Pillbox

After working through numerous scheduling conflicts, I finally had my visit with the psychiatrist today. And I finally had a chance to express to him everything that has been going on.

His first reaction was not what I had expected. Instead of generalized anxiety disorder or a medication reaction, my doctor seems to think I’ve had underlying panic disorder. He wanted to change my antidepressant to Effexor. I very kindly reminded him that my depression had caused significant weight gain in a short time. He changed his sights to Prozac. I stopped him there.

I didn’t think it was the antidepressant that was the problem. We just changed the dosage on my Wellbutrin and there was no change. None. Not better and not worse. But we haven’t moved anything around with my mood stabilizer or my anti-anxiety meds in six months or more. I told him that irritability was always the calling card of destabilization. And I’ve been a firecracker lately.

So I have some new things to add to my pillbox. Xanax, 1 mg 3 times daily, and temazepam 30 mg once daily. C.S. added a couple of nutraceutical add-ons to help.

My daily regimen looks as such:

Morning:
300mg Wellbutrin
1 capsule Cogni-flex
1 capsule Ubiquinol
1 capsule Adrenomend
1mg Xanax
100mg Lamictal

Afternoon:
1mg Xanax

Bedtime:
1mg Xanax
30mg Temazepam
150mg Lamictal
1 tablet Orthosept
1 capsule Quell
1 capsule L-glutithione
1 capsule Seditol

As needed:
2 puffs Ventolin
1 capsule Maxalt

Note: The nutraceuticals are not all aimed at mood support. I take some for heart support, weight management, and immune support. Some psychiatric medications lower white blood cell count and leave a person susceptible to infection.

I am also aware of the potentially dangerous interactions between several of these medications. Don’t worry. Dr. Husband (with some sarcasm) has vowed to look after me. Mainly, we’re concerned with too much sedation. Orthocept increrases Xanax and Xanax and Temazepam are both benzo’s. Temazepam isn’t forever – it’s temporarily treating the insomnia until we can get things under control$

If you see something I might have missed, let me know.

Called Off?!?!

I was prepared for my psychiatrist appointment this morning, for a change. With the help of my bipolar bloggers, namely Ruby and Manic Monday, especially when referring to the post The Case of the M&M Interactions.

I had determined that my medicine is not right for my current symptoms. I’m cycling faster and faster. And the irritability has returned. I’m not grumpy – I’m flat out pissed. And I’m always a ticking time bomb as a result. I can’t sleep at night and it’s hard to be motivated in the day. This med check, as annoying as they usually are, was absolutely necessary.

My doctor is located about 15 miles away, so it’s quite a trek to get there, and usually very inconvenient in my busy schedule. I arrived early only to discover that my doctor had just called off 10 minutes ago. It was absolutely enraged. I had dragged myself out of bed extra early, called my mother out to sit while T.D. slept, inconvenienced my husband to take me up there before he went to work only to be sent away. WTF?!?! I know things come up. But there was absolutely no consideration for his patients.

To make matters worse, I had to sit and wait an unacceptable amount of time to be rescheduled. Where is the level of professionalism in that office? I watched the minutes pass and knew that if I didn’t get out of there soon, C.S. would be late for work. And even worse than all of that, I had to push to be scheduled before my medicine ran out. That left me to be scheduled with Nurse Betty. I know what she’s going to say. The same thing she says every time I have a complain about my medicine, “We’ll keep you on these medications and see what happens. I’ll have you scheduled in a month with the doctor.” UGH! Why bother?! Wait, oh yeah. They are holding my medicine hostage.

I really hate doctors. Seriously.