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#1
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My not sleeping, mild mania has progressed to a mixed episode. I'm not feeling very good. I am so tired and so agitated. I keep crying over nothing and I can't decide what to do with myself.
I emailed my pdoc because I expect I need to increase my AP. I really don't want to but keep trying to remember it can be short-term. That's just not been my experience in the past; I just always got worse. But so far clozaril has worked well for me and so hopefully it gets me through this. This is its' first real test.
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Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
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#2
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Hugs, rainbow. I hope a dose increase works and you feel better.
Did you just recently lower your dose? I thought I read somewhere that you had.
__________________
The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "What if I can't get up and stand tall, What if the diamond days are all gone, and Who will I be when the Empire falls? Wake up alone and I'll be forgotten." 😢 - sleep token |
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#3
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Yeah, I lowered it 2 weeks ago but increased to the old dose 8 days ago, immediately after this started. I guess it wasn't just the dose after all, or that attempt destabilized me way more than seems reasonable.
I tend to get manic and then mixed in June. This year I waited for the very end of the month but it's just what happens to me. We decided it was late enough in the month (and I'd been stable for a year plus except for small changes that were easily handled
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Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
![]() wildflowerchild25
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#4
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Do you think your normal dose needs a little bit more time to kick in?
I'm still recovering from going off haldol for three days and then going back on it. Not sure how long it's been though. Do any of your prns help?
__________________
The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "What if I can't get up and stand tall, What if the diamond days are all gone, and Who will I be when the Empire falls? Wake up alone and I'll be forgotten." 😢 - sleep token |
![]() BeyondtheRainbow
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#5
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My PRNs have gotten me some sleep when I've not been able to get there myself. That's about it, mostly because I'm saving everything for night. I asked about valium since it's no longer prescribed for me but didn't hear back. This is one of my pdoc's worst weeks of the year with the non-patient care stuff. But I clearly need more than valium anyway. The clozaril dose should have kicked in after about 4 days.
We made a mistake. I have had a tendency to get manic around June but didn't last year on clozaril and have been pretty stable since. So we waited until near the end of the month to cut it (and when it seemed pretty clear my dose was probably too high because I was over-stabilzied if anything) and my body kicked back. I doubt we'll ever do another June/July reduction now. Bad idea. Oh well, this had to happen eventually.
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Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
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#6
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That really sucks, rainbow. I really hope that you feel better soon. I hate mixed episodes. They make me feel tormented. I'd seriously rather be depressed!
__________________
The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "What if I can't get up and stand tall, What if the diamond days are all gone, and Who will I be when the Empire falls? Wake up alone and I'll be forgotten." 😢 - sleep token |
![]() BeyondtheRainbow
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#7
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Does hydroxizine knock you out?
__________________
The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "What if I can't get up and stand tall, What if the diamond days are all gone, and Who will I be when the Empire falls? Wake up alone and I'll be forgotten." 😢 - sleep token |
#8
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I hope your medicine kicks in and you feel better soon. Mixed episodes are the worst.
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![]() BeyondtheRainbow
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#9
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#10
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I heard back from my pdoc and she is increasing my AP. I can't start it until tomorrow night because I have another commitment tomorrow and don't want to be knocked out. I am so glad I manged to reach her.
__________________
Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
![]() lilypup, liveforsummer, pirilin, raspberrytorte, Unrigged64072835, Wild Coyote, wildflowerchild25
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#11
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Good news, rainbow! I hope the increase works.
__________________
The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "What if I can't get up and stand tall, What if the diamond days are all gone, and Who will I be when the Empire falls? Wake up alone and I'll be forgotten." 😢 - sleep token |
![]() BeyondtheRainbow
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#12
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I'm glad you were able to reach your pdoc. Hopefully the med change will help quickly.
__________________
Of course it is happening inside your head. But why on earth should that mean that it is not real? -Albus Dumbledore That’s life. If nothing else, that is life. It’s real. Sometimes it f—-ing hurts. But it’s sort of all we have. -Garden State |
![]() BeyondtheRainbow
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#13
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Sorry to hear about the mixed episode. I hope the increased Clozaril dose fixes the issue!
Do you think you're safe right now, depressive symptom wise? I like benzos too when I get this way, so i hope that works for you too |
![]() Wild Coyote
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#14
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I'm safe. This is uncomfortable and I feel lousy but compared to other times this is not even close to how it has been. I'll live, it just sucks.
__________________
Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
![]() liveforsummer, Nammu, pirilin, Wild Coyote
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![]() Nammu
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#15
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I hope the increased AP does the trick!
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dx: schizoaffective bipolar type; OCD; GAD rx: clozapine, clonazepam PRN |
![]() Wild Coyote
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![]() BeyondtheRainbow
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#16
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Quote:
Hopefully it passes soon ![]() |
![]() Wild Coyote
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![]() BeyondtheRainbow
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#17
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Hopefully you'll feel better soon. This is also a bad time for me. Just keep going at it day by day.
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![]() liveforsummer
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![]() BeyondtheRainbow
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#18
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Glad you reached your pdoc. Hopefully it helps.
__________________
Dx: Me- SzA Husband- Bipolar 1 Daughter- mood disorder+ Comfortable broken and happy "So I don't know why I'm tongue tied At the wrong time when I need this."- P!nk My blog |
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