Posted by Chloe on March 13, 2002, at 19:06:53
In reply to Re: medication compliance-the cycle con'ts » Chloe, posted by Ritch on March 12, 2002, at 21:35:37
> Yikes! Sounds like a Neurontin withdrawal. I would bring the Neurontin back up to where it was first thing, then make a decision about upping the Li next (give it 3-4 days before you bump up the Li). I have had some destablization issues lately. It is all related to anxiety/panic issues. When I am out of major seasonal depressions I am hypersenstive to stimulants and antidepressants. They tend to hose up my sleep and cause intrusive thoughts and/or music-which can wind up with panic. I think it is all a neuroendocrine thing. The stims or AD's cause a "cascade" of sorts that wind up resulting in crappy sleep patterns, ruminations, and then hostility or panic. (aka "mixed state" crap). I have had to add 125mg of Depakote at bedtime the last couple of nites so I don't get an early morning awakening. I will continue to add Dep. on until my appetite starts to ramp up-then I will drop it (I think that will *signal* the return to relative normal neuroendocrine functioning).
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.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.
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.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...
> 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
poster:Chloe
thread:96004
URL: http://www.dr-bob.org/babble/20020313/msgs/97830.html