Sunday, January 18, 2009

Discouraging Medication Updates

Odds-and-ends reports on the medications:

The temazepam (prescribed to try to get rid of the bad dreams I've been having from the Prozac) was 15 mg capsules, take 1-2. I tried 15 mg the first night, and 30 mg for each of the next two nights. No effect on dreams; made me disoriented in the night; and I was groggy in the morning. Fail. So I called my doctor's "med line" and left a message asking to try something else. I called on Friday the 9th, and the med line takes 2-3 business days, so I was hoping to have something new to try by mid-week the next week.

I tried taking an Ambien on the fourth night, to see what that would be like---but although it knocked me out very pleasantly (I hate the "trying to fall asleep" part, and Ambien eliminates it), I still dreamed that I'd been given a position of political power in India, and that this position came with a house, and so I toured the house and I saw every linoleum/carpet pattern and every knick-knack, and then a couple of the little kids got into the cat litter box and I had to clean them up while all my advisors/committee peeps waited for me in the parlor, and I saw myself in the mirror and my hair was dark brown (this was before I'd colored it). So Ambien fails too.

Meanwhile, I've been sleepy a lot during the day, maybe because of the dreams, but maybe because of the Prozac timing: the psychiatrist suggested taking it in the morning with breakfast. So I started taking it at bedtime instead of at breakfast, to see if that changes anything.

On Friday the 16th, I realized it had been a week and no action from the doctor, so I called again. This time a nurse called me back and said that temazepam takes 1-2 weeks to work. This seemed unlikely to me for an -azepam drug, which I think of as being as-needed and also as losing effectiveness as the person gets more accustomed to them, but she is the one who works as a psychiatric nurse and I am the one taking psychiatric meds, so I think she has better creds than I do.

That night I took a temazepam, 15 mg dose. In the middle of the night, one of the kids cried, and I launched out of bed as usual---and the world spun and the hope chest smacked me in the hip as the floor came up to smack me in the face. Mike got up to deal with the crying child while I sat there wondering who'd shoved the world, and then I moved my head and everything spun again. In the morning I was still so dizzy I couldn't walk without holding onto things and keeping my head steady and low. It wore off mostly by the time I was eating breakfast, and I had just slight dizziness periodically for the next few hours.

My theories:
1. Not a good idea to swallow the Prozac WITH the temazepam, both at the same time.
2. Temazepam may not be a good choice for me.

Furthermore, I still had awful dreams. I dreamed that people were tripping and falling, and that if they fell on a certain strip of sidewalk they would smash and die. There was a body on the sidewalk, all smashed. I was walking very carefully.

I also dreamed that I was looking for a bathroom, but all the bathrooms were unusable. I thought to myself, "Oh, hey! That means I'm dreaming, and that I need to pee! I'll wake myself up!" And I tried a bunch of stuff and nothing worked, and I felt panicked and trapped in the dream.

I also dreamed that we moved into a new house, and that a few days later plants started poking through all over the walls and ceilings. I dreamed that I went to stay in a motel when the plants started lunging for me, and our motel was attacked by a gang with guns who took all our valuable things including my medication, and that I was fretting because the psychiatrist was NEVER going to believe this and she'd think I was a total drug-seeker.

I didn't take the temazepam last night, and I didn't take the Prozac either. I'm going to switch my Prozac back to morning, and then after a few days I'll give the temazepam another shot. If it still makes me FALL DOWN, I'm calling it a FAIL.

I'm about to stop taking the Prozac entirely (I mean, under the supervision of the doctor---I know not to just quit it) if the dreams keep up. It's like seeing a double-feature scary movie every night, and I HATE scary movies.

12 comments:

  1. I'd definitely talk you the actual doctor about this. A mother of five who is home alone part of the day can't afford to be dizzy enough to fall and get knocked out.

    I'm sorry you're dealing with these dreams. I'm one of those people that dream but it's always goofy stuff and I rarely remember it within seconds of waking up, if I dream at all. This would be maddening.

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  2. I'm so frustrated for you.
    I take 0.5mg of Alprazolam (Xanax) at night and have no trouble at all, except for the ocassional bouts of insomnia still, but that's something I just live with. I tried Ambien once, but when I took it one night and my husband had to guide me to bed, undress me and put me in pj's and I didn't remember anything the next morning, that was all she wrote for that!
    Have you kept any sort of dream journal with all these crazies? I know you've written a lot of them here, but you may want to write them down and take them to your doctor the next time you go - a lot of sleep therapists recommend keeping this type of journal and since you're seeing a psych doctor, I'd think he'd be very interested to know the type and consistency of weird, bothersome dreams you've been having.
    It's the doctor's job to find the right combo of pills for you and also his job to make you feel better. I hope you'll get some relief soon, because this has been going on waaaay too long.
    And by the way, my pharmacy treats me like a drug-seeker - my doctor does not. I hate them.

