Cyclothymia or Bipolar.

Signs of the lows/highs point to confirming Bipolar, the fact that I remain in control most of the time could point to Cyclothymia….

Such lows/highs as I have are rare with Cyclothymia though.

On the other hand I haven’t totally lost it as some people can on a high with Bipolar… yet. (note 2.2)
Point to consider for remaining in control – back and forth:

1. Noted as child I was obsessed with patterns, creating half a pattern and then having to complete the other half with perfect symmetry, points to a coping mechanism for a difficult childhood and long standing problems, self created and developed coping mechanisms for mental problems from an early age…

2. I am at a key age, 31, medically at 30 your brain is fully developed and it will not progress any further, it is only downhill (brain wise) from 30 on a development stand point so;

2.1 I have created the needed coping mechanisms/brakes for Bipolar and this could be the worst it gets as I already have them set in place with suffering from it from an early age…

or

2.2 It is getting worse now as I have passed the brain development age and signs point to it getting worse with age – current case for example: 55 year old male had first hopsital visit from Mania after suffering from it for 30+ years.

  note: Time of year – Christmas – the year I’ve had and incorrect medication could also be a trigger for recent developments.

2.3 If Cyclothymia, likely to progress to Bipolar due to age.

  2.4 It is what it is now, try not to stress about it too much, I’m stuck with it.
Further investigation needed.

Medication routine:

Reduce Fluoxetine from 60mg to 40mg – immediately – for two weeks. After that, I should be able to come off it quicker once I get down to 20mg. Have to ease off it or I will suffer withdrawal symptoms.

Take Quetiapine 50mg for three days, 100mg for three days, then 150mg for fourteen days. This can be increased to 800mg. After my body is set on 150mg then the side effects will be at it’s worst. After 150mg, the side effects will appear the same as if I was taking 800mg.

Expect severe side effects each time I increase my dose initially – 50 – 100 – 150mg.

Three – Fourteen days for the full side effects to wear off.

Most likely side effect: Sickness, Headaches, extremely groggy and sedated on a morning.

Key point – get through fourteen days then go from there before making a decision on the medication, expect to have a horrible first two weeks. It will treat both mood states and sleeping issue. Best medication for it. Alternative is Lithium.

Quetiapine – may increase weight due to increased appetite, must control it, medication doesn’t increase weight, it’s the increasd appetite that will.

Lithium – likely to poison my kidneys long term.

No contest.

Once my body is used to Quetiapine, another drug will be added to the treatment but my body could not cope with the Fluoxetine, Quetiapine and this other one at the moment. Need to be at 150mg Quetiapine, 0mg Fluoxtine before this new one is introduced also.

Full review 02/02/2017 @ 11:30am

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