My psychiatrist emailed me to let me know that my blood work has improved, but it’s still not where he wants it to be. I take Cytomel, a thyroid medication, even though I don’t have a thyroid problem. There have been some studies in the past few years that show high doses of thyroid hormones can act as a mood stabilizer for bipolar depression patients. However, taking this medication has thrown off my thyroid level, so we’re working at finding the right dose that will help as a mood stabilizer and not mess up my thyroid levels. He is increasing my Cytomel and I will do more blood work in one month to see if it has helped. I always get nervous every time there is a medication change or dose increase/decrease.
Last night was the first night of my Clozapine dosage increase. I only went up by 25mg. I knew I was going to be doing this increase for almost two weeks; it’s about time I was finally able to start it. My psychiatrist told me to keep an eye out for fevers, dizziness, or other similar symptoms. Hopefully that won’t happen this time.
As I was looking at the side effects for Clozapine and weight gain was one of the bigger ones. Maybe that explains why I’ve gained and keep gaining weight. I keep trying to lose weight, but it’s not working. The Clozapine is working against me. I hate meds that cause weight gain, it’s not fair. Not like much of anything is fair, but sometimes it feels as if I have to choose between the ability to control my weight and the possibility of being stable.
I think that the Clozapine has been working for me. I want to give it a real try before giving up on it. I will follow through with the next two months of increase until I’m finally able to double my dose. The question is, how am I going to be able to control my weight? At least my husband is helpful and supportive. I’ve gained and lost weight many times in my life. I can do it again this time. I just don’t want to keep gaining weight right now. I’m ready to lose the weight.
Last night I increased my dose to 75mg, per the request of my psychiatrist. I slept a couple hours in the bedroom before coming out to the couch; at that point, I was in and out for the rest of the night. At least I’m getting 6 or 7 hours of sleep each night, even if I can’t sleep through the night, it’s better than nothing.
The only side effect that I seem to have today is that my whole body is sore. Every muscle hurts, as if I just did a major workout a couple days ago, but I didn’t. It seems that this rechallenge is going pretty well. I will schedule an appointment with the lab to get my blood work done again tomorrow.