Here is the story. i'm ill (now much less so than like 5 years ago though) and no one really knows what it is. some say it's a psychosomatic and other's say it's bipolar, schizophrenia or both. but that doesnt really matter in this thread much. medwise i rather benefit from bipolar meds so lets assume i'm bipolar.just for info: i'm on 20mg zyprexa (but effectively on 10mg because carbamazepine reduces zyprexa level by 50%) carbamazepine (tegretol) 600mg and wellbutrin (bupropion) 300mg (guess what carbamazepine messes with it's level too!) (but that doesnt matter much in this thread either )
so here is the thing. i was on lamictal till 2 years ago. and at the time i was on lamictal, i had perfect sleep pattern. no matter what else i was on, i could stand up relatively early without any problem. i was even on CLOZAPINE (theoretically the most sedating shit on earth mind you) and even in the time they were titrating it up on me i stood up at 06:00 and took a long ride to the daily hospital without ANY problem. i was on huge doses of zaprexa (30mg) to for some time and i slept 8 hours and after 8 hours i woke up automatically.
then my doc thought it might be a good idea to try lithium so he exchanged lamictal with lithium and i dont really know when exactly it happened but some time later i realized i'm sleeping from 10pm to 3pm (it sneaked up on me) and even standing up on 10am (where i have therapy once a week) is quite a torture (which doesnt make sense because i'm really feeling better OTHERWISE). i also gained lots of weight on lithium. particularly in my face and on my neck and throat. my belly aint that bad though but i have a moon face now (you will see later why it's important ) 2 months ago i asked my doc about wellbutrin for depression and also i was hoping that it might by good hypersomnia. ok it's fabulous for depression (update. it doesnt work for depression either) but i sleep like 1 hours less which is not really a breakthrough.
here is what i think where it's coming from:
1. i've gained weight particularly in my face and neck so now i have Sleep apnea and sleep much because the quality of my sleep is shitty. (which is unlikely, because i recorded my snoring one night (and had fun with a 12 hours long audio file) and altghough i snore, i snore regularly and there are no stops or pauses in it like the people with apnea have)
2. I NEED LAMICTAL
i tried to google "lamotrigine sleep" but the only thing i could find was that lamotrigine doesnt have any adverse effects on sleep and some say it increases the sleep quality but nothing about reduced sleep duration so i depend on personal experience of people taking it.
update: i found one single case report where the dude with kleine-levin syndrome got better on it but there is no abstract or whatever ANYWHERE so posting link is futile.
Edited by Überpolarbear, 06 March 2010 - 05:50 PM.