Day 2 no sleep

Lets see how far this goes. I still feel nice but I'm paranoid and have tactile hallucinations. I'm going to call the nurse to see if I can take my remron tonight. I'm tired but I can't sleep. I've dealt with several nights not sleeping before. I can wait till next T appointment.

We know just how important sleep is. If things are off balance, they only get worse without sleep. I'm glad to hear you are going to make an effort to find a solution to sleep tonight.

I hope you get some much needed sleep soon

This will be where I post all my crazyness today.

Even though bed time is 13 hrs. Away I'm getting mad the nurse hasn't called back.

I'm thinking about just taking the damn remron and see if it knocks me out.

My mom was so sweet.

My kolotipin and effexor is ready to pick up

remeron made me manic in the past that's why I was switched off of it for latuda

was it a high dose?

My husband doesn't want me to take the effexor as it's another anti depressant but I'm suppose to. The nurses line hasn't called me back. What would you do? I want to take it because it'll feel nice. He thinks if I go any higher it'll start feeling bad.

I wouldn't take an antidepressant. You do have an atypical antipsychotic I suppose? Which? I would take the maximum therapeutic dose. If you do, be sure to keep taking it at the same dosage until your next visit with your psychiatrist or therapist (if your therapist can ask your psychiatrist for additional meds if needed). If you take a high dose only once you may get more severe problems afterwards. But the same would be true for any anxiolytics, so if antipsychotics would be enough for now I'd suggest you take (more of) those.

I have abilify but I get the shot now. just got it yesterday for the month. I don't see pdoc for another 6 weeks. I wouldn't have enough Abilify for that. I have kolotipin too but I don't want to take that.

I would ask for a higher dosage of Abilify. Can't you call your psychiatrist (directly) and have them send a script to your pharmacy? Can you arrange for a GP appointment before that time and does your GP have access to the information the pharmacy has on you and/or would he/she be willing to prescribe an antipsychotic? I wouldn't know how the nurses line works, but if you can get another prescription that's of course fine.

If it's at all possible and you have experience with quetiapine and/or olanzapine, I'd say those would be preferable to aripiprazole (Abilify). Aripiprazole works more like an antidepressant than quetiapine or olanzapine and the latter two are more antihistaminic, which will probably make you sleep. Quetiapine would be preferable to olanzapine because the maximum concentrations are reached more quickly.

But whether it's a good idea to combine that with an intramuscular/depot injection of Abilify, I don't know. It's probably fine, but I don't know if it's easy to figure out which dosage of another (or tablets of the same) antipsychotic you should be prescribed for maximum efficacy.

Is med compliance or convenience the reason you get shots and not tablets? I ask this because in situations like these it might be good to have pills, so you can increase the dose before asking for another prescription.

quetiapine - gave me a twich

olanzapine - Made me fat fast

I could try my GP Monday. The nurses line never called me back and there's no direct way to get to pdoc. It's a large clinic. The shot is to lower the amount of pills I have to take and compliance. If I don't sleep til Monday I'll have real issues.

You wouldn't have to use it as maintenance treatment but just for now, say two weeks to two months, something like that maybe. But Abilify may be enough.

Just try your GP. If need be, so maybe just in case, bring a list of the meds you were prescribed say, the last year which your pharmacy should be able to give you.

I may end up IP if I don't sleep until Tuesday at least a few hours.

You said your husband is still capable of taking care of your son. I don't know about insurance in the US or anything, but as I see it, if that's what it takes...

You can be inpatient for a week I guess, right? I don't know how it works in the US.

But hopefully you have slept a few hours before that time. It's different for everybody of course but my last long period of mania I slept far less than that. I just tried to rest for 2–4 hours, just lying down, I couldn't do it in one stretch, as I was manic, but during a 10 hour period or so at night I tried. I slept maybe one hour after one week of resting like this. But one hour is a lot. Any amount of rest or sleep helps a lot.

Just don't panic or it'll get worse and likely (more) psychotic. Just try to lose as much energy as possible.

My insurance will cover hospitalization but I don't want to do that. I'm trying to lay down as much as I can. If I sleep I wont have to go unless I'm a danger to myself or others which I'm not. Unfortunately I'm still paranoid and having tactile hallucinations.

We slept for about an hour

He's pissing me off. He wants me to take sleeping meds when I already slept.

It's fine you took the sleeping med. An hour is quite a lot when manic, but it's fine. I wouldn't take it unless it's really necessary though. If this is gonna be a long period of mania, I wouldn't rely on it too much and would use it as little as possible. That's all.

I hope you also have less paranoia and hallucinations now and it appears you have a better perspective on things, which is great.

Oh, and if your GP doesn't want to prescribe an antipsychotic, you may want to ask for an antihistamine. It would (probably) have to be a high dosage, (much) higher than for most people with insomnia, but it's a lot better than an anxiolytic. You could also try some melatonin together with that (or, preferably, an antipsychotic).

I'm going to give it till Tuesday to see if the nurses line calls me back. GP prescribed our past medication when we were without a pdoc but I think this time she'll say go to the ER.