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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by b2chica on October 10, 2012, at 14:36:43
now i know what my pdoc said when he told me he thought my symptoms were part of my personality disorder...i am hopelessly and textbook example of neurotic pd! so i'm chasing my tail right now on what to do and not seem like an impatient tweek.
my current reg is:
pristiq 100mg; adderall 20mg am, 10mg noon 10mg 4pm; perphenazine 2mg 2:00, 6mg 6pm; zyprexa 5mg 6pm, gabapentin 300mg 11am, 2pm, 4pm, bedtime. xanax prnyesterday was DEFINATELY a hypomanic day in every sense of the word. i got crazy amount done at work. was on the ball, almost running from one room to the next, i actually spoke up at one of our meetings that i hardly EVER say anything. and i was quite intuitive to the conversation. i had many things going at once but got them all done. but also did some shopping at a craft store, went home and started yet ANOTHER craft.(did get it mostly done).
today i started to feel the same so i took my perphenazine a little early, also already had three gabapentins only 2:15 now.
i'm listening to my headphones to drown out some of my head noise. have a lot of cognitive stuff going on today. not so much OUTSIDE energy as INSIDE (my head), also have had mild visual illusions (black eels and bugs from corner of my eye and cables moving etc., and 2 or 3 auditory illusions.not sure what to do at this point....suggestions?
my major concern is this is the second day where i have fleeting dark thoughts. and EVEN the IDEA of having a dark episode with THIS kind of energy scares the crap outta me. I mean it seems that now that i have decided that suicide is NOT an option as my little ones need my guidance and love through their lives, it seems now my ability to act on S. urges is close to scary strong.
please note i am Not suicidal. just scared the possibility is more real now than ever IF my thoughts go dark while i have this urge, energy, strength behind me.
lets just say i'm praying alot these days...just incase.*******************
1. i think pristiq at 100 is really causing a lot of this especially since its not going away. do i go back down? then i'd need to augment with something like desipramine?
2. had severe dissociative episode after taking 4 gabapentins by 4pm yesterday. that seems to provoke my episodes. or 'enhances' my ability to dissociate.3. oh ya and i cancelled appt with pdoc yesterday. (stupid i know)
-called T to make appt., then i changed my mind and said why and no thank you.
-decided this is a pdoc thing. but now i have no pdoc appt...
4. given issues today AND i'm taking prescribed doses as needed. not sure what to change.-is zyprexa not working?
-Pristiq lower?
-stop gabapentin again?
-lessen adderall more?-give it all up and start drinking heavily... :(
Posted by phillipa on October 10, 2012, at 18:22:05
In reply to update and one last neurotic question..., posted by b2chica on October 10, 2012, at 14:36:43
No drinking. Didn't the pdoc ask you to attend a day program? Did you ever go? Can't advise on the meds but an emergency call to doc is definitely in order. Sounds a bit like the dissotiation is coming back. Phillipa
Posted by Zyprexa on October 10, 2012, at 21:16:06
In reply to update and one last neurotic question..., posted by b2chica on October 10, 2012, at 14:36:43
I think going back to 10mg zyprexa is best.
Posted by B2chica on October 12, 2012, at 14:48:19
In reply to Re: update and one last neurotic question... » b2chica, posted by Zyprexa on October 10, 2012, at 21:16:06
but i think 10 of the generic is what was making me have the psychosis. and i'm kinda afraid to go there again.
today i noticed my mood is quite down. i'm noticing a bit of a pattern, its like a ccycle of my anxiety. my anxiety is mild, then peaks, then changes to anger/rage then next day my mood drops. course when it turns to anger i tend to take xanax and i've noticed in the past that thats given me lower moods but normally not after one dose. normally after i've taken xanax for a bout a week or longer the next day i tend to notice a lower mood.part of me wishes i could go into the hospital and wash out of most of my meds. keeping pristiq and perphenazine and thats it.
Posted by phidippus on October 12, 2012, at 18:11:19
In reply to update and one last neurotic question..., posted by b2chica on October 10, 2012, at 14:36:43
>1. i think pristiq at 100 is really causing a lot of this especially since its not going away. do i go back down? then i'd need to augment with something like desipramine?
Why not just go off it? Why would you need Desipramine?
>2. had severe dissociative episode after taking 4 gabapentins by 4pm yesterday. that seems to provoke my episodes. or 'enhances' my ability to dissociate.
That's one of Gabapeentin's side effects. Why are you taking this?
>4. given issues today AND i'm taking prescribed doses as needed. not sure what to change.
Up your Zyprexa.
-is zyprexa not working?
I'm sure your Zyprexa is working, it just needs to be higher. 20 mg.
-Pristiq lower?
Yes
-stop gabapentin again?
Sounds like you just get side effects, so yeah.
-lessen adderall more?
Adderall is fine.
Eric
This is the end of the thread.
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