Changes

It's been a long time (for me) since I started a new med. Over the last few weeks mania grew and grew and grew. We tried using a quick hit of low-dose Risperdal, but it was too low-dose and I started having a reaction to it so the dose couldn't be increased. Too bad; I think 1 mg would have done it.

I am now on Seroquel. I'm off work for a while to adjust. I have a lot of leniency in how to get to the desired dosing, which helps. I am currently planning to stay at 100 mg at bedtime for a few days to see what happens as my body adjusts, then probably I'll add an am dose. Ultimately we're going to try to switch some of what my other meds do to Seroquel. So far, so good (day 2).

Current meds:
Seroquel 100 mg bedtime
Depakote ER 3000 mg bedtime (5 whole pills, one cut to allow immediate release). Level 127
Lithobid 300 mg bedtime
Ativan PRN (not taken often but have used .5 at bedtime some lately)
Atarax 10 mg BID, 20 mg bedtime
Synthroid 88 mcg (all messed up because I've slept through doses)
Provigil (firmly on hold until not manic)
Imipramine 25 mg
Zinc
Vitamin B
Selenium

Meds on the move

It's been a while since I've changed things. The only change in recent months was cutting a Depakote ER in half so it was immediate release so that I wasn't so sleepy. But now I'm manic and things are moving fast.

First, I tried Risperdal yet again. We tried the lowest possible dose, .25 mg. It wasn't enough to help, but it did start to have its usual effect and my legs are swollen. So that's done.

Now I'm on even less than the miniscule amount of antidepressant I usually take, and will probably start something else icky Saturday. Can't wait to see what it does to me.