Knock, Knock. Who’s There? Oh It’s You, Seroquel. 

I said I’d keep everyone posted on my recent decision to come off of Seroquel. (As you recall, I was dealing with weight gain side effects.)

Well I’ve been completely off for 2 weeks (after weaning down for 2 weeks) and it’s been a struggle. My moods are all over the place, I’m certainly not sleeping, and it’s put a strain on my family. My wife has endured additional stress and we have been fighting more. I feel badly about it, and of course I also wish she could be more supportive of my decision. But when it comes down to it, our long-time agreement has been in order for this marriage to work, I must stay on meds. 

When it comes down to it, I am excited about losing 5lbs. The scale hasn’t budged in so long, and this gave me hope. But I’ve weighed out my situation (no pun intended..) and have decided to go back on the Seroquel. I gave it a try, but I can’t help that my illness requires certain medications. I admit I feel defeated. But I also know this is just me being responsible. 

Thanks for listening to my saga. I know many of you have experienced Seroquel side effects and I thank you for sharing your experiences with me. Best of wellness to all of you. 

  

Buh Bye, Seroquel

So, I’ve made a decision to come off of Seroquel. The weight I’ve gained with it has overstayed it’s (non-existent) welcome.

Bipolar weight pills

I know what you must be thinking. And before you lecture me on quitting meds, please know I am making this move based on careful consideration. I have been on Seroquel for about two years now, along with Lithium and Abilify. My current dose is 200mg. When I first started taking it, I just noticed my extreme sleepiness. This was good, since I am a natural insomniac. I started on only 100mg, and after some time, went up to the current dose. I know people on higher doses, and folks on lower doses. Every individual is different. Dosages are based on brain chemistry, body weight, interactions with other meds, etc.

The Cost of Side Effects

I certainly don’t want to scare anyone out of taking Seroquel because it is a really effective drug, and it has absolutely saved my life in many ways. It’s just that I am at a point where the side effects are not worth my time anymore. Seroquel is known for weight gain as a side effect (several psych meds have this quality), and I have been researching many sources and forums, as well as discussions with my psychiatrist, and it is an unfortunate fact. I put on 20 pounds with this medication. Many other folks have put on 40-50 pounds. On my 5’1″ frame, 20 pounds is kind of a lot.

It’s a Personal Thing

I definitely battled with this decision. I already have insomnia, and Seroquel has helped rock me to sleep each night since taking it. I also haven’t had any full blown manic episodes since being treated with it. So, yes, coming off of it does frighten me a little. But, conversely, I am becoming quite dismayed at stepping onto the scale and not seeing it budge. I have completely changed my eating habits, which includes pretty much all health food, and small portions. I even signed up for a gym membership. Yet my jeans still don’t fit. I feel discouraged and it’s bringing me down.

Keeping Up With Progress

So far I have cut my dose in half and I am having a hard time falling asleep at night. I am not experiencing any mania or psychotic episodes, luckily. My wife is fully aware of my plan, and is on board. This helps with monitoring my moods, especially with the changing season.

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I have not yet spoken to Dr. B. about this. I plan to at our next appointment, which isn’t until May. Honestly, I want to see how well I do without his input right now. Also, I’m a little shy of trust for him and his office after the urinalysis incident. I just thought I’d share my current experience with you guys. We all know what a pain in the ass it is to find meds that work out for us in all areas.

Sources:
Seroquel XR Side Effects Study
(Just Google Seroquel and weight gain/side effects. There is a world of information on the topic.)

Ambush Drug Test at my Psych Appointment- Wait, What?

I’m still shaking off my first experience with Medication Monitoring. This took place a few days ago, and I was completely bombarded, with no explanation, no warning, no consideration for my personal space.

