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Orianna

580d

So, I'm on the same meds since I was 16 (I tried a lot before them but I don't remember what). It took some pretty insane dosages, like 600mg of the seroquel (it was 800mg but when I switched doctors a couple docs ago the new one wasn't comfortable prescribing that much) for example. I take them exactly as prescribed, no missed doses. As a result, no hallucinations or delusions, no insane highs and lows. They work great. Problem is, the help they give is not with its cost. One of the great things about having the symptoms controlled is that it opens a world of possibilities, such as maybe having a job. But the side effects of the meds are just as debilitating. Hand tremors and body jerks make me slow at tasks. My reflexes are dulled, which makes driving dicey. I get randomly doped up in the middle of the day with no warning. I'm out for anywhere from 10 to 14 hours after I take them. There's also been a marked effect on my memory. My short term memory is terrible, but also giant swathes of my life are just gone. What I do remember I can't really connect to, like they were stories from someone else's life instead of things I lived through and had emotions about. And if my stress levels get too high, not even the meds are enough to keep the panic from triggering the self-destruction I was so tied to when I was younger. Luckily, I've at least developed tactics to deal with that which essentially means divorcing my conscious brain from my body so the body can go on autopilot (or just go lie in bed till it passes) and the head can rage on without what happens there influence my actions. My point is, I've tried working and, long story short, I nearly died. A lot of health stuff became complicated after a year or two of picking going to work over eating because there wasn't time for both and since the meds knock me out it's not like I could just wake up a bit early and work tired. I ended up septic, in kidney failure, from a UTI that got out of hand. The side effects of the meds greatly interfered with the job but the job was kind of crappy anyway. But it was my first job if you don't count the cookie store in high school. And now I live with my parents and I'm trying to get back on SSI, but there's this problem I'm having. I don't know if the failure is on me and the condition and the neds, or if it's squarely pinned on the specific company I worked for. I have no other work experience to compare it to. But I do know that living your life making no meaningful contribution to society, being fully supported by others, is a crap way to live if you don't have to. I'd love to try working again, at least see if the problem is that the company sucked or that I just can't work, but having worked the first job is already making it difficult to get back on disability. For as long as I'm tied to these specific meds with these specific side effects, it's not a risk I can afford to take. I've been on these meds for so long, over 20 years, and they work. But medicine has advanced in 20 years. Maybe there are solutions out there with fewr side effects, something that would allow me to work. But what if I try them and they don't work? If I get off of these to try others, can I be sure that getting back on them would be as effective as they currently are? How do you make that kind of decision? The meds don't completely fix whats wrong but I haven't had to deal with my condition at its worst in so long and I know I go into a fairly painful withdrawal if I'm 4-5 hours late taking the meds so I'd have to weather that, too. All in all, it sounds like a bad idea... but the notion of being independent, being out accomplishing things, making my own money... hell, even just getting some of those hours I have stolen from me every night... is that worth the risk, I wonder? Do any of you have experiences with being on working treatments and then switching them out for new developments in later years, that you would be willing to share? Did it go well for you? If not, were you able to get back on what previously worked and did it still work?

Top reply
    • AsianSunshine

      577d

      @Appleicous I take 400 mg

    • DitsyDiabetic

      577d

      I really like my Vraylar for bp1…. Works really well and almost no side effects. I’m on a pretty high dosage, but it enables me to keep my job, even with my nasty 3-way mental health cocktail i got. Also if you want to talk to someone my inbox is open 💜

    • cjness

      577d

      Ask about Zyprexa. It works very well for me. I tried a lot before I got on zyprexa. I also think you could definitely try a new job, especially if you try a new med. Also, they have a new zyprexa called Lybalvi that is zyprexa with another agent to avoid weight gain.

