Thursday, July 28, 2011

Day 20, 50 mgs: GI issues, sleep, and ... feeling cheerful?

Yesterday I was having some GI issues -- gassy, bloated, and constipated.  Also some heartburn.  I've been a bit constipated since going up to 50 mgs, but I don't know if the other issues were med related or not.  I didn't eat anything out of the ordinary.

My mood is definitely improving.  The pattern seems to be that I start the morning slightly low in terms of energy and mood (by which I mean I feel more "meh" than "neutral".  Put THAT in your DSM and smoke it).  Throughout the day, my mood rises, until by late afternoon or evening I sometimes feel downright cheerful.  For a cynical bastard such as myself, this is a bit alarming.

Something which I find concerning is that my mood and mental energy seem highest at midnight or so.  My thoughts aren't racing, not exactly; but they are certainly churning.  They make it hard to sleep.  They're not worried, anxious, or depressive thoughts at all -- last night it was wondering whether the best way to get a human-powered mission to Mars would involve building a series of staging stations between here and there (yes, I've been obsessing about the space program lately).

I'm only averaging seven hours of sleep, and even though I'm physically tired at night, my thoughts are keeping me awake.  I'm concerned about these meds tipping me into some sort of manic situation or another psychotic episode.  I don't feel I'm anywhere near there, but on the other hand, I'm eventually supposed to go up to 150 mgs of Lamictal eventually.

I need to keep in mind that sleep isn't just about my medications.  I've been taking a break from my weightlifting routine this week because my carpal tunnel syndrome is acting up (which is why I'm sitting here typing instead!).  I was also having trouble with one of my ankles -- I don't know what I did to it, but whatever it was, it's taken running off the table.  Not exercising means less physical fatigue means trouble sleeping.

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