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My pdoc appointment went quite smoothly. I talked about my grandfather’s funeral, about the baby, about being a temporary stay at home mom. We went through the checklist about side effects, mood fluctuations, and if I have any thoughts of harming myself (I don’t). Pdoc agreed we should keep my medications the same as they’d been, and he wrote up the new scripts. I gathered my wallet and keys, and started for the office door. Just before I hit the front desk, he informs me that everyone is taking a urinalysis for medication monitoring. I was a little confused. He laughed and said it’s to make sure people are taking their meds, and not selling their Adderall. Well since I take my meds and I don’t sell anything, I just agreed that it wasn’t a problem. I was also under the assumption that he would write me a prescription to take to a lab for the test proceedings. Those of you on Lithium know about this all too well. Was that what happened? Nope.

Surprise! As I walked through the second set of doors into the lobby, a woman I’d not seen before was standing there waiting for me with a little piss cup in her hand. She gestured toward the waiting room bathroom. I felt ambushed. No opportunity for questions, no discussion. I’d been at this psychiatric facility for almost ten years and never felt so put off. Honestly, I felt as if I were in trouble.

After I provided my little sample, she had me sign a form, supposedly for them to bill my insurance. This is also when I was given an informational card entitled, “Medication Monitoring Explained”.
Some key points given include:

  • Helps to understand what medications you are currently taking which could interfere with your prescribed medications.
  • Provides essential information for the safe and effective use of your medications.
  • Your doctor will determine how often you will be tested based on your medical needs.

The kicker in my situation is that in all definitions of the term, I failed my drug test. Yes, I had other substances in my system. I had been treating two pinched nerves in my back with a narcotic pain reliever for about three days, and I occasionally self-medicate with marijuana. During my grandfather’s death and funeral days, I smoked pot in the evenings. (For those of you just tuning in, I’ve always been a cannabis advocate.) The biggest clincher here is that I would have absolutely disclosed this information to my doctor had I any idea it would be relevant. (*Note: I do not promote the notion of self-diagnosing or self-medicating. In my instance, I have had much experience with these substances and I know how my body reacts, on prescribed meds and off.)

All in all, I understand and agree with new advances in patient treatment. If urinalysis is a tool in helping doctors help patients, then I support it. I really think, in my case anyway, that there needs to be a much different procedure in collecting the samples. I already feel vulnerable, as it is when working on my mental health, so in some ways I felt my trust had been violated.

Have any of you had experiences with medication monitoring? I’d like to hear your stories.

Kindly Disregard my Absence, for my Brain Has Been All-Consuming

Hey hey everyone. I didn’t mean to ignore you recently. I’ve been riding the train of instability. a.k.a. mood swings, hallucinations, irritability, and  suicidal thoughts. My mind is currently numb and I’m a little lightheaded, but allow me to get you up to speed.

64743d1eacbd79e683a776b1ee3c34f6Suicide Stuff Again…

I know I talk about my suicidal ideation pretty often, so I apologize that I’m bringing it up again. I’ll make it brief, I promise. The last couple of months, my mind has been stepping into the dark territory again. It automatically starts developing plans and twisted theories. ( Example: “If I do it while my son is still a baby, I won’t give him an abandonment complex.”) I would try to get these things to stop entering my brain, but like clockwork, every morning, I obsessed about death. This has been constant for at least two months. It usually fades into the afternoon, so I would just try really hard to not allow it back in. I spoke of it only a little bit with my wife because I know she hates when I talk about it. She thinks I’m morbid (duh!) and it brings her down. Not my goal at all. She did make me agree to a no-harm pact before she and my son went out of town for the weekend, leaving me at home. I agreed to it. It gave her peace of mind.

WTF is THAT?!?!

Never in my life have I had visual hallucinations. I mean naturally. I’ve battled auditory hallucinations for years. Usually I hear voices speaking to me, or chatter, or music playing. About three weeks ago I saw a spider. Then I saw another spider the next day. The day after that I saw a spider on the wall. Okay, no bid deal, right? I live in the Midwest and spiders are part of the woodwork. Except these spiders didn’t start off as spiders. An imperfection on the wall. A leaf. A piece of lint I spot from the corner of my eye. They all grew legs and started moving around. They were in my kitchen, my car, my bedroom, bathroom, even at the office. I did tell my wife about the spiders and she looked panicked, but remained calm and urged me to talk to my pdoc.

