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  #76  
Old Jan 19, 2024, 01:56 PM
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LadyShadow LadyShadow is offline
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Great to see this log of your sleeping. I really should keep one too. I just realized that my sleep has been so disturbed because I really needed to change my CPAP mask as it was getting loose and coming off at night - it makes a huge difference.

So proud of you @Tart Cherry Jam - you're making great progress. (I am addicted to this forum at certain times of the night too - it has no method, rhyme nor reason to is, it just is.
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  #77  
Old Jan 20, 2024, 12:31 AM
Tart Cherry Jam Tart Cherry Jam is offline
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Please join me @LadyShadow in keeping a log of your sleep. I would love your companionship on this thread. And yes, occasional forum addiction...

I cannot wait to get my BiPAP (a version of CPAP) data downloaded on Monday, share on the thread, dig in, interpret and learn from it.

I am not hypomanic anymore. And tomorrow morning I will take the full dose of amphetamine because I need to drive colleagues around all mornings dn afternoon which will require alertness. Today, on 75% of the dose, I only reached the state of alertness at 3:30 pm. I cannot risk that happening tomorrow.

My psychiatrist has prescribed the same dose of amphetamine but extended release, hoping it might be better for me. I look forward to picking it up from the pharmacy and trying it.
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Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #78  
Old Jan 20, 2024, 01:53 AM
Tart Cherry Jam Tart Cherry Jam is offline
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10:53 PM

all ready for bed

tomorrow have to be up in the morning but not too early
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Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #79  
Old Jan 20, 2024, 05:35 PM
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SquarePegGuy SquarePegGuy is offline
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I agree with @LadyShadow -- you're doing very well @Tart Cherry Jam!

I was wondering how long the Dextroamphetamine might last in one's body. Half-life is .... "10 hours (for d-amphetamine) or 13 hours (for l-amphetamine)." So about 3/4 of it is eliminated in a day, and the stuff would build up gradually. Skipping a dose or taking a half pill every week seems like a good approach. But I am not a doctor -- just a smart aleck.

I used to skip a dose of Nuvigil on the weekends when I first started it. But now I just keep it going.

Last edited by SquarePegGuy; Jan 20, 2024 at 05:38 PM. Reason: Add last two sentences about Nuvigil
Thanks for this!
Tart Cherry Jam
  #80  
Old Jan 20, 2024, 05:54 PM
Tart Cherry Jam Tart Cherry Jam is offline
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My off-site event is over. O managed to be on time every morning, organize everything and chauffeur folks around. People have thanked me for all that and I was so pleased to hear that.

I would not have managed such a big and challenging event had it not been for the self-discipline this thread is helping me build. Thank you!!
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
Thanks for this!
SquarePegGuy
  #81  
Old Jan 20, 2024, 06:57 PM
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LadyShadow LadyShadow is offline
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@Tart Cherry Jam I would love to contribute to your thread! Although my responses will be haphazard until I get used to posting consistently every day. My bedtime has been consistently 11pm. Will try to post at that same time every night. With my CPAP I have been sleeping straight through the night to at least 6am, which is amazing progress considering how my sleep used to be!

I think the AirSense 11 has a MyAir app, so I can try and find out how my sleep patterns have been and share them on this thread too. Thank you so much for allowing me to a part of your journey!
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Thanks for this!
SquarePegGuy
  #82  
Old Jan 20, 2024, 10:07 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Quote:
Originally Posted by LadyShadow View Post
@Tart Cherry Jam I would love to contribute to your thread! Although my responses will be haphazard until I get used to posting consistently every day. My bedtime has been consistently 11pm. Will try to post at that same time every night. With my CPAP I have been sleeping straight through the night to at least 6am, which is amazing progress considering how my sleep used to be!

I think the AirSense 11 has a MyAir app, so I can try and find out how my sleep patterns have been and share them on this thread too. Thank you so much for allowing me to a part of your journey!
not allowing but inviting! will be honored. Like many people on these forums, I am amazed at your strength of character in the face of adversity.

Consistent 11Pm bedtime is an accomplishment and sleeping through the night, I must say, is a true blessing that eludes so many of us and which in the past you probably did not think was even possible.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #83  
Old Jan 21, 2024, 02:20 AM
Tart Cherry Jam Tart Cherry Jam is offline
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11:20 PM late but I had to finish the laundry. it is now done but I will need put away folded tops tomorrow
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #84  
Old Jan 21, 2024, 07:58 AM
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LadyShadow LadyShadow is offline
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Quote:
Originally Posted by Tart Cherry Jam View Post
not allowing but inviting! will be honored. Like many people on these forums, I am amazed at your strength of character in the face of adversity.

