Clozapine Rechallenge – Day 6

Clozapine Rechallenge – Day 6

My psychiatrist is having stay at 75mg for a bit because of the side effects I’ve been having. Last night I only woke up once, at 3:00am, and then I was able to go back to sleep without a problem. That was amazing! When I woke up this morning, I didn’t have any of the side effects that I’ve been having previously.

I actually feel pretty good, except when I breathe deep, my chest hurts a little. I don’t think it’s anything. I got my blood test back, there are a few things that are above normal, including my white blood cell count, but I don’t know what that means. I will just have to wait to find out from my doctor. I tried to do research to figure it out, but I still don’t know what it all means. No matter what, I feel better today than I have since I started this medication.

Clozapine Rechallenge – Day 5

Clozapine Rechallenge – Day 5

Today is day 5 of the Clozapine rechallenge. I took 75mg again last night as instructed. My psychiatrist didn’t want we to increase the dose because of yesterday’s side effects. I’m sleeping a little better; I slept for a couple hours in bed and then I came out to the couch where I was able to sleep a couple additional hours straight through. Then I also dealt with sleep on and off for a few hours, but this is still improvement from what it used to be, and that’s all I care about.

Today I have some muscle soreness again, but not as bad as yesterday. My soreness did improve yesterday as the day went on. My psychiatrist had me take my temperature to make sure there was no fever, and it was low at 97.2, which is good. My temperature today is 98.3, which is still good. I get a little dizzy if I stand up to quickly, so I just need to be cautious.

I go and get my weekly blood work done again today. My psychiatrist wrote me a new lab form to hopefully prevent the issues we had last week with my pharmacist obtaining the results.

Productivity with Bipolar Disorder

Productivity with Bipolar Disorder

Being productive can be an extremely difficult task for those with bipolar disorder depending on their mood. Personally, I have no problem maintaining productivity when I’m manic. In fact, I can’t sit still during manic episodes; I’m always finding something to do. However, staying productive during a depressive episode is one of the most difficult challenges I face; it can even be difficult at times when I’m feeling well. I use the following techniques to help me stay productive and organized:

  • I make a to-do list every day. During depressive episodes, I write down some of the smallest tasks such as make the bed, feed the dog, brush my teeth, etc. Writing these things down helps me to see how much I actually get done every day. Once I complete a task, I cross it off my list; this shows me all of the things I’ve done each day.
  • When I’m really struggling with depression, I write down some tasks on my to-do list that I’ve already completed and cross them off. Then I can look at my list and feel more productive.
  • To-do lists not only help me stay productive, but they also help me remain organized. My mind tends to get easily distracted, so organizational skills are extremely important for me.
  • Taking medications regularly is vital. Our doctors prescribe these to us for a good reason; the meds can only really help us if we take them regularly, as prescribed.
  • Keeping a regular routine is also extremely important. This includes waking up and going to bed at the same time, showering at the same time, eating at the same times every day, setting aside a specific time each day to call friends or family, and working out at the same time every day are some examples of learning to keep a routine schedule.
  • A good night’s sleep is extremely important. It helps us to stay healthy. It’s important to sleep in bed instead of on the couch, and it’s also important in my experience to sleep at least 7 hours. If only I could follow my own advise for this one. Sleeping is something that’s easier said than done, but we can generally be more productive when we’re not tired all day long.
  • Exercise helps us feel good, and when we feel good, we are more productive. Walking the dog is a great form of exercise. Sometimes, all I can do is walk around the house, but it’s better than nothing. Sometimes I can do workout videos, but it’s not necessary to push yourself to do that much, as long as you do something.
  • Eating healthy is important. This is another one of my struggles. I tend to eat things that are easy to grab; or when I cook it’s generally unhealthy but tasty.

These suggestions are what I use to stay productive and feeling healthy. The to-do lists and taking medications are the things that work the best for me. I know I need to improve with the other healthy habits. They don’t always work, but it’s better when I try. Please remember that these suggestions are just from another person diagnosed with bipolar disorder, none of this information is from a doctor or medical professional.

Clozapine Rechallenge – Day 2

Clozapine Rechallenge – Day 2

Last night I took 50mg, as instructed. I had some problems falling asleep because I couldn’t breathe; I actually had to go get my inhaler and sit upright for about an hour. It’s a sign of an anxiety attack, except for the fact that I didn’t feel much anxiety. However, once I was finally able to fall asleep, I slept! I actually slept about 6 or 7 hours, and the best part is that I slept straight through the night! That almost never happens to me, I’m so excited.

Once I woke up, I noticed that I was a bit unsteady, but only if I bent over or was too active. So I’ve asked for help with things, and my husband was more than happy to assist me. I also noticed that I’m slurring some of my words, and I did wake up with a sore throat. The longer I’m awake, the better I feel. Both of these things are side effects of Clozapine. I will inform my psychiatrist, but I do not want to quit this medication so quickly. I’m prepared to tough it out.

Knowing Your Symptoms – Staying Ahead of the Episodes

Knowing Your Symptoms – Staying Ahead of the Episodes

I decide to look up from my screen this morning and I see the beautiful image of a sunrise. Without even realizing it, I stayed awake all night long. This was not done on purpose. In fact, I took all of my nighttime prescriptions and supplements like I always do. I’m not sleeping as well as I normally do, but at least I’m usually sleeping. Last night, however, I hope was an anomaly. I finally fell asleep around 8:15am and woke up at 10:00am. Something was off and I’d like to know what it was so I can avoid it in the future. Was last night a symptom or just a bad night? Everyone has bad nights on occasion.

My mind wanders constantly, I don’t need/want as much sleep as I’m used to, my energy is greatly increased, I’m dealing with auditory hallucinations, and I feel a bit more restless than normal. These all appear to be manic symptoms. However, I also have increased anxiety/panic, I’m indecisive, I feel worthless and pathetic, and I’ve had ongoing suicidal ideations. These seem to be depressive symptoms. I have learned over the years, through both manic and depressive episodes, to pay attention to my symptoms. It’s important to be able to tell your psychiatrist what symptoms you are experiencing, when they began, and how severe they are. I have currently been dealing with most of these symptoms for months, but the restlessness, wandering mind, and increased energy are new within the past couple weeks.

Knowing and keeping track of your symptoms can help you stay ahead of the episodes; at least that’s my experience. Sometimes I’m not aware of my own symptoms, so my husband or the rest of my family tell me what they see. Since my sleep has been so terrible lately, especially last night, I am concerned that it will enhance my other symptoms. All I can do to stay proactive is to be aware and then report the changes to my doctor. I can’t control the symptoms, but it’s important to bring them to the attention of my doctor. However, almost every time a new symptom happens, I tend to wait weeks or months before saying something, thinking that I can handle it on my own. I don’t like going through medication changes and new treatments. I already know that I’m coming up on a medication change next week. I have to decide between Clozaril and IV Ketamine by Tuesday, so my mind says, ‘What’s the point in saying anything if I’m already facing a med change?’ This is not a logical thought, but it is what goes through my mind. It’s possible these symptoms are brought on by the stress of choosing a new form of treatment and/or the loss of an old friend. I know the right thing to do, but I tend to procrastinate. My doctor already knows everything except how bad the sleep has really become. I can commit now that I will update him by Tuesday at the latest when I give him my answer regarding the new treatment.