The Appointment…

I’m not crazy about my psychiatrist. I mean, he’s alright, but I don’t love him. I’ve been seeing him for over eight years now and we have a customized payment plan, which I appreciate. He is very educated and has many, many fancy plaques on his wall. He dresses in funky plaid suits and hates the government. And he makes me feel like he thinks I’m crazy. No joke, I tell him about the spiders and his eyes widen, almost in disbelief. Really? Like isn’t he the ONE person obligated to not make me feel crazy? Anyway, I suggested increasing my Seroquel. He decided to put me back on Abilify. I just got him to take me off of it a few months ago, and now I’m back on it.

Drugs Drugs Drugs!

It’s been five days and the side effects are certainly present. I don’t feel better yet. But I am hopeful. My next appointment with Dr. Plaid is in a couple of weeks, and I am to call him next week for an update. Until then, my upper body is tingling, my arms are tingling and restless, I feel lightheaded, and my body temperature is fluctuating. So far I’m not experiencing akathisia or twitches, like I did when starting Abilify last time. This is also a pretty low dose, so we’ll see.

 

Okay, thank you all for listening. I hope you all are well!  (I’m sorry this isn’t a better written post.)

 

 

Take a Chance with the Side Effect Dance

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I know I’ve written about side effects in the past, and this is one topic we all seem to be on the same page about. Side effects suck! My latest endeavor has been trying to lose weight. Over the last year, I have put on a bit of weight, and am having a more difficult time than usual in getting rid of it. I examined my timeline of events- I went on my current cocktail of Lithium, Abilify, and Seroquel about a year and a half ago. And then last fall/winter my wife was pregnant and I know I can attribute some of my tummy to joining her in prego eating. Okay, between those two variables, I put on about 30 pounds. I realize to some, this doesn’t seem extreme. However, I am only 5’1″ and I have a petite frame. None of my clothes fit. I feel uncomfortable. The CDC rates my BMI as overweight. Yeah it’s time to take action.

I gave up sweets and other junk food. I stopped drinking soda. I don’t eat red meat, and I adopted a strict regimen of vegetables and fruits and lean protein. Nothing fried enters my mouth. I exercise. After a few months of this lifestyle change, I dropped barely 5 pounds. I couldn’t believe that my weight was hardly moving despite my efforts. I was really discouraged and trying not to become depressed.

This is when I decided to go further, and research my medications. I learned that two of the three meds I’m on have a tendency to contribute to weight issues. These weight issues include gaining of weight, and/or difficulty in losing excess pounds. Immediately I flashed back to about 12 years ago when I was an inpatient in the psych hospital, and I had gained a good 30 pounds within a month’s time. But that time Depakote was the culprit. I never want to go back to that feeling again. So I knew at that moment I had to consult with my psychiatrist. I hate the way I look. I’m tired of feeling bloated. If I can’t look good, then I don’t feel good.

I decided to ask him about alternatives to Seroquel. This was scary because the Seroquel really does seem to be a miracle drug for me. I figured the Seroquel had to be the problem child since I am on a medium to high dose. I am on a very low dose of Abilify so I didn’t think it was contributing as much. When I went to my last appointment, I expressed my concerns and explained the efforts I have been trying. He asked me to honestly tell him which of the two helps me more. Of course his question presented a battle internally for me- my own self-fueled convictions say “Seroquel makes you fattest”- but I knew the truth, and that was Seroquel helps me the most. Nights when I don’t take it, I cannot sleep and the next few days I’m completely thrown off. If I skip Abilify, I barely notice. I was honest with him. Clearly this resulted in his decision to wean me off of Abilify, and continue my Seroquel.  He even informed me that Abilify is actually more prominent in weight issues than Seroquel, even at a low dose. He also mentioned that Zyprexa (which I had been on in the past) is not a good alternative to Seroquel when weight is a concern because it’s even worse thatn the other two.  He said to continue what I have been doing in regards to eating and exercise, and in a couple of months I should notice a difference in my weight.

