Going The Wrong Way

And to think I was going to ask if I could lower some of my meds…

I’m still having trouble with sleep. I don’t think I’m acting out much (although I have been spending too much money lately and can’t account for it), but I have to admit I feel a little fragile from the frequent nights of little or no shut-eye. I’m not tired in the mornings after being up until dawn, which is ironic considering that on the nights when I do get good sleep, I feel like a slug the next day. In fact, this morning I popped right out of bed three hours after my brain finally shut up long enough for me to drift into slumber, and went to my appointment with Dr. Goodenough.

I had the feeling he was going to propose an increase in one of my antipsychotics, and that’s exactly what he did. He is still concerned about hypomania even though I don’t think I’m in it right now. I was doing all right during questioning until he asked about racing thoughts and money. Oh, shit. I have admittedly spent a not insignificant amount of time dealing with hypo in one manifestation or another since mid-March, but I thought I had a handle on it. It’s like pinching a balloon or trying to contain a generous booty in a girdle…no matter where you squeeze, it’s gonna come out somewhere else. The spending is just the latest thing. I’m not kidding: I’m broke and it’s still a week till payday. I’m NEVER completely broke, or at least I wasn’t until recently. But there’s about two or three hundred bucks gone this month that I can’t explain, and my credit card balance is going up too. What the hell??

So to nip this in the bud and especially to promote sleep, Dr. G decided to bump up my Zyprexa dose from 5 mg to 7.5 mg. Not a huge increase, and (hopefully) it’s only for a week, unless it proves successful and I have to stay on it for the rest of the summer. I didn’t want to raise the Zyprexa. I want to be on fewer meds and smaller doses, and I’ve been thinking for a while that I would ask to at least come down on some of them. But I seem to be headed the wrong way. I was even going four months in between doctor appointments, and now I’m back to monthly again. Not that I mind seeing him, I just mind what more frequent visits and med adjustments stand for.

I hope this does the job and I don’t have to stay on the higher dose. I’m worried about weight gain, and Zyprexa is notorious in that department. I wondered aloud why we couldn’t increase the Trazodone (sleep med that does absolutely nothing), but he reminded me that it’s actually an antidepressant and could throw me into mania if I were to take more of it than I do now. Well, duh—I should’ve known that. Sometimes I wonder where the hell my nurse brain went. I used to be a walking encyclopedia of pharmaceuticals; now I can’t even remember that basic information. I have to call next Wednesday to report on how the med change is affecting me, which is going to be difficult because I HATE calling psychiatrists. Dr. Awesomesauce used to complain about this a lot because I always waited until I was desperately ill to call him. I guess I’ll just have to do better about that. Besides, with any luck I’ll be back to my normal Zyprexa dose in a week.

In the meantime, I just took the extra Zyprexa and I’m starting to get sleepy. I haven’t slept worth a crap in several nights…let this be the night that it all changes.

Thanks, Doc. I think.

Published by bpnurse

I'm a retired registered nurse and writer who also happens to be street-rat crazy, if the DSM-IV.....oops, 5---is to be believed. I was diagnosed with bipolar I disorder at the age of 55, and am still sorting through the ashes of the flaming garbage pile that my life had become. Here, I'll share the lumps and bumps of a late-life journey toward sanity.... along with some rants, gripes, sour grapes and good old-fashioned whining from time to time. It's not easy being bipolar in a unipolar world; let's figure it out together.

2 thoughts on “Going The Wrong Way

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: