Posted by Ritch on March 13, 2002, at 23:36:42
In reply to Re: medication compliance-the cycle con'ts » Ritch, posted by Chloe on March 13, 2002, at 19:06:53
> Hi Mitch,
> I think March is a very difficult month for folks with mood disorders...The days are rapidly getting longer, hence more activating light. But the temperature is more like winter/hyberation mode, at least where I am. Maybe it's just me, but early spring through the end of april can be really bumpy.Well....I have noticed the increased light intensity since early February... There IS a connection. What do I do- wear special contacts or something-wear a special temperature controlled suit?? Live in a deep cave?? All I can say is that I can't wait for April and May. That is when all of this uneven mixed crap settles out to just nice pure giggly-fun hypomania. It is really weird. It is like you are stuck in a glacier and then stuff starts to melt-and *really* quick. Then you find yourself on a canoe heading through the rapids where all the melt-off is going (watch out for the boulders!). Then you hit the main river and it is just a fast moving (but very smooth) very cold current. Ahhh. No paddling-just high speed smooth sailing. That's what I want (I will get that-it is just that I will have to *wait* a little bit). :-)
>
> I am glad the depakote is shutting some of the noise down at night. Hopefully at that low dose you won't get the munchies. I find it very dose related and don't notice appetite changes until above 250 mgs.Yeah, it is also helping with impulsivity at work, too. Everybody else I am working with was grouchy all day-almost bipolar dysphoria I swear! I just didn't give a dang. It was like getting a job assignment to defuse a bomb on the bomb squad and just lightly offering to get pizza after we got the defusing over with-no biggie-what's next?? :-) I don't know whether that is unnatural apathy or not.
>
> Last night I was feeling really obsessive and crazy about what to do about my meds (as you well know). And felt shockingly like I was heading into the badlands. So I though Li would be more "potent" than an increase of 100 mgs of Neurontin.
>
> I think Li could be an AD prn for me, have you heard of Li used like that? I felt energetic within an hour and happy that I had gone with the li not the Neurontin. But now 18 hours later, I think i should still go back up on the N. I am not crazy about Li's AD effect without the calming of N. I still think I am in N withdrawal. So I guess I will just have the Li increase as a one time thing, and try to resume my 400-500 of N over several days.
> I really hate the short fuse I have on 300 on N. Boy I will lash out at anything. AND if I don't have a dose every six hours I am sweating, snapping and shaking.
You just be eliminating it rapidly. As you know you are looking at a peak 1.5 hrs postdose and a 5 hour half-life. Do the math and to keep a relatively stable level you are going to have to do at least 100mg 4x daily.>
> OH, and I think the increased ami has also made me more bitchy. I have lots of energy, but it's an agrevated energy. Boy, what a mess I am with all these meds. I wonder if I dare drop the ami back to 20, increase the N to 400 and drop out my eve dose of li that I started last night. Humm, alot of changes...And scalp pain is probably a given, but I got to get to some emotional balance here. What, so I can start this whole process over again? I sure as hell hope not...
TCA's *can* make me grouchier, but not as grouchy as Remeron, Buspar, Wellbutrin, Effexor, pstims (drat).>
>
> > I liked that.. "Dex and taxes", that is awfully close to "Death and Taxes"!
>
> Sometimes I even have a sense of humor when I feel the worst. Ironic huh?
>
> Thanks for listening, Mitch. :)
> Chloe
No problema,Mitch
poster:Ritch
thread:96004
URL: http://www.dr-bob.org/babble/20020313/msgs/97899.html