So, it has been a week. I’m watching what I eat and weighing myself. I came off the Abilify pretty smoothly. At this point we shall see. I’ll keep posted. If anyone has any stories of weight gain as a side effect, please share!

 

Lithium’s Ugly Side Effect: Acne

Occasionally I bring up the topic of medication side effects, and this is one that affects my daily life. I’m referring to acne as an irritating side effect of Lithium. Screen shot 2014-02-03 at 5.38.09 PMLithium is the most widely used and studied medication for treating bipolar disorder. Lithium helps reduce the severity and frequency of mania and helps stabilize moods. It has a list of common side effects, including hand tremors, increased thirst, weight gain, drowsiness, muscle weakness, hair loss, decreased thyroid function, and acne.  While the side effects are not always easy to live with, Lithium can be a life-saving medication for so many people. The side effect I want to focus on is one that is often overlooked because it is not always considered medically troublesome. This side effect is acne.

I have been taking Lithium for almost a year and a half now and my skin hates me for it! Prior to taking this medication, I would have an occasional breakout, but nothing like I do now. At the time of being prescribed the Lithium, my psychiatrist didn’t really explain any side effects. I think this is due to the fact I was in crisis mode, suffering a severe mixed episode. He also prescribed two other medications to take with the Lithium, while discontinuing the meds I was already on. There was a lot of change going on and I probably wouldn’t have been able to fully comprehend anything too detailed anyway.

When I first started noticing my skin breaking out, I didn’t connect it to my medication. I used several different drugstore brand cleansers and ointments. I make sure to drink plenty of water and eat healthy. I wash twice a day and remove all makeup at night. I learned how to use concealer and other makeup tricks. I cried on occasion and I sometimes avoided going out with friends. My biggest problem wasn’t necessarily that I had the acne, but I really wanted to know why I had it. Then I started thinking that maybe things I put on my face aren’t working because it has to do with what I put in my body. The chemicals I put in my body. Since I don’t smoke or drink or anything like that, the only chemicals I’m really ingesting are my medications. After doing some research, I found that acne, sometimes chronic, is definitely a side effect of Lithium.

Not everyone who takes lithium develops acne, but many do. The reason lithium triggers acne is counterintuitive. It increases the activity of the immune system which in turn increases skin inflammation.

Lithium causes a condition called leukocytosis. The technical definition of leukocytosis is an increase in white blood cell (WBC) count due to any cause. When people who have bipolar affective disorder take lithium, the drug causes them to produce more stress hormones (which is actually a good thing) when they are depressed. These stress hormones make it easier to find the energy to function day by day.

Stress hormones in the skin, however, increase inflammation. They trigger the release of histamine from storage packets in the skin. Histamine is the same chemical that causes allergies. It breaks down skin cells or cells in the membranes lining the nose and throat to remove foreign bodies and germs. When the release of histamine is induced by stress, however, histamine destroys healthy tissue that has not been penetrated by foreign bodies or infected by germs. The result is redness, itching, and even pain in the skin that is worse in pores that are affected by acne. http://www.facingacne.com/lithium-acne/

Okay so now we have a cause for the ugly blemishes, but how do you get a handle on the situation?

If your acne is bothersome, decreasing your lithium dosage with your doctor’s consent can often help your skin improve. If that’s not possible, it’s best to consult a dermatologist about acne treatments, since lithium-induced pimples are generally harder to get rid of than other types of blemishes.

One possible treatment for this type of acne is tretinoin (Retin-A, Renova, Atralin), a topical drug that works by unclogging pores and promoting peeling of the affected skin. However, it is important to talk to your doctor about possible side effects before using this medication.

The drug isotretinoin (previously marketed as Accutane, but now available only as a generic) should be considered only if absolutely necessary, since its reported side effects include birth defects, depression, and psychosis (feelings of delusion and hallucination). This can be especially dangerous for someone with bipolar disorder. “You should proceed with caution so you don’t have some sort of manic or depressive episode,” says Amy Derick, MD, a dermatologist in Barrington, Ill.

