10 posts in this topic
I haven't had full-blown mania since starting lithium a few months ago after BP1 dx. Pdoc increased the dose a couple weeks ago but I went back to the previous dose because it makes me too tired at work, no matter when I take it. Yesterday I increased it to what pdoc prescribed, as I noticed getting those old irritated, p*ssed off feelings I hadn't had in a while. I was a b*tch at work and not my usual self. I could tell trouble was brewing. My anxiety became far worse. Last evening was tough: super agitated, angry at basically everything, and desperately wanting to cut off my hair (which I've done myself numerous times before dx and I've posted about elsewhere here with others). That compulsion was getting overwhelming. I talked to a relative on the phone to talk me out of it. I'm sure I must've sounded completely nuts. I haven't shared too much with anyone about what I do/have done. Anyway I didn't cut my hair (a victory). This is the first time since starting lithium I felt so agitated and heading out of control. And scared. I took Ativan and went to sleep - which is why I don't take Ativan as directed, as it makes it tough to get up for work. I'm sensitive to meds. Anyway, I took off work and slept most the day today. I've missed too much work. Been depressed for months. I'll keep the lithium at the higher dose and hope I don't feel like that anytime soon. I have a tough time practicing "self care" and being ok with staying home when it's all too much. I get super-sensitive to noise and my workplace is so loud. I don't know how much longer I can take it.
Does anyone else get mania/hypomania while on meds?
So I am in quite a nasty situation. Over 3 months ago I was able to kick my addiction to heroin with therapy and Suboxone. Also, I successfully got my bipolar II under control with Lithium ER 900mg and Seroquel XR 300mg.
For the last 6 weeks I am having fragmented sleep. I am able to fall asleep relatively easily only to wakeup after 2hrs. I then go back to sleep and from then on I wake up roughly 5 times a night.
I've eliminated all caffeine from diet, I don't smoke cigarettes within 2hrs of bed and I don't watch TV or use any other screen before retiring.
My addiction specialist has tried me on
trazadone 150mg--did nothing
Doxepin 75-150mg--only makes me sleeoy
Ambien CR (w/ doxepin)--barely any change. I think it slightly improves the quality of sleep in between waking up.
Does anyone have any recommendations for a sleep maintenance medication? I prone to rapid weight gain from AP's and dont want to double up as I am taking quetiapine already.
For what it's worth....my sleep hygiene is very good. I've started exercising in the morning before work. I work as a credit analyst and sit in front of a computer from 9 to 5. HOWEVER...my insomnia is causing me to nod off at my desk which is unacceptable.
Any tips/ideas/recommendatins are welcome. Mikl_pls I'm looking your way as you are the resident amateur psychopharmacologist. ;-)
I just started lithium recently for the first time (3 days ago, today will be the 4th day) at a rather small dose of 300 mg. My pdoc didn't want to give me too much since I'm on so many meds. But she said that such a dose in some of her patients works well with regimens like mine to stabilize them as I have been ultra-rapid cycling between hyperthymia and suicidal, psychotic depression.
I've noticed, however, in this short amount of time, that I've gained 7.5 lb since starting lithium. Is that a coincidence, or is 300 mg lithium still capable of causing weight gain?
Also, I'd like to understand the pharmacology behind lithium. Can someone who understands it explain it to me and/or share some links to some good sources that explain it well?
So a year ago, let's just say I was... not well, and after a million drugs that didn't work, the doctor put me on Risperdal. For me, it is a miracle drug. No other medicine had ever made the slightest difference, but after taking Risperdal everything changed and I could live my life. I desperately don't want to give it up.
That's why I was horrified when a few weeks ago I woke up in the morning with a milk stain on my shirt. The lactation has continued and I am female so it could be worse (I would hate to be a man and have this happen) but it still freaks me out. The doctor checked my prolactin level and I'm at 157, when normal is less than 23 and a breastfeeding woman's is like 100.
I'm wondering if anyone else has ever been through this and been able to stop the lactation without stopping the Risperdal? The gynecologist said she could talk to her endocrinologist about a drug to stop the lactating, but she didn't want to do it if I didn't insist because it was just adding medication on top of medication. So I didn't insist. I read about it and I heard that mint and sage can dry up people's milk supply so I've been consuming lots of them, but so far it hasn't worked for me. I'm wondering if they work by making the body stop producing prolactin, which my body isn't, instead of countering the prolactin I'm getting through the Risperdal.
Is there any other kind of herb or home remedy that anyone has had success with? At this point I'm ready to just lactate for life if it means I don't have to change medications, but if there were a way to stop the lactation and stay on Risperdal, that would be even better.
Thanks in advance for any insight you guys can offer!