I saw the pdoc yesterday:

600mg Seroquel at night, 50-200mg prn during the day (up to 800mg)

600mg Gabapentin at night, or in divided doses for sedation during the day

I'm manic again, and this time it's my fault for letting it escalate. I felt better and was letting things slide. I was enjoying the days when I thought I was asymptomatic, and benefited from the pleasure and productivity of mild symptoms I didn't think needed to be medicated. But it doesn't take long for things to turn ugly.

I have to medicate no matter how mild my symptoms are, no matter what time it is, even if it means I might be sedated. I'm still going to medicate 50mg at a time to try to avoid that, but I may have to sedate myself on purpose at some point. Apparently I can't get away with anything.

I see the pdoc in a week (again). If I start pushing 800mg everyday, or something else comes up, sooner.

Aside from having to accept the fact that I'll be spending some time sedated and there's a very slight chance I may have to snow myself, nothing's changed. I go up, I go down, med doses change. Same old story. I'm sick of it. I have a feeling you are too.

600mg Gabapentin last night
11am: 100mg Seroquel