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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by b2chica on April 2, 2012, at 15:10:11
SO how good is good enough?
my standards seem to flux as my mood does.
the worse i get the lower my standards for what i need a med to do.
feeling great (keep me there)
feeling down (make me feel great)
feeling very low (get back up to down)
not functining (get me to only feeling down)
suicidal (get me through the night).i was at not functioning and i am in between feeling down and feeling very low.
but i want to be full functioning, feeling good.or should i be happy where i am. really good things can help me to fake it, as long as they have my attention and the pseudo-reality doesn't break.
then i'm back to very low.
i am able to do 'OK'at my job. but my job really requires me to work above a normal threshold.my mind works come and go. one minute being able to work, the next blank stares at the computer screen struggling for words to speak to someone.
************************
am i asking a med to do too much?
i'm eating well (more than i should but not horrible habits), i dont exercise a lot but im trying to get out during my break to walk around.
and i keep busy (distracted) with kids and tv.
not getting good sleep.*********************
if i'm not asking too much what should i do to my med regimen, change...replace or dare i say add (more??) or hang on a little longer to same regimen?
currently
(dropped Buspar last wed, last day)pristiq 50mg
Adderall 20mg TIDomg, i just realized that i've now been staring at this screen for 3min. i cant even think of what else i'm on...
pristiq 50mg
adderall 20mg TID
perphenazine 4mg night, 2mg mornning
gabapentin PRN allowed 1800/day been taking about 12-1500
xanax only if needed, haven't taken lately
melatonin 5mg nightly
zyprexa 5mg nightly
:(
Posted by Phillipa on April 2, 2012, at 15:43:52
In reply to are my standards too high?, posted by b2chica on April 2, 2012, at 15:10:11
B2Chica I feel you raise a legitimate issue. You seem to function fairly highly but then these episodes seem to hit. Only advise I would give is to run by doc after here. And your therapist, and sounds like sleep is a huge issue for you. Does the xanax help with sleep? If so many take it more frequently. Hoping someone with more expert advise answers your thread. I'm so sorry you feel inadequate. But you do a lot in my opinion. As to whether you ask to much of meds is also a question I ask myself frequent. Phillipa
Posted by polarbear206 on April 2, 2012, at 18:23:36
In reply to are my standards too high?, posted by b2chica on April 2, 2012, at 15:10:11
You got to get your cycling stabilized. The stimulant is most likely the culprit interfering with your sleep. Have you tried Seroquel? Less side effects than Zyprexa and is great for sleep.
Posted by B2chica on April 3, 2012, at 8:22:30
In reply to Re: are my standards too high?, posted by polarbear206 on April 2, 2012, at 18:23:36
thanx pb
the adderall doesn't bother my sleep surprisingly. infact i sleep better when taking it.
i can even take a nap about an hour after taking it with no problem.and been on seroquel long time ago, caused cognitive blunting. was awesome for sleep, but nothing else.
thanks for helping.
Posted by Zyprexa on April 3, 2012, at 22:26:00
In reply to are my standards too high?, posted by b2chica on April 2, 2012, at 15:10:11
I think if you get back on the zyprexa for a couple of months your functioning at work will come back again. It has for me. When I was on greatly reduced dose for months my rating at work went from top of the list to bottom. Since being back on the 10mg dose it has slowly gone right back up to the top of the list again. How bout that? I'm not sure why I've managed to lose weight on zyprexa. Think my job had something to do with it. when I was unimplyed for 2 years and siting at home watching tv all day I gained like 30 lbs. But since starting this job on the feet all day, with a controled diet, I've lost 30 lbs in the last 2 years. I'm only part time. Don't realy know what to tell you but it is possible to lose weight on zyprexa. I don't realy get the munchies anymore like I did in college. Mainly I think the trick is diet and exercise.
Posted by Phillipa on April 4, 2012, at 18:33:20
In reply to Re: are my standards too high? » b2chica, posted by Zyprexa on April 3, 2012, at 22:26:00
Driving through your area tomorrow. Phillipa
This is the end of the thread.
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