awake

[Dave824]

Here I sit again wide awake.  got 2 hours of sleep tonight.  Thats even taking lunesta.  I can fall asleep fast but wake up right away.  I feel like people are coming to kill me and so thats why i cant sleep.

[Dave824]

I am not feeling better and i am scared to call the doc.  I just dont want him to think i need pills.  When I went in my cat had died but i was feeling this way before the cat died.  Tha cat just made it worse quicker.  I still feel horible.  I know i am manic depression right now but dont know what i should do. I dont see my pdoc for 3 weeks.  he did up my lamictal to 250 mg.

[Dave824]

thanks for responding and thanks for looking up the buspar thing

[bernie40]

I found the post which mentioned buspar.  Monkeyc had responded to someone and had said that buspar needs to be increased in 5mg doses and that 60mg was the recommended effective dose.  As this is an anti anxiety drug I'm wondering why the psych didn't recommend increasing this - but then I'm not a Dr!  May be worth thinking about though.

[bernie40]

It sounds like the pdoc was "sitting on the fence".  

If he is ok with you upping the lamictal then I personally would try the higher dose to see if it helps matters.  If it makes no difference then you can at least go back and say that it didn't work and whats the next step.

If you start to feel worse then contact your pdoc immediately.

I may be wrong but I'm sure somebody on the forum mentioned buspar as not being a good med for people with BP but I need to check that out (if I can find it).

[Dave824]

i take 200 mg of lamictal, 10 mg of abilify, 15 mg of buspar, 3mg of lorazepam and lunesta for sleep

[Dave824]

Well heres how my pdoc appt went.  He told me that if I think I should up my lamictal he said i could go from 200mg to 250mg.  Not to raise or change any other meds though right now.  Now I dont know if I should up it.  Its my choice.  I guess I didnt get the response I needed from the pdoc.  What do you think?

[bernie40]

Thats good, let us know how you get on.

[Dave824]

i go to the pdoc today.  I called and made an appt to see him

[bernie40]

Hi, I think you need to get in touch with your p.doc asap.  

Lack of sleep and delusional thinking are not a good sign and can easily spiral out of control.

Ring and insist on an urgent appointment.  If all else fails then go to the ER.