Consistent 11Pm bedtime is an accomplishment and sleeping through the night, I must say, is a true blessing that eludes so many of us and which in the past you probably did not think was even possible.
@Tart Cherry Jam - Oh thank you for kind words! I have been trying to find peace in my life, and along that journey I am so thankful to meet people like you that make that so worthwhile.

As for last night - I went to bed at around 10pm and woke up at 4:24am. I have just been getting in and out of bed all morning, kinda just lounging around and trying to wake up. Have NO IDEA why I got up or (get up) so early, but I do feel a bit rested - although I will be needing a nap later, I can feel it coming on.
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  #85  
Old Jan 21, 2024, 12:12 PM
Tart Cherry Jam Tart Cherry Jam is offline
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A nap should make it right!
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #86  
Old Jan 21, 2024, 12:17 PM
Tart Cherry Jam Tart Cherry Jam is offline
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I did not have hunger pangs during the night and that felt good. I first woke up with the 7am alarm, took Levoxyl and amphetamine and then went back to sleep. Then I woke up and got up at 9, without an alarm and in a very good mood, ready to tackle the day. The way I feel now, I won't need a nap. Of course I am concerned that this good mood will spiral out of control into hypomania, but maybe skipping amphetamine on some days will prevent that. At least I know that I can always take 5mg of Zyprexa during the night and that will nip hypomania in the bud.

I need to ask the endocrinologist if it is Ok to take amphetamine and Levoxyl together. I know she generally prefers that Levoxyl be taken all alone.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #87  
Old Jan 21, 2024, 09:28 PM
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SquarePegGuy SquarePegGuy is offline
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I have the clocks still set to Daylight Savings Time. Right now the one I'm looking at says it's nearly 10:30pm even though it's really only 9:30pm. This motivates me to get to bed by the real 10pm.

When the moon is waxing as it is now, I find it difficult to sleep. But I put a black t-shirt over my face to ensure total darkness. Still, I wonder if I sense the moon's energy somehow.

Just recently I loosened my mask because of irritation around my nose. It seems to be a good tradeoff between leaking and comfort.

I've attached my latest CPAP stats from SleepyHead. The AHI (Apnea / Hypopnea Index) is supposedly pretty good (low). Without the machine, it would be awful.
Attached Images
File Type: png CPAP_stats_2024-01-21.png (53.1 KB, 4 views)
  #88  
Old Jan 21, 2024, 09:55 PM
Tart Cherry Jam Tart Cherry Jam is offline
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You have excellent compliance @SquarePegGuy!
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #89  
Old Jan 21, 2024, 10:11 PM
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LadyShadow LadyShadow is offline
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@SquarePegGuy I agree you have excellent compliance!

I actually don't have Daylight Savings Time set in my car for some reason, I don't know why I don't, but I think it makes me do things earlier. I was up since 4:24am this morning so I should be tired, and I am not which worries me because it could be some hypomania.

I have an issue though - around the same time every day, (either 2pm or 6pm) I get REALLY tired and need a nap. I wonder is that normal? I mean I sleep for the most part, but I feel like the napping is hindering my sleep and it's the reason why I can't fully rest. Plus, I am dealing with my divorce and being alone for the first time in my life which is VERY unsettling.

Going to set a bedtime of 11pm for bedtime so I have to set a limit at how long I am going to stay on the computer. Want to go to gym bright and early too.

Thanks for sharing your sleep report @SquarePegGuy - I am going to share mine here too, (erased my name for privacy of course). But I think I'm doing pretty well. Haven't had my CPAP as long as you, but I think I am doing pretty well.

Thanks so much for this thread @Tart Cherry Jam it's been really helpful!
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  #90  
Old Jan 22, 2024, 01:14 AM
Tart Cherry Jam Tart Cherry Jam is offline
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10:14 PM good night. Have to leave home at 9AM tomorrow. @LadyShadow will respond tomorrow and look at your record and post mine, too!
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #91  
Old Jan 22, 2024, 08:33 PM
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SquarePegGuy SquarePegGuy is offline
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It's great that your AHI is very low @LadyShadow

I was in bed by 10:20pm last night, but then I read until 11pm. Woke up at 6am intending to do some deep breathing for a few minutes. Woke up at 7am for real and scrambled out of bed and rushed to get ready.

And in that rush, I forgot to take my effexor and nuvigil. At work I started yawning uncontrollably at about 11am. Fortunately it was just about a 10 minute spell, and I managed to get through the day without anyone noticing.

