I've been fiddling a bit with my lamictal and seroquel, since it's become clear that my overall med burden is too high. My friends go to bed after I do and wake up before I do. They bounce out of bed and go right to breakfast; I can hear people talking but can't get out of bed. It takes an effort to do almost anything.
Tonight I have class from 6:45-9:15pm, with a paper due tomorrow I have not started. Less lamictal makes me feel more clear, more light, more human, but also a little spacey and ever so slightly depressed.
More lamictal makes the music in my head MUCH louder and more intrusive. I also feel a bit blunted and I'm having a hard time with social interactions.
Less seroquel makes it easier to get out of bed, and I also feel more clear, more connected, more alive. Also, a little low.
So I thought instead of 325mg of lamictal, I would try 350mg one day, 325mg the next, to achieve an average dose of 337.5mg per day. I'm feeling pretty slow right now, actually. I just took a 325mg dose with my afternoon meds; yesterday I took 350mg.
I'm at 200mg seroquel, down from 225mg. i'm not sure i can get away with it yet. i want to stabilize on the lamictal before changing the seroquel again to figure out which is causing which symptoms/side effects. I've been pretty lethargic lately, so it's pretty clear I can't get away with 200mg seroquel and 325mg lamictal.
that leaves four other meds to fiddle with, although there's not much wiggle room. decreasing the thyroid beds incapacitates me, and i don't know if my thyroid function would recover on its own or not.
i've been at 150mg seroquel for a few days, with no depression. increased ability to socialize and converse. more clarity.
Tuesday, February 21, 2006
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