Having a good anti-acne skin care routine can also be helpful in fighting breakouts while you are taking lithium. An over-the-counter cleansing product that contains salicylic acid, which reduces swelling and unclogs pores, should be used twice a day for optimum results.

When buying beauty products, such as moisturizer or foundation, be sure that the label says that the formula is “non-comedogenic,” meaning it has been formulated to not clog pores, which can lead to breakouts. Also, choose a sunscreen that uses titanium dioxide or zinc oxide as a physical barrier against the sun, rather than chemicals that absorb UV rays. “Those types of sunscreens are usually better for people who have acne problems,” Derick says.

Finally, try not to get too down about your acne. Some patients on lithium have found that their skin problems decrease after about six months of treatment, as their bodies adjust to the new medicine. “It can get better,” Derick says. http://www.everydayhealth.com/bipolar-disorder/when-lithium-causes-acne.aspx

So what am I going to do? While I would like to be able to decrease my Lithium, it simply isn’t an option. I will continue to practice healthy habits like washing twice a day, using clean towels and pillow cases, and eating healthy. I also ordered an acne cleansing system, Proactive Plus. (I do not endorse any products.) This product has gotten good reviews, so I figured it can’t hurt to give it a try. I don’t expect to get rid of the acne completely. I just want to feel attractive again. I hate being self conscious over my skin. I feel a little less stressed about my complexion since knowing the assumed cause of the issue. Hopefully this information helps out any of you with similar side effects.

Happy Bipolar Moment Friday

My bipolar moment came this morning when I accidentally took my PM meds in place of my AM meds. Let’s just say coffee is no match to a healthy dose of Seroquel. Of course the moment I swallowed it, I immediately panicked. I had to to get up and get ready for work. For those of you on Seroquel, you may be able to relate when I say this particular medication makes you extremely groggy and produces a sudden desperation for sleep. It’s great for nighttime. I get a decent 6-8 hours. Not great this morning. Upon my freak out, I darted off to the bathroom and attempted to vomit up the pill. It’s fair to say I could never make it as a bulimic. I literally lack the ability to throw up on the spot. Now I panicked a little more. No disposing of it, surely it has begun to creep into my bloodstream. Wishing for an anecdote, I took my regular morning meds, which consist of Lithium and Abilify. And Adderall. Yes, I am prescribed a low dose of Adderall for co-occurring ADHD. That’s it! I’ll take the stimulant, eat a sandwich, and guzzle some coffee. Still stressed that I would be very late for work and my boss would be displeased with my tardiness, I felt the drowsiness kick in. My only real option was to sleep it off. That’s what I did. And I took the max amount of Adderall I could take, downed some more coffee, made up a convincing excuse for my boss, and slid into the office three hours late. Happy bipolar moment Friday.

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Maybe Baby? Should I Consider a Bipolar Pregnancy?

I need some input on this one. My wife and I have been seriously discussing the notion of having my bipolar highness carry our second child. Yes, I’m aware this sounds presumptuous, considering our first won’t even be here until December, but it is well known that a great deal of preparation must go into a bipolar pregnancy. Because we are getting older, and because we want our brood to grow up close in age, it’s wise to consider all factors ahead of time. Not to mention that we are indeed, a lesbian couple with limited resources (ahem, readily available man ingredients), and the mere truth that there is a higher percentage of difficulty in getting pregnant via IUI or IVF. So, we are doing our research and talking openly. The process of fertilization aside, what we both feel most concerning is my bipolar disorder. This is the weighing factor. She supports me if I decide I want to do it, but she is wise to be cautious.  I’m scared and unsure, as well as confident I could do it if I really wanted. I go back and forth on the subject all the time. So I’ve decided to weigh it out here. Help me pick apart my bipolar pregnancy anxieties.
 
