So about 5pm every day of late, my mood just turns black. I can't buy a neutral (forget positive) cognition or emotion, I start to feel and think very negatively no matter what I do. Of course, I'm feeling and thinking badly beforehand, but it just sinks to another level, or depth if you will.
So I'm wondering if it's a med (or meds) that I'm taking that's losing effect around 5pm. I take the following meds - yes, it's a crazy-looking brew I know, but it allows me to function somewhat - at 6am (in milligrams):
200 Provigil, 2.5 Abilify, 40 Fetzima, 30 Lexapro, 15 BuSpar, 150 Lyrica, 10 Percocet and these at 2pm:
150 Lyrica, 15 BuSpar and these 4 times a day, where the last dose is typically 2pm:
15 Adderall 10 Percocet (for chronic pain) and these at 7pm for sleep:
150 Trazodone, 50 Benedryl It's impossible to confidently predict a "culprit" but if anyone has any hunches, I'd love to hear them.
For example, today I'm splitting (some of) the 6am batch into two and taking the second half at 2pm as an experiment. I feel that empirical experimentation might be the way to go because the theory is too complex with this many psychotropic medications in play.
Cheers , Pete
I'm sorry if this question is redundant....
@notloki I know you're knowledgeable here.
I've been getting very inconsistent effects from Ritalin. I recently increased my dosage, because I was experiencing more fatigue afternoons and having to nap. I take 20mg (extended in morning, before I get up), then I take 10mg (extended) after lunch. Pdoc said I could take 10mgIR no later than 3pm if needed.
I'm compliant with this routine. Dose 40 minutes before getting up, same exact breakfast every morning: oatmeal, fruit, yogurt, nuts, coffee. Yesterday, I felt pretty good and energetic in the morning (both mentally and physically). Then today, I feel focused..yet, (sort of zombie-dazed staring at screen), incredibly drowsy/tired and apathetic, like I really need to nap. I get plenty of sleep every night.
Is there a reason this is happening? Seems doses effect me differently all the time. I prefer extended because the IR (while it hits more noticeably) I feel more intense energy crash and can become moody...Note: Pdoc will not let me change until I hit the max (60mg), and other stimulants (even Adderall) are either extremely hard or impossible to get prescribed here.
Started using my new fitness tracker. Tracks sleep & heartrate also. I'm not sure how accurate it is (500 great reviews said it was). But I'm quite worried with results I'm getting. My resting Heartrate jumps around erratically from 70-100. After sitting at breakfast it's like 90-115. I am healthy weight/slim, eat really well, usually fit (though really inactive last 3-4 mos).
Literally, when I woke up today (before any meds), I tracked, and it jumped all around from 68-95. I hadn't even got out of bed!! The other day, I did 5 minutes of jumping jacks, then tested....it was 120-130, heart pounding in ears, really tight chest, with slight cough/phlegm congestion in throat....I do some stretching, forward bends then feel very dizzy.
Is this normal or am I just really out of shape? I have low blood pressure and when I run lately, HR goes up to 180 which is max. Is this dangerous? @mikl_pls ? How long do you have to be doing fitness in order to get it down to fit/normal??
Oh, too add, I did an ECG a couple years ago, and nothing abnormal was found. Also did a "Fitness test" on a bike with oxygen mask (5 years ago though) doctor just said I was unfit.
3 years ago, I tested as "subclinical hypothyroid" and was put on Levothyrox. TSH went down to around 2, with slight improvement of symptoms (can't say it was dramatic).. but coldness and fatigue went away a bit.
Fast forward, I ended up going off over a year ago (moved, new docs etc), didn't notice a huge difference after I stopped the Levo. A year ago my TSH was 3. Then when I started Ritalin, I initially wasn't fatigued, my bodytemp is warmer/sweatier with Effexor. Does Ritalin affect your Thyroid? I was told some A/Ps and A/Ds can. I'll soon get a blood test.
I sleep a ton yet NEVER have energy, my vision is suddenly awful very blurry, dry eyes...I have itchy, red, dry skin that is not helped by moisturisers and sensitive skin products. I guess I don't know if these things are Thyroid-related symptoms, or side effects from my psych meds or both!