Sending hugs, and good thoughts.

And warm fuzzies.

Donna

It is unusual (tho it seems to be a bug going around, coz it bit me too) to have increased agitation when decreasing or due to skipping an AD. indeed, skipping just a single dose is unlikely to produce any reaction. but if it did, one would expect reduced agitation.

i agree with Mari to talk to your pdoc ASAP - i.e. call the office, and if he is not available right then, get them to have him call you back.

My suspicion is there is a coincidence here. That the skipped dose is fortuitous and that the manic-side sx are still on the increase, despite the dose adjustments. Am i right though in "hearing" that you are feeling less depressed? it was the "wonderwoman on speed" phrase that made me think that, but i'm not sure... wonderwoman could be feeling cruddy and on speed, i suppose.

you may also be having a paradoxical reaction to one of your meds.

Would you like to share what meds you are on?

Could you try to describe how you feel overall... i don't know if you can; i realize it is tough.

in any event. please call pdoc asap, ok?



~ waves ~

Mostly lately I feel like WonderWoman---talking a million miles a second making no sense... was driving like a mad woman in the Indy 500 when I went to the doc this week... BUT... at the same time I was feeling hopeless, worthless, very empty, and staring over the edge at the very dark place with now bottom.

Yesterday I woke up feeling like I was DRUNK.... I don't drink. I could barely walk, my head was spinning.... I hated the way I was feeling and "IT" was a very very prevalent consistant thought.

I keep my medicine in a daily dispenser thingy.... My AD (Cymbalta) was not in the case. I don't know now if I forgot to take it.... or if I double dosed....the AD and forgot the Seroquel.

I have taken the medicine today as prescribed and am feeling a bit better...

I didn't call doc... was too afraid...

I need to get off of here...the battery on my laptop is about dead.

Hugs to all,
Abbie

OK. This confirms it, still mixed. you also got quite manic. It is excellent that you are able to write - that is a good sign, hopefully by now your speech is also more coherent. Your writing is coherent. The "IT" thoughts are a problem, and a bunch of mania plus that, plus those feelings of malaise can get you in bad trouble. Moving on...

if you double dosed the Cymbalta it could certainly rev you up like that. And cause you to feel drunk.

Ok, this is positive, and you were smart not to try to self-adjust since you aren't sure what happened. Do continue as prescribed, do not change an iota unless you hear from your pdoc. Still, i would like to hear you doing a lot better ... that would be a lot safer.

awwwww, hon, i'm sorry. i know how that can be coz i screwed up my meds totally right after i got stabilized as an inpatient. i know. but no fear. no fear.

right now, it is not so important what happened, but that something DID go awry with your dosing, and that you got more manic as well as some weird symptoms.

upshot... if tomorrow
- you are feeling giddy still (that drunk feeling)
OR
- you have not slowed down SIGNIFICANTLY and still have pervasive thoughts of "IT"

do please call and talk to your pdoc. one of the symptoms of mania is DISTRACTABILITY lol!!! so i think he will understand... and if he doesn't - point that out to him like i just did to you.
i'm thinking he might have you take a smidgeon more seroquel even for just a couple of days or until the mania is quieted. but even if not, it will be best for him to know, especially about "IT" in this situation.

It's OK that you made a boo boo with your meds. Even on our best days, we don't do everything perfectly, let alone on days like you are living now!!!

i'm so sorry this happened. i hate that this happened. but stuff like this... ... happens.

it can happen to you
it can happen to me
it can happen to everyone
eventually

- YES... It Can Happen


hang in there, and please try to check in with us tomorrow and let us know how you are doing.

((( Wonder-Abbie )))

~ waves ~

Dear abby,
HOw are you doing sweetie?
beth

Just thought I would share...

Doctor has lowered my Cymbalta back to 90mg -- taken mid day
Upped my Seroquel to 500mg -- 50mg in morning, 450 at bedtime.
Upped my Klonopin to .5mg 3 times a day

I am still feeling pretty much the same.... I was supposed to check in with Tdoc on Monday but panic set in and I still haven't been able to call... I go back to see her on Monday... I also see the NEW Pdoc on Monday...I am not looking forward to this at all...everytime I think about it...it literally makes me sick to my stomach.


Abbie

Dear Abbie,

Thank you so much for taking the time to check in with us.

The med changes sound good.... overall. 500mg seroquel is decent. I took 600 for dysphoria & mania... plus a benzo in equivalent potency to what you are taking. however i also had sublingual lorazepam PRN for acute anxiety/panic attacks. Also, that is a real high dose of Cymbalta. i can't figure how you would have been scripted an even HIGHER dose!!! Scary.

from RxList - Cymbalta
(Select page 2 - Dosage and Administration - from the page menu)
but that stuff is activating.... lets see how you do and what the new pdoc says. i do hope you like him. ordinarily i would say what a time to be switching pdocs but perhaps it is a good thing everything considered.

i am glad you will be seeing your T. don't worry about not having called, you have enough to deal with than worry about having been too anxious to do something. if you get the whim, go ahead and call. but i am glad you will see her monday as well as the new pdoc.

hang in there!

~ waves ~

Dear abby,
glad to hear that you/will be seeing your team on monday.
I am hoping that you have their support and expertise to help you thru this transition.
I agree that is a high dose of cymbalta for being in a mixed state...but I don't know alot about cymbalta....and how stimulating this to you.
beth

Cymbalta was originally prescribed for RSD (Reflex Sympathetic Dystrophy) Pain. 60mg did absolutely nothing for the RSD or Depression. They then upped it to 90mg with what I call wonderful results... where I was for a long time but that level too quit working. At 120mg I was getting some pain relief again for the RSD but it did nothing for the depression.

Oh...In case I haven't posted yet.... I am SEVERELY allergic to ALL narcotic and opiate pain killers. I have nearly died each time they tried a different one.

The Pdocs in the past have mentioned stopping the Cymbalta all together so that may be what happens.... that scares me as it is the only thing that even takes a small edge off of my RSD pain.....

We'll see what happens on Monday....


Abbie

Dear Abbie,

I'm sorry that you are in a med mess at the moment. The new pdoc should be able to get you out of the mixed mood.
He / She might even be able to help you with something for the pain.
Some docs are geniuses. I've run into one or two. But even those kinds need lots of input from us to help them get the right answers.

Keep trying.

M.