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I would have to come off of or significantly reduce my medications during pre-pregnancy.
As we learned with this current pregnancy, when going through intrauterine insemination (IUI), the months leading up to the actual insemination must be treated as carefully as if you were already pregnant. This is because the body is going through preparations, which may include fertility drugs, in order to promote healthy ovulation. What does this mean for the bipolar end? Well, it means weaning off of medications that could potentially be dangerous for a developing fetus. Mood stabilizers such as Lithium, or anti-convulsants, are known to cause severe birth defects. Other classes of medications include antipsychotics, which should be avoided due to lack of research, and tranquilizers or sedatives, which should be avoided, especially in the first trimester, also due to increased risk of congenital malformations.  Now, I know some researchers say certain things are alright to be on in low doses, but you have to remember it’s a timely and costly venture for us gay chicks to get knocked up. Why in the world would I dare to risk anything potentially hazardous to unborn baby? Why would anyone, really?
 
I would have to remain off of meds for several months during pregnancy.
Okay, you already know why I’d have to come off of medication. Common sense says I’d have to stay off for the duration of the 38-40 weeks of carrying the baby. And unless I decide not to breastfeed, I will have to remain off during the nursing months as well. My head spins a little further and I imagine life not on meds… To begin, what’s different already is that we’d have a little one around. I’d have to maintain parenting an almost two-year old, while my hormones are changing in ways I cannot even imagine, all while being off of the medication I rely on for stability. I would have to try not to destroy my marriage, become hopelessly depressed, fly away on a manic spree, or worse yet- develop psychosis. I’m not really sure what they do with a pregnant person in the mental hospital when you can’t consume the drugs. I can, however, imagine the manic version of nesting and it sounds quite colorful indeed!    
 
It’s scary to not be in control of potentially changing moods under the influence of hormonal changes.
The last thing I would want to do is jeopardize my family. My beautiful wife will be giving birth to our son in just two short months, and already I love him more than I imagined I ever could. We certainly want to add on to our family and I consider my role in doing just that. I think about what I contribute now. I work a steady job, I do my share to keep the house clean and put together, I take care of our many loving pets, and I try my best to be a good wife. I’m able to play these roles because I am on a strict medication regimen, I am in touch with my triggers, my body, and my mind. Have I had major episodes that were beyond my control? Absolutely. And yes, they impaired each of these roles significantly. Now, if I were carrying a baby, off of medication, I wonder how I would be affected by the many hormonal changes that come along with pregnancy. I would need to have prepared some coping techniques for when things seem out of control. Part of my preparation would be to have an outlet, where I could put my energy in the case of a trigger, to help steer me back on track. Maintaining some area of control would be imperative, not only for me, but for the growing baby, and my family as well. 
 
The heart-wrenching feeling that I could be passing my bipolar to my baby. And knowing it.
While no exact gene can be determined as of yet, researchers have found that a child with a parent diagnosed with bipolar disorder, can be somewhere around 50% more likely to also have bipolar disorder or some other psychiatric illness. Whoa. Ok let’s be real for a minute. No parent would ever want their child to have to suffer from any type of illness, medical or psychiatric. So part of me feels like I would knowingly be putting this baby at risk for developing bipolar. Is that irrational? (Is it bad that I can’t tell if it’s irrational?) Maybe my anxieties are taking a toll, but I want to be a good mother. And I know that starts at pre-conception. That baby would have an increased risk of developing bipolar growing in me, as opposed to a safer route, and having my wife carry all of our babies. (Which I’m totally okay with too- she is ADORABLE pregnant!) 
 
Postpartum instability and re-entering the drug sphere.
Say I do manage to get through pregnancy and childbirth, med-free, family still likes me, etc. Okay, now the hormones take a whole new shift postpartum, often causing changes in mood. Some women fall into a depression, others become incessantly irritable or have crying spells. I may or may not have these issues, but it’s good to be aware of the flood of hormones. Now, judging from my own illness, my past, what has and hasn’t worked for me, I will be going back on medication. The thoughts in my mind, however, include What if my old meds don’t work for me anymore? Do I have to start over? I don’t want to go through trial and error while caring for a newborn, Is it okay to not breast feed?  I guess there are probably a million more things that will take over my brain if I did go through the process, but each of these are important questions to be answered. 
 