I'm thinking an 8-hour sleep is ideal; 10pm should be my cutoff, like @Tart Cherry Jam.
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  #92  
Old Jan 22, 2024, 08:51 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Quote:
Originally Posted by SquarePegGuy View Post
It's great that your AHI is very low @LadyShadow

I was in bed by 10:20pm last night, but then I read until 11pm. Woke up at 6am intending to do some deep breathing for a few minutes. Woke up at 7am for real and scrambled out of bed and rushed to get ready.

And in that rush, I forgot to take my effexor and nuvigil. At work I started yawning uncontrollably at about 11am. Fortunately it was just about a 10 minute spell, and I managed to get through the day without anyone noticing.

I'm thinking an 8-hour sleep is ideal; 10pm should be my cutoff, like @Tart Cherry Jam.

How about pouring out some of Nuvigil into an empty medication bottle and keeping it at work if you have a lockable desk drawer or in your backpack if you take a backpack to the office? For such "just in case" situations.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #93  
Old Jan 22, 2024, 08:55 PM
Tart Cherry Jam Tart Cherry Jam is offline
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@LadyShadow: in this post

https://mysupportforums.org/7397817-post89.html you attached your report redacting your name but not your DOB. It is identifying to have your exact DOB posted on the internet. Please ask the moderators to remove that post, just in case, and attach it anew for us after you redact the DOB, too.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
Thanks for this!
SquarePegGuy
  #94  
Old Jan 22, 2024, 09:08 PM
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SquarePegGuy SquarePegGuy is offline
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Yes what @Tart Cherry Jam said, plus the CPAP machine's S/N should be removed from just below that.
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Major Depressive Disorder; Sleep Apnea; possibly on the spectrum
Nuvigil 50mg; Wellbutrin 150mg; meds for blood pressure & cholesterol
Thanks for this!
Tart Cherry Jam
  #95  
Old Jan 22, 2024, 09:09 PM
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SquarePegGuy SquarePegGuy is offline
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Quote:
Originally Posted by Tart Cherry Jam View Post
How about pouring out some of Nuvigil into an empty medication bottle and keeping it at work if you have a lockable desk drawer or in your backpack if you take a backpack to the office? For such "just in case" situations.
Great idea, I'll do that now!
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Hugs from:
Tart Cherry Jam
Thanks for this!
Tart Cherry Jam
  #96  
Old Jan 22, 2024, 09:12 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Here is the part about the AHI. I have something almost every day, but it is low. @LadyShadow I liked how on many days you have zero events, none.
Attached Images
File Type: png Screenshot 2024-01-22 at 6.11.42 PM.png (114.2 KB, 3 views)
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #97  
Old Jan 22, 2024, 09:14 PM
Tart Cherry Jam Tart Cherry Jam is offline
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And here is on leaks. The technician said it was not bad, but I think I can do better.
Attached Images
File Type: png Screenshot 2024-01-22 at 6.13.09 PM.png (133.2 KB, 3 views)
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #98  
Old Jan 23, 2024, 01:25 AM
Tart Cherry Jam Tart Cherry Jam is offline
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Member Since: Mar 2021
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10:24 PM good night

tomorrow the first two meetings srating at 8:30 AM I will do from home over zoom and then will leave for the office
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
  #99  
Old Jan 23, 2024, 10:15 AM
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LadyShadow LadyShadow is offline
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@Tart Cherry Jam @SquarePegGuy

Hey guys! Thanks so much for letting me know about my DOB and serial number - I had a moderator remove the attachment and I am attaching another copy here. @Tart Cherry Jam - your serial number is on your attachment too; you might want to remove it as well for your privacy.

I really feel good that we are sharing this information. @Tart Cherry Jam - you have really good AHI but the leaks kinda spiked for a few nights on your report. Have you adjusted your mask or gotten a new one yet? I realized that I needed to replace the equipment on machine - I had wanted to make them last as long as possible because of insurance purposes, but it was really a relief to replace the actual mask.

Last night I only slept about 5 hours. I am not average 8-9 hours anymore - mainly I think because of stress and loneliness. I went to bed about midnight and woke up about 5am.

I honestly think my napping has a lot to do with it too. Do you guys get tired during the day? 2pm or 6pm is when I tend to take naps, that's probably what is messing with my sleep score. When I first got the CPAP, (FEB '23) I never napped and it really makes a difference in the data.
Attached Images
File Type: jpeg CPAP 1.22.24.jpeg (657.9 KB, 3 views)
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  #100  
Old Jan 24, 2024, 01:41 AM
Tart Cherry Jam Tart Cherry Jam is offline
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But of course! The serial number is a unique identifier. Got it. I will ask to remove and will repost tomorrow.

10:41 pm good night
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Lybalvi 10 mg
Naltrexone 75 mg


Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
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