    • Orianna

      578d

      Mama says just cold quitting one of my meds could give me a heart attack, but I'm not sure which because there's 4 of them. But I do know that when I was trying to work, if I had a night shift I couldn't take the meds till I got home so around 1-2 in the morning the withdrawal symptoms would start. I'd go on autopilot, kind of split brain from body so the body could keep working and the mind couldn't make me do stupid things... but it freaked out my coworkers to watch me zombie shuffle. After the first few times, i told them not to worry, that I didn't need to have my hand held, I was more capable than I appeared, I was pretty sure I wasn't going to trip over stuff and get hurt. But just being 4 to 5 hours late is enough to start that withdrawal, and by 8 hours late it was agony, physically and mentally. But I had a job, right? Couldn't just stop working. But it was decisions like that, or having to choose between going to work or eating. So I lost like 40 lbs, ended up septic and kidney failure, had to go to the hospital, I quit the job in like 2019 and my appetite still hasn't returned to normal. Which is what's so extremely frustrating about the fight to get back on SSI. What should be a shining example, absolute proof I can't work, is the very thing that's getting me denied. Well, we also think something in the papers my doctor filled out. The denial letter from the judge mentioned such things as the tidiness of my physical appearance but she never actually saw me, it was on the phone. The only person who saw me was my doctor and he sees me four times a year to check on the meds etc. He filled out 16 pages of info on me and sent it in, so it had to come from that, (mama said the person the denial described didn't even sound like me), but when I told my doc it had been denied, he was shocked because he was of the opinion that what he wrote was a ringing endorsement that I can't work and should be on disability. Honestly, more than anything I think it's the meds causing the problem. When I got on SSI before, at 23, I was on three of them including the seroquel but at lower dosages. They weren't quite getting the job done. I had to withdrawal medically from college, so mama took me to apply for disability to get my meds because Tricare stops covering military kids who go to college at age 23. Long story short, we didn't have to fight for it. I was a wreck. They approved it and established my mother as a representative payee. But now I'm on the higher doses and not totally asymptomatic but I can pass as normal except in extreme stress (like the job, omg I could tell you some messed up stuff about that job). The condition itself is contained enough by the meds that it isn't actually the part keeping me from working. It's the side effects. But I can't just quit the meds, slowly or cold turkey, because then the symptoms would come back and the condition itself would once again be the cause of my inability to work, only I'll be miserable, hallucinating, delusional, depressed/manic while not working. So the meds fool them into underestimating the seriousness of my condition because they've never seen me unmedicated. Hell, all of my records from before the time I was on disability, my current doctor doesn't even have because like 5 doctors ago I signed release after release to get my old records from my previous doctor but they were never able to get it. So no doctor since has access to the parts of my records dealing with my diagnosis of schizoaffective bipolar type or me unmedicatex. My mother has some paperwork from the hospital where I received the meds for the first time which at least lists the diagnosis, so we brought a copy of that to my current doctor... but that's it. He never saw me anything less than fully medicated with my symptoms largely controlled. The people making the disability determination haven't seen me less than fully medicated and the only thing they have of the records up to age 20 or so is the paperwork mama got from the hospital, so it's like all of the stuff that got me so readily approved 15 years ago. I may actually have to have my doc wean me off of them just to prove to the disability determination department that there's actually something wrong with me. But after the experience of withdrawal symptoms at work, and that one time I had to go two days taking only half dose of seroquel, the thought of weaning off terrifies me. Is a residential like a psychiatric hospital? Or is residential more like where they send people for rehab from drugs and alcohol? That seems like a place where they'd know how to deal with withdrawals.

      • Appleicous

        577d

        @Orianna It was a residential place in California where you had more control over what your taking than a psychiatric hospital.

    • Appleicous

      578d

      I had go to a residential for 77 days to detox from the Neurontin which was really tough. My withdrawal symptoms were too severe to keep tapering at home. I’ve been at the lower dose for two months.

    • Orianna

      578d

      Yeah, I've been at this dose for about 8 years, when I first started it in the hospital at age 16 (late 90s, early aughts) it was just 300mg but they just kept upping it over the years. My current doctor's solution to the tremors is propranolol, which is a small improvement over doing nothing at all. In the past, I started suffering bizarre vascular issues in my left foot, ankle, and lower leg in winter. It took a few winters to figure out that it was vasculitis (inflammation in the small and medium blood vessels) causing the swelling, pain, and necrotic tissue... and we couldn't figure out what caused it, though we eliminated several super-serious things, such as lupus and hepatitis and hiv, we were never able to figure out what did cause it. I used to smoke and that can do it (so I quit). But some of the meds I'm on can cause it too and there's no way they can really test for that. My point in bringing this up is that at that time when I had holes rotting in my foot from lack of blood flow, my doctor said that even if we could prove beyond any doubt that the meds were to blame, I'm doing so well on them that they didn't want to change them. So I don't know if I'll be able to convince my doctor. Granted, that was like two doctors ago. This one might feel differently. My dad seems to think that when I hit menopause in a couple years there's a chance it'll change my brain chemistry somewhat and that I might not need the meds, or at least not as many. I don't know what his source is on that though. He's a biologist and also did pharmacy and doctor stuff in the navy, but none of that was psychiatric stuff. On the other hand, he's an excellent researcher so maybe he's right? I'm not familiar with neurontin but 2500mg sounds insane. 400mg is definitely a step down, but if it's enough to alleviate your brain fog and eliminate your tremors but still get the job done, that's seriously awesome. If you don't mind me asking, how long have you been at the lower dosage?

    • Appleicous

      579d

      That is an insane dose of Seroquel to be taking. I’m taking only 25mg of Seroquel at night and it seems to work well and help me get sleep so that I don’t go into mania with no side effects. If I were you I would taper down on the dosage to minimize side effects. I had to taper off Neurontin this summer,I was on 2500mg for 2 years and I got it down to 400mg, Although I did experience bad withdrawal symptoms, I can think clearer at a lower dose and it got rid of my tremors.

      • AsianSunshine

        577d

        @Appleicous I take 400 mg

☝ This content is generated by our users and it is not a substitute for professional medical advice. Please consult with your physician before making any medical decision

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