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  3. I so sorry to hear that it's not going well.

    I realize that it's not always helpful to hear about OTHER'S medications, but here's one anyhow.

    I've had terrible, horrible sleep issues for DECADES. I tried everything-- like seriously. I even signed myself up for a sleep disorder clinic at a hospital. All those typical sleep meds, Ambien/ lunesta, etc., didn't do anything but let make me terribly groggy and clumsy.

    So, because I have a-- um-- deep family history of mental illness, I knew some about a few drugs I HADN'T tried. I specifically requested Trazodone (Desyrel) in 50mg tabs. It's the only thing-- ONLY THING-- that has ever truly worked for me. Plus, it's one that you can be on long-term. Non-addictive, but it's actually a mild anti-depressant, so you want to go on it for more than a few weeks, and stay on it for as long as needed. I had NO DREAMS when on trazodone, which can be good and bad.

    The catch is that, for a whole week when you first go on it, it makes you feel like you have a hangover until about 1pm. That SUCKS, but it goes away, or at least it did for me. Afte 5-7 days, I had no side effects. I've been on it at various times in my life from anywhere from 6 weeks to a 15 months. Also, it's cheap. My out-of-pocket cost is $3 for 30 days.

    Obviously, that's just MY experience, but I felt like if it would be worth a try for you, then I might as well throw it out there.

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  4. Prozac can be pretty nasty for some people. I know my ex had issues taking it. I'm not sure about sleep drugs. I was given *insert I forget the name of said medication* a med that was to stop my mind from racing and is used for depression and bi polar with no side effects other a peaceful nights rest. Oh, it's called Abilify. I'm not sure a psych would prescribe it to you -- but I thought it was wonderful! LOL

    I would think that with your strong reaction it would be best not to combine the two and perhaps the doctor can prescribe a different type of drug. My two "favorites" were Celexa (which caused some car sickness and also caused some barfy-feelings the first month -- took in PM) and Wellbutrin (which gave me no side effects and was wonderfully affective). I've heard that Lexapro (sister drug of Celexa) is good as well.

    As much as I know you don't want to play the drug game and try this and then that -- it really does help you find something that works well without causing you problems.

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  5. This may not help you but I've taken temazepam twice, both times it knocked me out for 12 hours and I woke up feeling great. All the drug information I've read suggests temazepam is designed for short term use only (7-10 days) because it can be addictive - that doesn't really add up with the 'wait 1-2 weeks' advice you were given by the nurse.

    Don't give up yet - there are lots of sleep medications out there, you just have to find the right one :)

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  6. Erin- You know what's weird, is I thought she said she WAS prescribing Trazodone. But then she said the generic was temazepam. And I've worked in a pharmacy, so I was pretty sure that wasn't right, but on the other hand that was more than 4 years ago and I thought I was just mixing up a few of the similar-sounding medications.

    I looked up both Trazodone and temazepam online, and Trazodone sounds like what she described to me, and temazepam sounds TOTALLY WRONG for the "take it every night" thing she told me to do and the "it takes a couple weeks" thing the nurse said, whereas both of those sound RIGHT for Trazodone.

    What surprises me is that the nurse ALSO seems to have gotten them swapped. I think I'm going to have to call again, and this time I'll be all "nervous because the pamphlet says not to take it for more than 7-10 days" (which it does), and hope that jogs their minds to wonder what's up.

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  7. wow, given that you need to be on the phone to them to clarify. (I know, the phone is hard for you, I really sympathize since I have that trouble often too).

    But the falling down? Plus no relief from the dreams? = FAIL ... plus the confusion.

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  8. It might be the Pill itself that's causing all the mood issues in the first place (at least that's the way it was with me). Maybe taking a vacation from ALL the medication (hubby will just have to DEAL) will make you feel light-years better.

    I was on the pill for several years, and miserable the entire time: depression, mood swings, anxiety-the whole kit and caboodle. I went off it and felt SO. MUCH. BETTER.

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  9. I'm sorry you're having these problems. I hope your doctor can help you straighten things out.

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  10. OMG, I need to be a Constance. I just found you via Google Reader (of all places!)

    Will look at your numbers to see which Constance I can be. And I'm posting anonymously, but trust me, I've been blogging for almost five years and my writing has suffered because of too many family (*cough* or ex-family) members knowing about my blog!

    Mwah! I love you for this! And my word is "prizes"; how often do you get a real word in your Blogger captcha?

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  11. Also, pardon my enthusiasm on a post that's obviously not a light one. I have read your other blog and know a bit about you, but just discovered this facet of you.

    "deurnyin" is my word this time, and that sounds like a pharmaceutical. Sigh.

    -Same anonymous as just above.

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