In a way, it is selfish of me to carry a child.
Perhaps I’m over thinking, but on one hand, I look at hetero couples, with a man and a woman, and I think there is only one womb, only one of them can carry a baby. If the woman in that relationship has bipolar disorder, then do they have a bigger dilemma than us? Would it be selfish of me to want to carry a child when my relationship has another perfectly good womb in which plant a seed? This is one of the toughest decisions I’ve ever been faced with. And while I don’t need to know today, I eventually need to make my decision. My wife is very understanding either way, and is in no way pressuring me, which I truly appreciate. She is, also, more than happy to carry again. Part of my brain looks at the cautions and repercussions involved with me taking on pregnancy. Then, a teensy part of my mixed up brain realizes that other bipolar moms have accomplished this remarkable task and came out of it better than ever.
 
If anyone has gone through this or if you have any any advice, thoughts, anything- I’d really like some input! 
 

Information on Bipolar Disorder

I thought this was a pretty clear breakdown of bipolar disorder.

Bipolar Disorder Diagnosis

A Short Bipolar Disorder Summary 
Bipolar disorder, is a serious brain disorder. Also known as manic-depressive illness, it is a mental illness involving episodes of serious mania and depression. The person’s mood usually swings from overly “high” and irritable to sad and hopeless, and then back again, with periods of normal mood in between.

Bipolar disorder typically begins in adolescence or early adulthood and continues throughout life. It is often not recognized as an illness and people who have it may suffer needlessly for years or even decades.

ImageEffective treatments are available that greatly alleviate the suffering caused by bipolar disorder and can usually prevent its devastating complications. These include marital breakups, job loss, alcohol and drug abuse, and suicide.

Facts about bipolar disorder:

  • Manic-depressive illness has a devastating impact on many people.
  • At least 2 million Americans suffer from manic-depressive illness. For those afflicted with the illness, it is…

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Medication Report!

I’m writing this to check in, with myself mostly, but also with those of you taking medication for Bipolar Disorder. It has been almost one year on my current cocktail of Lithium, Seroquel, and Abilify. As a reminder, I was put on (varying doses) of this combo after a terrible mixed episode last fall. In the beginning it was considerably difficult to build a new med routine since I was so used to taking only Trileptal twice a day. But with the assistance of my amazing wife, I was able to get on board. After about 6 months, I even began sorting and distributing them myself. I know many of you know what a small victory that can be!

Medication management can be challenging. Important factors include making sure each script is filled, that you have enough for tomorrow, how many you are taking, how often, knowing what to do if you forget to take it, being aware of and dealing with side effects, whether you need to have blood drawn or not, having effective communication with your doctor and pharmacist, and of course being able to monitor how your meds are affecting you. Whew! It really helps to have someone close to you that you can talk about your medications with, or that can lend a hand in monitoring and managing your meds. Also, utilizing calendars or alarms on your cell phone (like I do!) to remind you what time to take your pills is really handy. Developing a solid routine that works for your schedule is important so taking your meds becomes like second nature.

These are just a few tips I picked up within the last year that have worked for me. So far, I am doing well, and I feel pretty stable. There will always be ups and downs and mood swings, but the medication change was definitely necessary and saved me from a trip to the hospital. Every so often we all need to check in with ourselves and take personal medication inventory.

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Thoughts on Bipolar and Cannabis

I just smoked a joint in a thunderstorm. I don’t fancy storms and I cry like a fucking baby if I have to endure them. I occasionally use pot to ease my Bipolar moods and mellow me out when I’m a little too up. Some researchers say it is beneficial to relieving Bipolar symptoms, while others feel marijuana only worsens it. I don’t know about you, but I’m pro-cannabis. And indeed, today, it relaxed me during a horrible storm. While smoking an occasional joint eases my hyperness & clears my head, it also enhances my creative side. I can produce ideas more organically, without all the extra head noise distraction. I suppose there is one drawback and that is once it has worn off, I seem to have a lack of memory for the things I come up with. But whether I create or not, I feel calm and in control. Maybe you or someone you know also uses cannabis for your Bipolar treatment.

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