

Trileptal 600mg BID
Buspar 45mg
Seroquel 150-300mg for sleep
Ativan 1mg PRN
Vyvanse 70mg
Risperdal 4-6mg PRN

I don't get msgs unless the other person using tapatalk app!